Implementing agentic AI inside your hospital’s revenue cycle.
Software alone doesn’t transform a revenue cycle. We deploy the agents, integrate with your EHR and billing systems, run change management with your team, and stay with you through measurable outcomes.
Hospital revenue cycles can’t headcount their way out of this.
Coding vacancies are over 30%. Labor costs climb every year. Payer rules multiply faster than any team can train against them. Margins sit at 1–3%, and every manual handoff adds cost, delay, and risk.
Agentic AI is the operating model that resolves the math. But buying software isn’t enough — the workflow has to change, the team has to adopt it, and the integrations have to land. That’s where we come in.
Built for
- Community & regional hospitals — 50–500 beds
- Hospital systems — multi-facility rollouts
- Specialty practices — high-volume coding
- RCM outsourcers — serving hospitals at scale
Three phases. One team — yours and ours.
We don’t drop a tool over the wall. We work alongside your RCM, IT, and clinical operations leaders from the first workflow map to the monthly outcome review.
Phase 01 · 2 weeks
Discover
Map the current state, model the ROI, agree on scope.
- Workflow & data assessment
- Automation candidate ranking
- ROI model with revenue lift + cost-out
- Compliance & security review
- Phase 2 plan + success metrics
Phase 02 · 6–10 weeks
Deploy
Stand up the agents, wire the integrations, train the team.
- Agent configuration — specialty + payer
- EHR / RCM / billing integration
- Exception workflow design
- Coder & supervisor training
- Pilot live in a defined scope
- Go/no-go to full rollout
Phase 03 · Ongoing
Run
Governance, tuning, and reporting on the outcomes that matter.
- Monthly outcome reviews
- Agent tuning as payer rules change
- Quality assurance & sample audits
- Roadmap planning for next agents
- Executive dashboard access
Agentic AI, embedded in your operation.
Not a pilot that stalls. Not a tool waiting for adoption. A working revenue-cycle workforce that your team owns and operates day one.
Workflow assessment, not a generic playbook.
Your facility, your specialties, your payer mix, your EHR. We map the actual flow and find the moves that pay for themselves first.
Integrated, not bolted on.
Agents work inside your EHR and billing systems — Epic, Cerner, Meditech, athena, and more — through the channels your team already uses.
Change management built in.
Coders, supervisors, and managers are part of the design from week one. Adoption comes from involvement, not from a memo.
Measured, not promised.
Every engagement includes a baseline, a model, and monthly tracking against accuracy, throughput, denials, and revenue lift.
What hospitals see when this lands.
Lower RCM operating cost
Fewer claim errors
Coding accuracy at submission
Typical time to first measurable ROI
Trusted across the people who own the cycle.
We engage with the executives funding the change, the operators running the floor, and the clinicians documenting the work — because no one of them succeeds alone.
What hospitals usually ask first.
How is this different from buying a coding tool?
A tool sits on the side of your workflow. Our engagement re-designs the workflow with the agents inside it, integrates with your EHR and billing, and changes how your coders and supervisors spend their day. You don’t get a product — you get a working operation.
Do you replace our coders?
No. The agents take on the high-volume, rule-based work; your coders own exceptions, judgment calls, payer relationships, and oversight. Teams typically shift toward more senior, higher-value work as routine throughput moves to the agents.
Where does our data live?
Inside your own infrastructure. Medikode is HIPAA-compliant and customer-hosted — patient data never leaves your environment. We work with your IT and security teams on integration and review.
What’s a typical first engagement?
A 2-week Discover phase to map workflow and model ROI, followed by a 6–10 week Deploy phase to stand up the first agent or two in a defined scope. Most hospitals start with Coding and Audit. From there we scale to additional agents and facilities.
How is this priced?
Discover is a fixed engagement. Deploy is fixed-fee based on scope. Run is a monthly subscription tied to volume and active agents. Many hospitals see ROI inside 30 days of Deploy going live.
Book a 30-minute discovery call.
We’ll walk you through what an engagement looks like for a hospital like yours — and what we’d expect to find in your first ROI assessment.