Claimocity Claims

How AI Improves Hospital Efficiency and Billing

According to an AKASA/Healthcare Financial Management Association (HFMA) Pulse Survey study from December 2023, about 46% of hospitals and health systems are now using Artificial Intelligence (AI) and machine learning tools in their RCM operations, and 74% of hospitals are implementing some form of revenue cycle automation. It’s becoming increasingly common to see AI and machine learning technology embedded in everyday hospital administrative tools. 

Hospitalists are required to manage documentation, consults, handoffs, and billing in fast-paced inpatient settings. Automated tools provide a practical way to simplify revenue cycle workflows and reduce the time hospitalists spend on administrative tasks. These tools also support faster billing turnaround, while identifying billable services and reducing, or even eliminating, errors due to manual data input.

The High Stakes of Inefficient Billing

How Automation Drives Efficiency for Hospitalists

Reduced Administration Burden

Streamlined Revenue Cycle

Integrated automation standardizes data flow from the EHR into billing workflows to reduce handoffs between clinical and billing teams. They pick up on common billing inconsistencies to spot mistakes before claims go out. This increases first-time claim approvals for faster reimbursements and less back-and-forth with payers.

Centralized Visibility

Centralized claims are visible to the entire team, so you don’t waste time chasing down updates through endless emails, spreadsheets, or phone calls.

More Free Time

Automated administrative tasks mean less repetitive data entry for hospitalists. This works in a couple different ways. First, your systems are integrated, so clinicians don’t need to enter the same data into multiple programs. Second, the system can autofill appropriate data from previous documents. This automation frees up time for staff to dramatically reduce or eliminate after-hours charting.

Better Practice Visibility

When all of your systems are integrated and fed from the same data set, it provides greater visibility for the whole team. Rather than digging through several different programs to find information, an automated system displays all the most important and most commonly used information on uniform dashboards that the whole team can readily access. Real-time insights into charge capture rates and documentation gaps make it easier for hospitalist group leaders to identify areas where efficiency can be improved.

Why Claimocity?

More than just a generic RCM platform, Claimocity is specifically designed to be used in hospital and healthcare settings. It combines powerful revenue cycle automation with AI-powered charge capture. Automated billing and documentation mean faster, more accurate revenue cycle management.

The result? You’ll miss fewer billable events tied to consults, procedures, and shift changes. You’ll also experience greater coding consistency across providers. With billing errors identified and corrected before claims are submitted, you’ll avoid costly downstream corrections. Simply put, your practice will bring in more revenue. Payments will arrive sooner and your staff will spend less time and energy on admin tasks.

Claimocity integrates seamlessly with existing EHR systems. It minimizes duplicate documentation and manual data input, so your clinicians will spend less time on documentation and after-hours work. The software tracks patient data from provider to provider and shift to shift so critical information isn’t lost during shift changes or handoffs. Integrated dashboards put vital data at your fingertips, while real-time updates keep your systems aligned and your teams on the same page.

Your team will be prompted to enter information when documentation is needed. Standardized workflows and fully traceable billing records keep your team ready when audits happen. Our automated solutions are built for the realities of hospital medicine, with on-the-go mobile tools and real-time prompts that reduce reliance on memory and help close end-of-shift billing gaps. Clinicians can also capture charges during rounds, consultations, and transitions of care. Critical work will never go unbilled again.

The team at Claimocity brings more than 20 years of experience navigating the complexities of hospital medicine billing. That expertise translates into world-class operational support and practical guidance on payer rules, compliance standards, and workflow optimization to help your organization operate more efficiently and capture the revenue you’ve already earned.

Start Optimizing Today with Claimocity

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