ExactRx automates pre-procedural clearance and claims preparation by aligning payer policy with clinical workflows. The platform evaluates existing documentation against payer rules and clinical guidelines to flag missing information before submission. This process reduces claim denials and delays, allowing provider teams to focus on patient care.
Funding
Funding not disclosed
Founders
Product
Problem
Ambulatory Surgery Centers (ASCs) face challenges in maximizing operating room utilization, minimizing delays and cancellations, and ensuring complete and accurate documentation for optimal billing and compliance. Manual pre-operative processes are time-consuming, and incomplete documentation can lead to reimbursement delays and denied claims.
Solution
ExactRx provides an AI-powered operating system for ASCs designed to streamline workflows, improve efficiency, and recapture lost revenue. The platform automates pre-operative tasks, identifies potential delays before they occur, and ensures all necessary documentation is complete and accurate. By optimizing scheduling, streamlining discharge, and enhancing handover processes, ExactRx maximizes OR utilization and turnover time. The system also features a medical necessity engine that generates care plans aligned with payer criteria, minimizing denied claims.
Target Audience
The primary target audience is Ambulatory Surgery Centers (ASCs) looking to improve operational efficiency, reduce costs, and maximize revenue.
Features
- AI-powered platform for intelligent pre-operative optimization
- Medical Necessity Engine with payer-specific logic for generating templated care plans
- Predictive analytics for maximizing scheduling and streamlining discharge processes
- Automated pre-op workflows to reduce manual work and minimize delays
- Real-time patient information analysis for 24/7 visualization of patient status
- Integration with existing scheduling, billing, and patient record systems
- Customizable workflows to fit specific healthcare facility needs
- HIPAA-compliant architecture with enterprise-grade security