HEALTHCARE

The healthcare industry is at a pivotal juncture, facing unprecedented challenges from rising operational costs, regulatory complexities, and the pressure to deliver better patient outcomes. In an era where patient care is no longer confined to hospitals but extends to digital platforms and home care solutions, healthcare providers must adopt agile and scalable technologies to stay competitive. Emerging trends such as telemedicine, patient-centric care, and personalized medicine are reshaping how healthcare is delivered and consumed. Novatio Solutions leverages Intelligent Automation, Generative AI, and Conversational AI to provide healthcare organizations with the tools they need to streamline operations, reduce costs, enhance patient care, and remain compliant with evolving regulations.

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  • reduced billing errors by 45%,
  • saw a 30% improvement in payment collections within six months.

A leading healthcare provider implemented Novatio’s Intelligent Automation solution to overhaul its revenue cycle management. By automating claims submissions, payment tracking, and denials management, the provider...

USE CASE for Revenue Cycle Management 

Novatio’s Intelligent Automation solutions streamline every step of the revenue cycle, from claims submission to payment reconciliation. By automating key tasks Eligibility, prior authorizations, appeals , claim status, and denials management. Our solutions help healthcare providers reduce errors, expedite reimbursements, and increase overall revenue cycle efficiency.

NOVATIO SOLUTION

Healthcare organizations struggle to manage the intricate billing, coding, and reimbursement processes involved in the revenue cycle. The complexity of multiple payers, coding requirements, and regulatory mandates often leads to delayed or denied payments, affecting cash flow and the bottom line.

#1 Revenue Cycle Management Complexity

  • handled over 80% of outbound verification calls to insurance companies, 
  • significantly reducing administrative burden 
  • and improving patient satisfaction by providing quicker financial responsibility confirmations.

Novatio partnered with a large hospital network to implement Conversational AI and voice chatbot solutions for automating the financial clearance process. The system... 

USE CASE for Financial Clearance

In addition to payer portal automation, Novatio integrates advanced Conversational AI and voice chatbot technologies to automate the financial clearance process. By automating outbound calls to insurance companies, verifying patient insurance benefits, and confirming financial responsibility, we reduce manual interventions and speed up the clearance process. Patients receive faster care, and providers minimize financial risks.

NOVATIO SOLUTION

A common pain point for healthcare providers is ensuring that patients can assume financial responsibility for their treatments. Without proper financial clearance, providers risk financial loss, and patients face uncertainty about their coverage. Manual processes for verifying insurance eligibility, benefits, and patient financial responsibilities cause delays and increase the risk of errors.

Inefficiencies in Patient Financial Clearance

#2

Key Challenges // Novatio SolUTIONS // USE CASES

Key Challenges //

Novatio SolUTIONS //

USE CASES

Revenue Cycle Management Complexity

#1

Inefficiencies in Patient Financial Clearance

#2

Credentialing and License Verification

#3

Claims Denial Management

#4

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