VerdureRCM

About VerdureRCM

VerdureRCM utilizes AI technology to automate revenue cycle management processes, including real-time insurance verification, prior authorization, and autonomous coding, significantly reducing claim denials by up to 50%. This streamlining of operations enhances efficiency and accelerates reimbursement, allowing healthcare providers to focus more on patient care.

```xml <problem> Healthcare providers face challenges in revenue cycle management (RCM), including rising claim denials, complex regulations, increased authorization requirements, and staffing shortages, which impact profitability and resource allocation. Traditional RCM processes often involve manual tasks, leading to inefficiencies and errors in coding, billing, and claims processing. </problem> <solution> VerdureRCM offers an AI-powered platform designed to automate and streamline revenue cycle management for healthcare providers. The platform leverages generative AI and machine learning to provide real-time insurance verification, automate prior authorization workflows, and perform autonomous coding. By automating these processes, VerdureRCM reduces claim denials, accelerates reimbursement cycles, and improves overall operational efficiency. The platform integrates with existing EMR systems and offers customizable solutions tailored to address specific denial challenges, enhancing security, accuracy, and scalability. </solution> <features> - Real-time insurance verification and benefits validation to determine coverage and patient liability. - Automated prior authorization workflow, from identifying requirements to submission and status tracking. - Autonomous coding using AI that understands coding guidelines, providing accurate codes with explainability and confidence prediction. - Vendor-neutral workflow automation platform to automate repetitive RCM tasks. - RPA bots for custom automation of backend processes. - Smart reporting and analytics across data from VerdureRCM and other IT systems. - AI-powered payment posting using Gen AI to parse EOBs and automatically post payments. - Cloud-hosted solutions for scalability and seamless accommodation of practice growth. </features> <target_audience> The primary target audience includes healthcare providers, hospitals, and medical billing companies seeking to improve their revenue cycle management processes, reduce claim denials, and increase efficiency through AI-driven automation. </target_audience> ```

What does VerdureRCM do?

VerdureRCM utilizes AI technology to automate revenue cycle management processes, including real-time insurance verification, prior authorization, and autonomous coding, significantly reducing claim denials by up to 50%. This streamlining of operations enhances efficiency and accelerates reimbursement, allowing healthcare providers to focus more on patient care.

Where is VerdureRCM located?

VerdureRCM is based in Bengaluru, India.

When was VerdureRCM founded?

VerdureRCM was founded in 2024.

Location
Bengaluru, India
Founded
2024
Employees
11 employees
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VerdureRCM

Score: 100/100
AI-Generated Company Overview (experimental) – could contain errors

Executive Summary

VerdureRCM utilizes AI technology to automate revenue cycle management processes, including real-time insurance verification, prior authorization, and autonomous coding, significantly reducing claim denials by up to 50%. This streamlining of operations enhances efficiency and accelerates reimbursement, allowing healthcare providers to focus more on patient care.

verdurercm.com700+
Founded 2024 – Bengaluru, India

Funding

No funding information available. Click "Fetch funding" to run a targeted funding scan.

Team (10+)

Anand C

senior software engineer

Company Description

Problem

Healthcare providers face challenges in revenue cycle management (RCM), including rising claim denials, complex regulations, increased authorization requirements, and staffing shortages, which impact profitability and resource allocation. Traditional RCM processes often involve manual tasks, leading to inefficiencies and errors in coding, billing, and claims processing.

Solution

VerdureRCM offers an AI-powered platform designed to automate and streamline revenue cycle management for healthcare providers. The platform leverages generative AI and machine learning to provide real-time insurance verification, automate prior authorization workflows, and perform autonomous coding. By automating these processes, VerdureRCM reduces claim denials, accelerates reimbursement cycles, and improves overall operational efficiency. The platform integrates with existing EMR systems and offers customizable solutions tailored to address specific denial challenges, enhancing security, accuracy, and scalability.

Features

Real-time insurance verification and benefits validation to determine coverage and patient liability.

Automated prior authorization workflow, from identifying requirements to submission and status tracking.

Autonomous coding using AI that understands coding guidelines, providing accurate codes with explainability and confidence prediction.

Vendor-neutral workflow automation platform to automate repetitive RCM tasks.

RPA bots for custom automation of backend processes.

Smart reporting and analytics across data from VerdureRCM and other IT systems.

AI-powered payment posting using Gen AI to parse EOBs and automatically post payments.

Cloud-hosted solutions for scalability and seamless accommodation of practice growth.

Target Audience

The primary target audience includes healthcare providers, hospitals, and medical billing companies seeking to improve their revenue cycle management processes, reduce claim denials, and increase efficiency through AI-driven automation.