en.Wedoany.com Reported - Athenahealth has launched over 80 new artificial intelligence features for revenue cycle management (RCM) on its AI-native platform athenaOne, aimed at reducing manual administrative work and improving outcomes in the outpatient revenue cycle. The company provides electronic health record (EHR) software, RCM, and patient engagement solutions for small and independent healthcare organizations.

The new and expanded AI-native features include automatic insurance selection, AI copay, voice AI, rapid coding, expanded payer monitoring, expanded anomaly detection, expanded denial resolution automation, and more. Early results from features already live on the platform show a 30% increase in coding-related denials and a 16% decrease in insurance-related denials. Additionally, AI-powered voice agents completed prior authorization calls within one hour.

Heart & Vascular Care, based in Georgia, is an early adopter. The organization serves approximately 55,000 patients statewide. Larami Oliver, Vice President of RCM, stated that these features integrate into existing workflows, reduce billing inconsistencies, and help improve efficiency, accuracy, and employee experience. The automatic insurance selection and copay accuracy features reduce rework and help ensure claims are submitted correctly. Improved copay accuracy and a smoother front-end process enhance the patient experience, reducing wait times and unexpected follow-up balances.

Paul Brient, the company's Chief Product and Operations Officer, said that AI enables Athenahealth to continue eliminating friction in RCM operations, helping clients receive the payments they are owed.

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