Meduit's SARA (Supervised Autonomous Revenue Associate) has worked more than 1 million hospital, health system and physician accounts since her launch. Just a few months ago, she achieved the goal of completing the work of more than 100 full-time employees, freeing staff to focus on more complex RCM challenges.
“When we developed SARA a couple of years ago under the MeduitAITM umbrella of solutions, we knew she would evolve quickly because she is built to learn and advance her capabilities over time,” said Jason Petrasich, Senior Vice President of AI for Meduit. “Hitting the dual milestones of working more than a million accounts and performing the work of more than 100 full-time employees is a game-changer for our healthcare provider partners who are facing staffing shortages across their organizations.”
SARA was created to handle repetitive tasks that include:
- Insurance: Verify insurance eligibility, update coverage and generate a replacement claim
- Claims: Scrub pre-bill claims in editor, apply business logic billing changes and free up billers to focus on complex claims
- Medical records: Recognize records requests from payers, locate document in EHR and upload document to payer portal
- Adjustments: Assess when an adjustment is required, post adjustment to claim with code and documentation
- Denials: Identify and analyze denials (coding, authorization, eligibility, timely filing), automatically submit corrected claim, file an appeal, or write off a claim based on supporting data
Beyond SARA, MeduitAI also offers the following solutions powered by artificial intelligence (AI):
MedAutoCodeTM: Autonomous clinical coding that leverages AI and natural language understanding to eliminate manual processes and increase accuracy
Voice Analytics: Analyzes collections calls to hospitals and health system patients to drive better patient experiences on behalf of hospital and health system clients
Automated Preauthorization: Automatically submits an authorization, including required clinical information, when triggered by a new order or scheduled entry
Automated Claims Follow-up: Goes beyond a simple claim status and determines and executes the next action needed in order to get that claim resolved
MedProveTM: Leverages predictive analytics and AI to accelerate cash and resolve accounts receivable; MedProve solutions include:
- MedProve PatientTM: Predicts a patient’s propensity to pay to help optimize collection efforts so providers can focus billing resources on the patients who need the most attention
- MedProve PayerTM: Helps providers intervene with a claim before the payer can delay or deny the claim in order to reduce denials
- MedProve CharityTM: Generates a presumptive score to help providers focus resources on patients most likely to qualify for charity programs