This solution brief provides an overview of the CTI approach to Revenue Cycle Management. This includes an overview of our approach to modern data analytics to address the RCM challenges such as predicting denials early in the workflow, flagging them and recommending or preventatively acting on the situation. The CTI solution, based on an intelligent data model, considers data in large volumes including:
• Historical transactions
• Claims history
• What was and wasn’t paid and why
This brief also disucsses the use of machine learning to produce models that learn from historical patterns, and use them to predict outcomes, suggest interventions, and even act where necessary.