Stay Ahead of Payment Trends and Improve Approval Rate with AI-Driven Insights
Our cutting-edge AccelarMed AI platform helps healthcare, life science and biotechnology organizations navigate the complexities of reimbursement and unlock payment potential in real-time.
Maximize Approval Rates
Predict denial risk with precision and uncover targeted interventions to boost approval rates. By analyzing the root cause of potential denials, our system provides actionable recommendations, such as refining diagnoses and procedure codes, to ensure claims are accurate and complete before submission.
With AccelarMed OptiClaim Pro, you’ll have the power to anticipate denials in real-time and find mitigation strategies, maximizing revenue and minimizing frustration.
Effortless Transactions: Seamlessly connect with your RCM for a hassle-free experience
The AccelarMed AI platform seamlessly integrates with your Revenue Cycle Management (RCM) system through REST API, embedding our advanced logic into the claim submission workflow. This enables real-time evaluation of payment risk and targeted intervention suggestions to minimize denials.
Smart Learning: Unlock Payer Intelligence
Our pre-trained models have been refined over 6 years, analyzing millions of claims data points to develop a deep understanding of payer behaviors, policy guidelines, and the newest emerging evidence from clinical publications.
With AccelarMed OptiClaim Pro you gain instant access to new coverage opportunities based on new treatment pathways that align with your product’s strengths. Align your pricing and reimbursement to the tangible value your product brings to patients and payers.
Clarity in Action: Understand the Big Picture
Not all problems are the same. Understand the key pain points in your revenue cycle, their root cause and the impact on the bottom line. Our platform provides AI-driven insights, tailored to approval and denial patterns of each individual insurance, instantly highlighting areas of opportunity for improvement. At a glance, users can identify trends, patterns, and anomalies that may be impacting revenue performance. Moreover, our visualizations empower proactive intervention planning, aligning with long-term goals of payer and provider engagement.
Get Suggestions for Targeted Interventions
With actionable recommendations, users can develop with ease targeted strategies to address identified gaps. For instance, with AccelarMed Lumina you can generate justification letters or newsletters, enabling personalized communication with payers and providers to resolve issues and prevent future denials.
Review our resources to see showcases:
Patient Journey Insights in Cancer
Patient Journey Insights in Autoimmune Diseases
Learn how you can augment your Big Data and AI ecosystem with pre-built patient journey data models, national claims data and clinical studies:
Data as an Infrastructure – cloud or on prem
Want to learn more?
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+1 (610) 783-3601
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