After a dedicated year of hard work, Linkup Studio delivered an AI-based HIPAA-compliant platform from scratch that greatly simplifies the healthcare audit process. With just a couple of clicks, this innovative platform recognizes, links, and verifies vast quantities of documents from healthcare providers' archives. This accelerates the process of identifying additional revenue from \"zero balance\" accounts, enabling swift and efficient financial recovery.
Our solution has transformed the audit process, reducing countless hours of manual document analysis to mere seconds. Managers can now swiftly identify up to 5% of underpaid contracts from various insurance companies. This allows for the recovery of millions of dollars to medical centers, hospitals, clinics, and other healthcare facilities across the US. It's not just a step towards efficiency – it's a leap towards profitability and fair compensation in healthcare.
Our client is dedicated to delivering retrospective audits to healthcare facilities throughout the US. As of January 2023, Definitive Healthcare HospitalView indicates over 7,000 medical providers in the country. Many of these providers struggle with underpaid "zero balance" care accounts. This issue largely stems from various insurance company policies and other factors. Even though the industry boasted an impressive total revenue of $2.829 trillion in 2022, many US healthcare facilities lose millions yearly. The reason is difficulties in identifying and collecting underpayments from managed care payers.
Our client specializes in auditing and examining healthcare providers "zero balance" accounts up to two years old. They successfully retrieve additional revenue.
They reached out to Linkup Studio with a request to develop a comprehensive AI system that could automate their complex processes. Their goal was to shorten the time their managers often spent on a single project and reduce the inevitable human errors that can occur when dealing with work on such a large scale.
Linkup Studio team tackled a set of pivotal tasks to create this robust solution: