RCM Brain Weds AI and Predictive Analytics
公司规模
11-200
地区
- America
国家
- United States
产品
- WebFOCUS Portal
- InfoAssist
- InDocument Analytics
技术栈
- Artificial Intelligence
- Machine Learning
- Predictive Analytics
- Data Visualization
- Robotic Process Automation
实施规模
- Enterprise-wide Deployment
影响指标
- Cost Savings
- Productivity Improvements
技术
- 分析与建模 - 预测分析
- 分析与建模 - 实时分析
- 应用基础设施与中间件 - 数据交换与集成
适用行业
- 医疗保健和医院
适用功能
- 商业运营
用例
- 预测性维护
- 过程控制与优化
- 根因分析与诊断
服务
- 数据科学服务
- 系统集成
关于客户
RCM Brain is an AI-driven revenue cycle rules engine and workflow automation platform. It uses artificially intelligent workflow bots to connect data and execute tasks across legacy billing systems, clearinghouses, and payer websites. The company was founded to simplify the revenue cycle management (RCM) workflow with the help of BETH, an AI system that leverages machine learning technology and Information Builders’ WebFOCUS business intelligence (BI) and analytics platform to boost the efficiency and productivity of claims-processing staff. The system combines an AI rules engine and robotic process automation with data processing and analytics technology from Information Builders.
挑战
RCM Brain needed a flexible analytics solution with comprehensive data management, data visualization, and predictive analytics capabilities that could be embedded into a larger software platform. The revenue cycle management (RCM) process that medical providers use to track revenue from patient visits is complex and error-prone, leading to high administrative costs and revenue leakage. RCM data is spread among various systems, making it difficult to create comprehensive reports. The challenge was to automate this process and reduce the costs associated with inaccurate medical claims.
解决方案
RCM Brain used WebFOCUS Portal to build a series of analytics dashboards that permit RCM workers to visualize and drill into claims data through dynamic charts. The system can reverse-engineer payer denials and discover patterns in the data, gradually building a predictive layer to intercept and interrogate errant claims prior to submission to the payer. WebFOCUS also performs root-cause analysis to surface errors in the claims billing process. It provides visual controls over the AI processing engine, allowing managers and executives to monitor RCM workflows and obtain a holistic view of RCM activities. The company plans to enhance the system with new types of analytics, including summarized content and an ad hoc analytics environment anchored by InfoAssist.
运营影响
数量效益
Case Study missing?
Start adding your own!
Register with your work email and create a new case study profile for your business.
相关案例.
Case Study
Hospital Inventory Management
The hospital supply chain team is responsible for ensuring that the right medical supplies are readily available to clinicians when and where needed, and to do so in the most efficient manner possible. However, many of the systems and processes in use at the cancer center for supply chain management were not best suited to support these goals. Barcoding technology, a commonly used method for inventory management of medical supplies, is labor intensive, time consuming, does not provide real-time visibility into inventory levels and can be prone to error. Consequently, the lack of accurate and real-time visibility into inventory levels across multiple supply rooms in multiple hospital facilities creates additional inefficiency in the system causing over-ordering, hoarding, and wasted supplies. Other sources of waste and cost were also identified as candidates for improvement. Existing systems and processes did not provide adequate security for high-cost inventory within the hospital, which was another driver of cost. A lack of visibility into expiration dates for supplies resulted in supplies being wasted due to past expiry dates. Storage of supplies was also a key consideration given the location of the cancer center’s facilities in a dense urban setting, where space is always at a premium. In order to address the challenges outlined above, the hospital sought a solution that would provide real-time inventory information with high levels of accuracy, reduce the level of manual effort required and enable data driven decision making to ensure that the right supplies were readily available to clinicians in the right location at the right time.
Case Study
Gas Pipeline Monitoring System for Hospitals
This system integrator focuses on providing centralized gas pipeline monitoring systems for hospitals. The service they provide makes it possible for hospitals to reduce both maintenance and labor costs. Since hospitals may not have an existing network suitable for this type of system, GPRS communication provides an easy and ready-to-use solution for remote, distributed monitoring systems System Requirements - GPRS communication - Seamless connection with SCADA software - Simple, front-end control capability - Expandable I/O channels - Combine AI, DI, and DO channels
Case Study
Driving Digital Transformations for Vitro Diagnostic Medical Devices
Diagnostic devices play a vital role in helping to improve healthcare delivery. In fact, an estimated 60 percent of the world’s medical decisions are made with support from in vitrodiagnostics (IVD) solutions, such as those provided by Roche Diagnostics, an industry leader. As the demand for medical diagnostic services grows rapidly in hospitals and clinics across China, so does the market for IVD solutions. In addition, the typically high cost of these diagnostic devices means that comprehensive post-sales services are needed. Wanteed to improve three portions of thr IVD:1. Remotely monitor and manage IVD devices as fixed assets.2. Optimizing device availability with predictive maintenance.3. Recommending the best IVD solution for a customer’s needs.
Case Study
HaemoCloud Global Blood Management System
1) Deliver a connected digital product system to protect and increase the differentiated value of Haemonetics blood and plasma solutions. 2) Improve patient outcomes by increasing the efficiency of blood supply flows. 3) Navigate and satisfy a complex web of global regulatory compliance requirements. 4) Reduce costly and labor-intensive maintenance procedures.
Case Study
Harnessing real-time data to give a holistic picture of patient health
Every day, vast quantities of data are collected about patients as they pass through health service organizations—from operational data such as treatment history and medications to physiological data captured by medical devices. The insights hidden within this treasure trove of data can be used to support more personalized treatments, more accurate diagnosis and more advanced preparative care. But since the information is generated faster than most organizations can consume it, unlocking the power of this big data can be a struggle. This type of predictive approach not only improves patient care—it also helps to reduce costs, because in the healthcare industry, prevention is almost always more cost-effective than treatment. However, collecting, analyzing and presenting these data-streams in a way that clinicians can easily understand can pose a significant technical challenge.
