AI-Powered Revenue Cycle Management

Turn every patient interaction into predictable profit

Why Traditional RCM Fails

Insurance rules evolve weekly and manual checks can’t keep up—resulting in:

Leaky revenue from under-coding and missed modifiers
Slow A/R that ties up cash for 45+ days
Burned-out staff buried under denials and appeals

Trelth Solutions rewrites that story with an AI-first engine that works while you care for patients.

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How the Trelth RCM Engine Works

Step

1. Eligibility & Authorizations

2. Charge Capture & Coding

3. Clean-Claim Scrub

4. Predictive Denial Guard

5. Auto-Posting & Reconciliation

6. Insights & Forecasting

Agentic AI Action

Real-time eligibility checks and auto-prior-auth triggers

NLP scrapes clinical notes → suggests optimal ICD-10/CPT/HCPCS codes → flags documentation gaps

1,200+ payer rules applied instantly; AI corrects errors before submission

Machine-learning models identify high-risk claims and auto-appeal denials within 24 h

Intelligent matching of ERAs to EHR data; variance alerts in real time

Live dashboards track KPIs, payer lag, and aging buckets

Your Benefit

Fewer front-desk follow-ups, happier patients

15 % average revenue lift via “found” codes

99 % first-pass acceptance

40 % cut in denial rate

Books close in minutes, not days

Data-driven staffing, purchasing, and growth plans

What Sets Us Apart

Agentic AI Workflows – Autonomous bots shepherd each claim from creation to cash.
Predictive Analytics Dashboard – Spot under-coding, payer delays, and revenue trends instantly.
HIPAA-First Architecture – End-to-end encryption, role-based access, and real-time compliance updates.
Human Expertise on-Demand – U.S.–based certified coders, RCM analysts, and compliance officers ready 24/7.
Transparent Pricing – Flat, all-inclusive rate; no setup fees, no surprise add-ons.
Scalable Infrastructure – Whether you’re a solo practitioner or a multi-site group, the same engine scales with one click.

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Frequently Asked Questions

Is my data secure?
Absolutely. We exceed HIPAA, NIST, and SOC 2 requirements with 256-bit encryption and continuous compliance monitoring.

Do I need new hardware or EHR?
No. We integrate with popular EHRs via API—Kareo, AdvancedMD, eClinicalWorks, athenahealth, and more.

How quickly can I see results?
Most practices realize measurable cash-flow improvements within the first 60 days.

Proven Results

Metric

Net Collections

Days in A/R

Denial Rate

Admin Hours / Week

Before Trelth

Revenue leak

45–60 days

8-10 %

20+

With Trelth

+15-25 % lift

< 40 days

< 3 %

-60 % saved