CoOrdio Health - Stop Denials Before they happen! published a LinkedIn post from Peterson Health Technology Institute (PHTI) on administrative AI in healthcare.

CoOrdio Platform Differentiators (by OpenBots) • In A Nutshell: The only company that automatically interprets benefits across multiple clearinghouses, not just simple eligibility checks from one limited clearinghouse. • Save You Money In 3 Ways: 1. Fewer Denials: Minimum 25% reduction in eligibility-related denials. 2. Denial Rework: ~$50 avoided per denial. 3. Time Saved: Headcount eliminated, with no manual payer portal work. Centerstone experienced $4M+ ROI in year one. • 12% Denial Rate: Healthcare has roughly a 12% denial rate. • Eligibility #1 Cause: Eligibility is the biggest driver of denials. • Wrong Payer: ~50% of eligibility denials come from billing the wrong payer. CoOrdio automates Coordination of Benefits and ensures the correct payer is billed. • EHR Checks Only: EHRs typically automate a simple check through one clearinghouse. Benefit interpretation is not automated. • Most Complete & Accurate Benefits: Checks multiple clearinghouses and uses AI to interpret carve-outs, grace periods, coverage terminations, patient responsibility, and estimates. • Medicaid MCO Accuracy: CoOrdio identifies the correct Medicaid MCO and ensures it gets billed correctly. • Errors Eliminated: Eliminates manual errors in DOB, names, demographics, and payer information. • End-to-End Revenue Cycle Automation: Automates Prior Authorization, Fax Intake, Referral Management, Payment Posting, A/R Follow-Up, and AI No-Show Prevention across the front and back end of the revenue cycle.