Industry Solutions: Healthcare

AI-Driven Precision for the Future of Care

Deploy secure, compliant AI systems that streamline clinical workflows, enhance diagnostic precision, and optimize patient outcomes—purpose-built for the regulatory requirements and sensitivity of healthcare data.

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Key Business Outcomes

HIPAA/HITECH compliant architecture
40%+ reduction in administrative burden
95%+ accuracy in clinical data extraction
24-hour prior authorization turnaround

Enterprise Solutions

Production-ready AI solutions designed for the specific challenges facing Healthcare organizations.

01

Intelligent Prior Authorization

Transform 5-7 day approval delays into same-day authorizations

The Challenge

Prior authorization is one of healthcare's most frustrating bottlenecks. Staff spend hours gathering clinical documentation, interpreting payer-specific requirements, and chasing approvals—while patients wait days or weeks for care. The average prior auth takes 5-7 days and costs $31 per transaction in administrative overhead. Denials and delays lead to care abandonment and worse patient outcomes.

Our Solution

Automate the entire prior authorization workflow with AI that understands clinical documentation, payer policies, and approval criteria. Our system automatically extracts relevant clinical data from the EHR, matches it against payer requirements, identifies coverage gaps, and submits complete authorization requests—reducing turnaround from days to hours.

How It Works

1
Order triggers automatic extraction of relevant clinical documentation from the EHR
2
NLP analyzes clinical notes, labs, and imaging to identify medical necessity criteria
3
Payer policy engine matches clinical evidence against specific authorization requirements
4
Gap identification alerts staff to missing information before submission
5
Electronic submission with real-time status tracking and automated follow-up

Business Impact

<24hrs
Approval Time
From 5-7 days to same-day authorization
78%
Auto-Approval Rate
Requests approved without manual intervention
85%
Staff Time Saved
Redirect to patient care activities
$2.1M
Annual Savings
For a mid-size health system (500-bed)

Key Capabilities

350+ payer policy rules engineReal-time EHR data extractionMedical necessity documentationAutomated appeal generationComplete audit trail
02

Ambient Clinical Documentation

Give physicians back 3+ hours daily with AI-generated notes

The Challenge

Physicians spend 2+ hours per day on documentation—often after clinic hours, leading to burnout and reduced time with patients. The cognitive load of simultaneously caring for patients while documenting reduces both care quality and note accuracy. EHR-driven documentation has become one of the top drivers of physician dissatisfaction and turnover.

Our Solution

Deploy ambient AI that listens to physician-patient conversations and automatically generates structured clinical notes in real-time. The system captures the full clinical encounter, extracts relevant information, and produces compliant documentation that physicians simply review and sign—dramatically reducing documentation burden while improving note completeness.

How It Works

1
Ambient microphones capture the natural physician-patient conversation
2
Speech recognition with medical vocabulary achieves 99%+ transcription accuracy
3
Clinical NLP extracts symptoms, diagnoses, medications, and care plans
4
Structured SOAP notes are generated following specialty-specific templates
5
Physician reviews, edits if needed, and signs—directly in the EHR

Business Impact

-70%
Documentation Time
From 2+ hours to under 30 minutes daily
+35%
Note Completeness
Fewer missing elements for coding and billing
+45pts
Physician Satisfaction
Measured improvement in documentation NPS
+40%
Patient Face Time
More time for actual patient care

Key Capabilities

HIPAA-compliant voice capture40+ specialty templatesEpic/Cerner native integrationReal-time note generationCoding suggestion for billing
03

Predictive Readmission Prevention

Identify high-risk patients before discharge and intervene proactively

The Challenge

Hospital readmissions within 30 days affect 15-20% of Medicare patients, costing $26 billion annually—with $17 billion considered avoidable. Hospitals face CMS penalties for excess readmissions, yet traditional risk assessment happens too late or relies on incomplete data. Care managers cannot focus limited resources on patients who need the most support.

Our Solution

Predict readmission risk at admission and continuously update throughout the stay using machine learning that analyzes clinical data, social determinants, and care patterns. Enable proactive intervention with high-risk patients through targeted discharge planning, transitional care, and post-discharge monitoring—preventing readmissions before they happen.

How It Works

1
Risk scoring begins at admission using demographics, history, and presenting condition
2
Continuous updates incorporate labs, vitals, medications, and clinical trajectory
3
Social determinant signals identify housing, transportation, and support network risks
4
Care manager worklists prioritize patients by risk score and intervention opportunity
5
Post-discharge monitoring with automated outreach and escalation protocols

Business Impact

-35%
Readmission Rate
For patients enrolled in intervention programs
$4.2M
Penalty Avoidance
Annual CMS penalty savings for 400-bed hospital
0.82 AUC
Prediction Accuracy
High discrimination for 30-day readmission
+50%
Care Manager Efficiency
Focus on patients who benefit most

Key Capabilities

Real-time risk scoringSocial determinant integrationCare manager worklist prioritizationAutomated patient outreachOutcome tracking and model refinement

Enterprise Integration

Seamlessly connect with your existing infrastructure. No rip-and-replace required.

EHR Systems

Native integration with major electronic health record systems for seamless clinical workflow without context switching.

Epic (Certified App Orchard)
Deep integration via FHIR APIs, CDS Hooks, and embedded iFrames within Epic workflows
Cerner (CODE Program)
Real-time data access and clinical decision support integration across Millennium modules
HL7 FHIR R4
Standards-based connectivity for any FHIR-enabled system with future-proof interoperability

Compliance & Security

Purpose-built for healthcare's strict regulatory requirements with enterprise-grade security and audit capabilities.

HIPAA/HITECH Certified
Full compliance with healthcare data privacy regulations including BAA execution
SOC 2 Type II
Independent verification of security controls, availability, and confidentiality
PHI Encryption
AES-256 encryption at rest and in transit with customer-managed key options

Clinical Standards

Built-in support for healthcare terminology and coding standards ensuring accurate data interpretation.

ICD-10/CPT Coding
Native support for diagnosis and procedure coding with automatic suggestion and validation
SNOMED CT / LOINC
Clinical terminology and lab result standardization for semantic interoperability
USCDI Compliance
Alignment with United States Core Data for Interoperability requirements

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