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Nuaig enables healthcare providers to deploy AI across customer experience and back-office functions

Early Stage

We assist healthcare providers at an early stage of the AI Journey to find the best quick win AI use cases and niche AI solutions that best cater to their challenges. We deploy a two-pronged approach of system study and solution deployment

Intermediate stage

We help healthcare providers who have envisioned their AI roadmap and need partners to bring that vision to life. Our global team of AI luminaries can help you implement this AI/ML vision

Developed stage

Healthcare Providers with in-house AI teams & projects can leverage our industry expertise and network for project consultation along with resource up-skilling and harnessing the right talent

Smart automation in Revenue Cycle Management

RCM being the cornerstone of Healthcare operations, an optimised AI driven RCM can significantly help healthcare providers improve productivity and bend cost curves. “ Bots can be deployed to automate processes across revenue cycle compartments : “
  • automated scheduling

Scheduling and Registration

○ The bot schedules online/ telehealth / in-visit appointments based on availability.
○ It Automatically extracts Pre-registration information from the form.
○ Then send automatic reminders for upcoming appointments.
○ Bot verifies the patient’s identity and sets up a patient account.

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Prior Authorization

○ Integrates with providers’ EHRs and assist to verify Insurance Eligibility
and update patient’s financial responsibility.
○ Bot Logs into the Payers portal and submits the pre-authorization request.
○ Track the status of the submitted claim through the portal.

  • prior authorization
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  • charge capture

Charge Capture

○ Automatically document accurate details of the services rendered in
written, audio or video format.
○ Bots Transcribe captured details into well-documented medical records.

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Medical Coding

○ Utilizing a bot to Script medical records into Medical codes ensures
error-free claim submission.
○ It Assigns standard diagnosis and treatment codes based on service
delivered to the patient.

  • Medical Coding
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  • charge entry and payment posting

Charge Entry and Payment posting

○ Bots assign accurate charges for the service rendered prior to the claim submission.
○ Ensure error-free payment posting
○ Submit a clean claim for primary and secondary payer
○ Identify and attach missing attachments with claims.
○ Transmit the claim through the following processes:
i. Claim Scrubbing
ii. EDI Transmission
iii. Payer rejections

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Account Receivable & Denial Management

○ Bots Download AR report from the practice management system.
○ Address denied claims then analyze the claim and identify the root cause.
○ Then updates claim status to the Practice Management software.
○ AR Specialist takes further action.
○ Maintain patient information, supporting documentation, and status of the claim
○ Determine the patient balance and collect the remaining payments.

  • denial management
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  • reporting

Benchmarking/ Reporting

○ Compare process and benchmarks
○ Develop plans for currents processes to meet the benchmark.

Artificial Intelligence in Healthcare

Enabling Healthcare Providers Jumpstart their Artificial Intelligence journey with Intelligent Automation and Machine Learning
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Explore the Realm of Artificial Intelligence through our Capsule blog series

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Corporate Office

US – EDISON