Exponential AI

From the initial request intake 📥 to the final authorization decision 🆗, 🧠 AI can transform or simplify every step of the prior auth process: 📠 Digitize PA requests. 🤖 Automate data checks. 🚫 Predict potential voids. ⏩ Flag cases for manual review. The result? Smarter, faster, and more efficient Prior Auth approvals! 🚀📈 #ExponentialAI #PriorAuthorization #RealtimeAI #Automation #PreAuthorization #UtilizationManagement #HealthcareAI

✨ Diwali Celebration at Exponential AI! ✨ This Diwali, our Exponential AI family came together to celebrate the festival of lights in grand style! Our office was decked out with vibrant colors, beautiful marigold décor, and a mesmerizing Lippan art installation. Dressed in our ethnic best, we shared a fantastic lunch and had an absolute blast! The highlight of the day? Our awesome twist on Shark Tank, where teams unleashed their creativity and humor, presenting quirky ideas with hilarious comic flair! 🎤💡 The day ended on a sweet note with thoughtful gifts, leaving everyone feeling cherished and appreciated. 🎁 This Diwali, we celebrated not just the joy of the festival, but also the spirit of togetherness, creativity, and camaraderie that makes Exponential AI such a vibrant place to work. Here’s to lighting up new ideas, forging deeper connections, and welcoming a year filled with growth and opportunities.

From all of us at Exponential AI, we wish you and your loved ones a bright, joyful, and prosperous Diwali! May this season bring light, happiness, and new opportunities to all. 🪔✨

🎃 Exponential AI wishes you a spook-tacular Halloween filled with the enchanting joys of the season! May your celebrations be filled with lighthearted fun, playful frights, and plenty of good vibes. Happy Halloween! 🍂🕯️

AI cuts through the complexity of #CoordinationofBenefits (COB), saving plans money in both pre-payment and post-payment scenarios. Forget the #blackbox, vendor-dependent systems of the past. #AI helps: - Maximize Recoveries: Identify the biggest opportunities to get money back. - Increase #CostAvoidance: Fix the root causes of COB issues upfront. - Reduce #Recovery Costs: Utilize internal teams and only bring in outside help when necessary. By identifying issues early and streamlining recoveries, AI significantly reduces your plan’s costs.

📊 Did you know that 25% of claim auto-adjudications fail due to provider data errors. Manual handling of contract data is a major contributor to errors within provider data. Here’s how AI is solving the problem: 1️⃣ Data Extraction AI accurately extracting demographics, rates, terms, and codes from varied contract types and transforms diverse data into a single schema. 2️⃣ Data Validation AI helps plans implement customizable, market-specific quality checks at the point of entry to ensure early detection and correction of data inaccuracies. 3️⃣ Data Enrichment AI can enrich provider information by integrating internal and external data sources to expand and refine critical data fields. 🤔 Are you leveraging AI in your contract management processes? Have you considered how it could simplify contract loading and improve data accuracy?

Denials impact nearly 20% of healthcare claims. Most go unaddressed, resulting in up to 5% of net patient revenue lost – that’s $10M-$15M for a $500M organization. Outdated technology, manual processes, and shifting payer rules make denial prevention an ongoing challenge. AI offers a solution. By analyzing policy intelligence, historical denials, claims, and encounter information, AI can transform denial management for providers: 1. Identify Denial Risks Proactively: AI predicts likely denials and flags claims for adjustment before submission, reducing the number of rejected claims. 2. Pinpoint Root Causes: AI surfaces the underlying causes of denials and recommends pre-bill interventions to correct claims before they are sent to payers. 3. Increase Clean Claim Submissions: By identifying and rectifying errors early on, AI can achieve a 5x increase in clean claims, significantly boosting revenue and cash flow. Harnessing AI for denial management not only reduces administrative burdens but also dramatically improves financial outcomes for healthcare providers. #providers #revenuecyclemanagement #healthcareai #rcmsolutions #claimsai

🌟 #ExponentialAI wishes everyone a joyful and prosperous Dussehra! 🙏🎉 #Dussehra #FestivalOfVictory #CelebrationTime #ExponentialAI

Tune in NOW to hear our President, Nikhil Mendhi, in a #FiresideChat on Leveraging #AI #Securely on #IBMZDay. ➡ Where: Register now and Watch at ibm.biz/startupsessions

🔥 Don't Miss This #FiresideChat 🔥   We're thrilled to announce that our President Nikhil Mendhi will join Pete Turner from Opollo Technologies, and Marius-Cristian F. from Schwarzthal Tech for a #FiresideChat about Leveraging #AI #Securely on #IBMZDay.   ➡ When: TODAY!   ➡ Where: Register now and Watch at ibm.biz/startupsessions   ➡ Cost: FREE - Just come and Learn No Selling     ⏰ Time is running out! Register now!