Revenue Cycle Management
Activate a high-performance, AI-optimized revenue cycle
Karma Health AI transforms the entire revenue lifecycle, using intelligent automation to capture revenue early, resolve friction quickly, and maximize yield with absolute precision.
Optimize Front-End Revenue Capture with AI
Predict reimbursement risks and automate patient financial clearance at point-of-care using AI-powered estimators, eligibility engines, and registration validations.
Optimize Insurance Verification & Eligibility with AI
Accelerate verifications with AI that scans payer portals, validates policy data, and flags discrepancies before claims are ever submitted.
Optimize Claims Submission & Tracking with AI
Submit cleaner claims with AI-coded scrubbing logic, and monitor adjudication status in real-time to reduce delays and improve first-pass rates.
Optimize Denials Management with AI
Surface root-cause denial patterns, prioritize high-value appeals, and generate AI-generated responses to recover revenue with greater speed and precision.
Optimize Medical Coding & Audit Support with AI
Support coders with AI-suggested codes, documentation match logic, and audit-readiness tools that protect compliance and accelerate revenue flow.
Optimize Patient Collections Management with AI
Drive higher patient collections using AI-scored risk segmentation, automated outreach sequences, and personalized payment plan recommendations.
Optimize Revenue Leakage Identification with AI
Identify missed charges, underpayments, and documentation gaps through continuous AI monitoring that continuously scans RCM pipelines for silent revenue loss.
Telehealth Program Deployment with AI
Karma Health AI integrates Social Determinants of Health (SDoH) into AI-driven care coordination. Our solution surfaces high-risk factors and activates personalized interventions with precision.
Emergency Room Utilization Management with AI
A patient with COPD visited the ER three times in 60 days. Karma Health AI identified the risk, launched a care plan, and stabilized care remotely.
Health Risk Assessments with AI
A 58-year-old woman with hypertension and undiagnosed anxiety appeared stable. Karma Health AI equiped her care team with a dynamic health risk assessment that flagged her deteriorating status before it became an emergency.
