Revenue Cycle & Billing

Stop Revenue Leakage with AI-Powered RCM

The average health system loses $4.9M annually to preventable denials. We build AI that catches coding errors before submission, automates prior authorization, and turns denial management from reactive firefighting into proactive revenue protection.

40%
Fewer Claim Denials
$3.8M
Revenue Recovered Annually
15 Days
Faster A/R Resolution
Industry Challenges

Revenue Cycle Is Broken by Design

Complex payer rules, constant policy changes, and manual workflows create a system designed to leak revenue at every step.

Denial Rates Keep Climbing

Average initial denial rates now exceed 12%. Each denied claim costs $25-$118 to rework, and 60% of denials are never resubmitted.

Prior Authorization Delays

Manual prior auth takes 2-14 days and requires 34 minutes of staff time per request. Delays cause care gaps and patient leakage.

💻

Coding Complexity Explosion

ICD-10 has 72,000+ codes. Annual payer rule changes and modifier requirements make accurate coding increasingly difficult.

👥

Staff Turnover in Billing

Revenue cycle staff turnover exceeds 30% annually. Training new coders takes 6-12 months to reach proficiency.

📊

Undercoding and Revenue Loss

Fear of audits causes systematic undercoding. The average hospital loses $1.2M per year from procedures coded below actual complexity.

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Payer Contract Underpayment

Payers underpay 7-11% of claims versus contracted rates. Most organizations lack the tools to catch and appeal these systematically.

Recover $3.8M in Annual Revenue Leakage

Get a free denial analysis that shows exactly where your revenue is going and how AI can stop the leak.

Revenue Recovery

Impact Across Health System RCM Operations

Composite results from healthcare organizations ranging from 200-bed hospitals to 12-hospital systems.

40%
Fewer Denials
$3.8M
Revenue Recovered
94%
Clean Claim Rate
15 Days
Faster A/R
Impact Metrics

Where the Revenue Recovery Comes From

Three areas that drive the majority of financial improvement in AI-powered revenue cycle operations.

$1.6M
Denial Prevention
Pre-submission AI scrubbing catches coding errors, missing modifiers, and authorization gaps before claims go out the door.
$1.4M
Underpayment Recovery
Automated contract variance detection identifies and appeals payer underpayments that would otherwise go unnoticed.
$800K
Coding Optimization
AI coding review captures legitimate complexity that manual processes consistently undercode due to audit fear.
Compliance & Regulations

RCM Compliance & Audit Protection

Our AI codes accurately, not aggressively. Every recommendation is defensible and audit-ready.

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HIPAA Compliant
All patient data processed with BAA coverage, PHI encryption, role-based access, and 6-year audit log retention.
🏛️
OIG Compliance Aligned
Coding recommendations follow OIG compliance program guidance. Built-in guardrails prevent upcoding and unbundling.
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CMS LCD/NCD Policies
Real-time validation against Local and National Coverage Determinations to prevent medical necessity denials.
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Audit Trail & Documentation
Every AI coding suggestion includes clinical evidence, rationale, and supporting documentation for audit defense.
Why OpenMalo

Why RCM Teams Choose OpenMalo

We do not just find denials — we prevent them. Our AI catches revenue leakage before it happens.

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Revenue-First Focus
We measure success in dollars recovered and denials prevented. Every engagement ties directly to your bottom line.
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PM/EHR Agnostic
Pre-built integrations with Epic, Cerner, athenahealth, eClinicalWorks, NextGen, and all major clearinghouses.
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Payer Intelligence Database
Proprietary database of payer-specific rules, LCD/NCD policies, and denial patterns updated continuously.
🛡️
Audit-Proof Recommendations
Every coding suggestion includes clinical evidence and rationale. We optimize revenue without compliance risk.
Fast Time to Value
See denial reduction within 30 days of go-live. Full ROI typically achieved within the first quarter.
🤝
Risk-Sharing Models
We offer performance-based pricing tied to measurable revenue recovery. We only succeed when you do.
Get Started

Get a Free Denial Analysis

Send us 90 days of remittance data and we will show you exactly where revenue is leaking.

Free denial pattern analysis
Payer-specific denial root cause breakdown
Revenue recovery opportunity estimate
Implementation timeline and ROI projection
BAA executed before any data exchange
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Featured Case Study

Revenue Recovery

Case Study

12-Hospital System Recovers $3.8M in Year One

A regional health system deployed AI-powered claim scrubbing, coding assistance, and prior auth automation across all facilities.

40%
Fewer Denials
$3.8M
Revenue Recovered
94%
Clean Claim Rate
The Challenge

The Problem

Denial rates exceeded 14% and climbing, costing $5.2M annually. A/R days averaged 52 against a 38-day target, and 40% of prior auth requests were submitted late.

Initial denial rate of 14.3% — well above the 8% industry benchmark
Prior authorization delays caused 200+ patient cancellations per quarter
Coding staff turnover at 35% made consistent accuracy impossible
Payer underpayments went undetected for an average of 90 days

Our Approach: We deployed pre-submission AI claim scrubbing that validated each claim against payer-specific rules and historical denial patterns, automated prior auth submissions for the top 15 procedure categories, and built a coding assistant that suggested and validated codes from clinical documentation in real-time.

Read Full Case Study
Client Stories

What Our Clients Say

Our denial rate dropped from 14.3% to 8.6% in the first 90 days. That is $1.2M in revenue we were just leaving on the table.

KM
Karen Mitchell
VP Revenue Cycle, Great Lakes Health

The prior auth automation alone saved 4,200 staff hours in the first year. My team finally has time to work complex accounts.

RG
Robert Garcia
Director RCM, Southwest Regional Medical

We found $400K in payer underpayments in the first month. The contract variance tool paid for the entire annual engagement immediately.

LT
Dr. Lisa Thompson
CFO, Heritage Health Network
FAQ

Frequently Asked Questions

Most clients see measurable denial reduction within 30 days of go-live. The pre-submission scrubber catches issues immediately. Full ROI including coding optimization and underpayment recovery typically materializes within the first quarter.