Revenue Cycle Management

Transform Your Revenue Cycle with AI Agents

Cut operational costs and accelerate cash flow with an integrated team of AI Agents that automate your entire revenue cycle.

82%

Lower cost per claim.

75%

Fewer preventable denials

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What We Do

Thoughtful delivers AI transformation by providing a comprehensive layer of automation and AI throughout the organization.

70%

reduction in time spent scheduling

Eligibility Verification

  • Commercial & Medicaid eligibility checks
  • Voice-enabled insurance verification
  • Multi-payer portal & EHR integration
  • Real-time eligibility monitoring

98%

First-pass resolution rate

Prior Authorization

  • Prior authorizations on autopilot
  • Automated treatment plan verification
  • Multi-payer submission & appeals
  • Real-time tracking & monitoring

60%

reduction in time spent with charge capture

Coding and Notes Review

  • Real-time compliance & guideline updates
  • High-accuracy medical code validation
  • Multi-payer rule synchronization
  • Advanced documentation analysis

95%

reduction in cleaning and submitting claims

Claims Processing

  • Primary & secondary claims automation
  • Multi-payer portal submission
  • Real-time claims scrubbing & monitoring
  • Coordination of benefits integration

75%

or more reduction in preventable claims denials

Denials Management

  • Real-time denial analysis & resolution
  • Intelligent appeals & resubmission
  • Multi-payer appeal letter generation
  • Comprehensive denial tracking & reporting

82%

less time spent on reconciliation and audit reports

Payment Posting

  • 100% precision across EDI, manual and lockbox
  • Automated EOB & ERA processing
  • Account Reconciliation
  • Revenue Reporting

Front-End Revenue Cycle

Prevent Denials and Secure Coverage Upfront

Automate eligibility verification and prior authorizations to reduce front-end denials by 11x and ensure services are covered. Lay the groundwork for success with seamless patient registration and scheduling workflows, capturing accurate demographic and insurance data to minimize errors downstream. By addressing gaps early, you’ll avoid costly rework and delays.

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Functions

Mid-Cycle Revenue Cycle

Submit Clean Claims with Precision

Ensure 98% claim accuracy with AI-powered coding and notes review, paired with automated claim scrubbing. Strengthen mid-cycle integrity by embedding charge capture tools to document every billable service and conducting compliance audits for coding adherence. This proactive approach prevents undercharging and safeguards revenue.

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Functions

Back-End Revenue Cycle

Resolve Issues and Accelerate Cash Flow

Recover revenue faster with smart denial management and automated payment posting. Go beyond resolving disputes by leveraging analytics to track underpayments and optimize patient billing/collections. Close the loop with real-time insights into days in A/R and payer performance, ensuring every dollar earned flows back to your organization.

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Functions

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Functions

Collect more money, faster.

Higher capacity, less headcount.

Acquire and retain more patients.

Elevate your healthcare system

Witness our proven ability to save industry leaders time and money firsthand, with unrivaled efficiency and performance.

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Cara Perry

VP of Revenue Cycle Management
Signature Dental Partners

Everything is running 24 hours a day, and accurately, which is all you can ask for when it comes to RCM.

It's like training a perfect employee, that works 24 hours a day, exactly how you trained it.

Cara decreased days sales outstanding to 45% below industry standards

Achieving Guaranteed Outcomes and ROI

Join leading healthcare providers and:

  • Collect more money, faster
  • Higher capacity, less headcount
  • Acquire and retain more patients