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Transforming Healthcare Revenue Cycle Management with AI Automation

About Client

  • A North American healthcare technology company offering AI-powered solutions for revenue cycle management (RCM) and patient access.
  • With a presence in over 150 hospitals and clinics, they handle more than 10 million healthcare transactions annually. 
  • Backed by over a decade of domain expertise, they offer tools that cut down administrative tasks, increase reimbursement accuracy, and improve patient satisfaction.

Problem STATEMENT

In our early discussions, the client highlighted four key operational bottlenecks that were stalling their RCM efficiency:

Disconnected Manual Workflows

Authorizations and claims were handled manually, leading to revenue leakage, delays, and increased denials.

Fragmented Data Silos

Billing, clinical, and patient data were scattered across EHR, EMR, and PMS systems, making it difficult to get a unified view of operations.

Inefficient Access & Billing Processes

Lack of real-time visibility and automation created workflow lags, reduced productivity, and impacted the patient experience.

Compliance & Audit Complexities

Evolving payer and regulatory requirements made manual tracking difficult, increasing the risk of non-compliance and errors.

Solution

Our developers and BI engineers built a secure and scalable platform using Azure and Microsoft 365 to bring all revenue cycle data into one place. Here’s what we delivered:

Seamless Data Integration

We brought together data from EHRs, PMSs, EMRs, and RCM tools using Azure Data Factory. This helped us route everything into a centralized architecture powered by Azure Synapse and Data Lake, making data access smoother and faster.

Centralized Reporting Framework

Using SharePoint Online, our team created a monthly “Reporting Hub” where structured lists were built for templates, submissions, and tracking. Each department had secure and personalized access based on roles.

Automated Workflows

Our engineers set up Power Automate to take care of template sharing, approval flows, and regular reminders. This reduced the need for manual follow-ups and helped everyone stay on track.

Real-Time Dashboards with Power BI

We built role-based dashboards that connected directly to SharePoint. These showed real-time views of revenue trends, forecasts, and customer-level data, with row-level security built in for safe and specific access.

Secure and Compliant Access

We applied role-based permissions, enabled encrypted data storage, and maintained full version history and audit trails to meet strict compliance standards and protect sensitive information.

Training and Onboarding Support

To make sure users could easily adopt the new system, we provided Figma-based UI guides, ran live onboarding sessions, and rolled out the solution gradually based on real user feedback.

Technical Implementation

Cloud Architecture & Data Engineering

Built on Microsoft 365 using SharePoint Online as the central data platform.

  • Structured data storage via SharePoint Lists (Templates, Submissions, Tracking).
  • Department-specific permissions and views for secure, segmented access.

Workflow Automation & Orchestration

Automated workflows powered by Power Automate.

  • Monthly template distribution, daily reminders, and approval flows.
  • End-to-end submission lifecycle managed through status-driven automation.

Modeling & Dashboard Development

Power BI dashboards deliver real-time insights.

  • Direct integration with SharePoint via Power Query.
  • Custom KPIs, trend analytics, and secure, role-based access.
  • Daily data refresh with optimized performance.

Monitoring & Management

Built-in monitoring ensures reliability and control.

  • Version history, audit logs, and error handling for data integrity.
  • Feedback loops and QA processes support continuous improvement.

Security & Governance

Enterprise-grade access and compliance.

  • Role-based access across SharePoint and Power BI.
  • Audit trails and automated backups for accountability.

User Training & Adoption Enablement

Smooth onboarding and training for all users.

  • Figma-based UI training, workflow guides, and live sessions.

Pilot launch followed by phased rollout for controlled adoption.

Technical Architecture

Healthcare Revenue Cycle Management with AI

Business Impact

Lesser Reporting Hours

Automated data collection and Power BI dashboards helped reduce monthly reporting cycles from 2–3 days down to just a few hours, cutting overall turnaround time by nearly 65%.

Improved Submission Compliance

With auto-reminders and real-time tracking flows in place, more than 25 departments submitted data consistently, improving completeness and accuracy across the board.

Manual Coordination Reduced by Half

Automating the approval process and follow-ups with Power Automate helped reduce manual effort by nearly 50%, saving several hours each week for operations teams.

Live Access to Department-Wise KPIs 

Role-specific Power BI dashboards now offer real-time views into revenue trends, forecast accuracy, and customer metrics, giving leadership teams instant access to what matters most.

By combining Azure-based data engineering, automated workflows, and Power BI dashboards, our team helped the client turn their revenue cycle operations into a real-time, insight-driven system. The result? Faster reporting, improved compliance, better reimbursement, and a scalable setup that still drives smarter decisions across their entire hospital network.

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