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ApexonHealth RCM Solutions

Driving your revenue integrity, so you can focus on driving exceptional healthcare

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FEATURES

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Resuscitate RCM Processes with AI & RPA

Get the best of healthcare-focused IT solutions with ApexonHealth's approach that combines machine learning, workflow automation and business process automation in our proprietary Newton AI platform. Having helped 80+ healthcare organizations in 14+ years transform their RCM systems, we are trusted members of various healthcare bodies like American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), and more.

Equipping Providers with Tools and Insights

Boost your organization's progress by modernizing your revenue cycle management. Automate your operations to reduce your cost-to-collect by up to 55% and improve your net collections by:  
  • Implementing Full Service RCM including eligibility validation, charge entry, A/R follow up and payment posting through autonomous bots and flexible RPA models
  • Bringing the power of computer-assisted coding to your Health Information Management (HIM) systems to automatically code or audit files in a variety of formats
  • Upgrading A/R and denial management with business intelligence and advanced analytics to handle all critical functions, from assessing low insurance pays to managing refunds
  • Visualizing your insights on executive dashboards backed by our analytical toolkits and data warehouse solutions, so you can deliver the highest quality of care
  • Capturing and billing all charges with our comprehensive AI-powered solution that enhances your revenue integrity with 100% ML-based code audit review
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Enhancing Payer Back Offices with AI

Leverage automation to not only support your operations, but to also make it resilient and proactive. ApexonHealth approaches payer solutions with a blend of advanced technology, precise processes and expertise in delivering human-first digital solutions through:  
  • Claims administration with AI-powered pre- and post-payment processes such as manual touch reduction and claims audits to check for compliance and accuracy
  • Membership management to improve member satisfaction and retention by implementing machine learning enrollment, risk adjustment coding and more
  • Provider network management to handle vast networks while still delivering measurable cost reductions and benefits like credentialing services, contracting and more
  • Risk coding through machine learning models that can identify risks and adjust medical costs according to HCC scores
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BENEFITS

The Power of AI for Providers and Payers

Using the Newton AI platform, which fuses human insight and machine learning to enable breakthrough improvements to revenue cycle management, healthcare coding and more, ApexonHealth can help you:

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CASE STUDIES

Apexon in Action

See how Apexon helps healthcare organizations in their digital transformation journeys.

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An EMS Firm Makes Coding and Processing Time 4x Faster

Learn how we helped an emergency medical services company create an API-enabled web application to automate their coding processes to deliver 95% accuracy and 4x faster processing time

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Healthcare Revenue Management Firm Reduces Denials by 95%

Discover how we helped a healthcare firm save costs and reduce denials with an RPA-enabled claims processing system.

INSIGHTS

Insights That Drive Real Results

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Let’s head to the apex

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