Case Study: RCM Brain achieves 3-10x claims-processing productivity and unified RCM analytics with Information Builders' WebFOCUS

WebFOCUS Helps to Simplify Revenue Cycle Management for Healthcare Payment Industry

RCM Brain is an AI-driven revenue cycle rules engine and workflow automation platform (BETH) that connects data and executes tasks across legacy billing systems, clearinghouses, and payer websites. The company needed a flexible, embeddable analytics solution with comprehensive data management, visualization, and predictive capabilities to consolidate fragmented RCM data from EHRs, practice management systems and clearinghouses and to surface errors and denial patterns across the claims lifecycle.

RCM Brain embedded Information Builders’ WebFOCUS (Portal, InfoAssist and In-Document Analytics) to deliver interactive dashboards, drill-down analytics and a predictive layer that reverse-engineers denials, automates posting/resubmission workflows, and performs root-cause analysis. The solution made claims staff three to ten times more productive, gave managers a holistic view of RCM workflows, enabled interception of errant claims before submission, and is expected to pay for itself within the first year.

RCM Brain

John Williamson

President and Founder