Revenue Cycle Management
Sagility delivers unprecedented results in Revenue Cycle Management (RCM) by combining people, processes, and technology. We use EMR and HIS-driven predictive analytics and machine learning to prioritize unpaid claims based on their propensity to pay, utilizing smart automation to enhance claims accuracy and increase speed-to-pay.
Managed over $18.4 billion in client accounts receivable
$5.1 billion in cash recovered
Processed over 60 million hospital, physician, and DME claims
Reversed more than 9 million zero-paid denials, recovering $1.4 billion
Contact us now to explore our full suite of services, including A/R Management and Denials Management.
A/R Management
With the help of machine learning algorithms, Sagility works with predictive analytics to help our clients stay ahead of the curve. These are designed to analyze and prioritize unpaid claims based on their likelihood of payment. Our advanced root-cause analysis aids in the correction of claim inaccuracies, which improves cash collections at a reduced price point.
- – Aged A/R resolution and legacy A/R wind-down
- – Early-out/small balance claims resolution
- – Specialty A/R management
- – Process optimization for increased recovery rates
Denials Management
A targeted, tech-driven approach to revenue recovery. By utilizing AI and sophisticated analytics, we can accurately identify the root causes of denials. This information informs our corrective strategies, which are efficiently implemented through intelligent automation processes. We specialize in Clinical Denials Management, focused on resolving clinical denials and ensuring no avenue for revenue recovery is overlooked.
- – Expert talent with both clinical and coding backgrounds
- – Smart automation processes to efficiently implement corrective measures
- – Clinical Denials Management for clinical issue resolution
- – Comprehensive strategy that maximizes the potential for revenue recovery
Achieving High AR Resolution
For this client, Sagility provided resolution for a segment/payer mix of AR GT 180+ days claims aged from date of service.