RCM AI
How AI Transforms Medical Coding and Billing
Our AI-powered RCM solutions revolutionize healthcare revenue management by:
Coding Implementation
- Automated Code Assignment: AI analyzes clinical documentation and suggests accurate ICD-10, CPT, and HCPCS codes
- Real-time Compliance Checks: Flags potential coding errors before claim submission
- Continuous Learning: System improves accuracy by learning from coder corrections and denial patterns
Revenue Enhancement Features
- Underpayment Detection: Identifies payer underpayments by comparing contracts to remittances
- Denial Prevention: Predicts and prevents common denial reasons before claim submission
- Clean Claim Rate Optimization: Achieves 98%+ first-pass acceptance rates
AI vs. Human Employees Comparison
| Metric | Traditional Staff | MedData AI Solution |
| Coding Speed | 5-7 minutes per chart | <1 minute per chart |
| Accuracy Rate | 90-95% | 98.5-99.3% |
| Cost per Chart | $2.50-$4.00 | $0.30-$0.75 |
| Denial Rate | 8-12% | 3-5% |
| Productivity | 40-60 charts/day | 300-500 charts/day |
| Training Time | 3-6 months | Instant deployment |
| Availability | 8-12 hour shifts | 24/7/365 |
Implementation Benefits:
- Revenue Impact:
- 15-30% increase in collections
- 25-40% reduction in days in A/R
- 50-70% decrease in denial write-offs
Why Choose Meddata’s AI RCM Solutions?
✅ Seamless Integration – Works with Epic, Cerner, Meditech, and all major EHRs
✅ Proactive Denial Prevention – AI predicts and fixes errors before submission
✅ Underpayment Recovery – Automatically detects and recovers missed payments
✅ Scalable & Adaptive – Learns from corrections and payer behavior
✅ No Workflow Disruption – Quick deployment with minimal staff training
The Bottom Line:
Meddata’s AI tools boost revenue, slash costs, and eliminate inefficiencies in medical billing—giving providers more time for patient care and less stress over cash flow.