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Featured PartnerTechnology / SoftwareConsultantService ProviderGenerate for Healthcare
Iterate.ai
www.iterate.aiIterate.ai’s Generate platform helps hospitals and health systems identify and address insurance claim denials using advanced AI and audit-grade data analysis. The solution works across multiple EMRs without requiring complex integrations, keeping patient data secure. Generate supports rural healthcare providers in maximizing revenue and efficiency, helping them navigate payer challenges and improve financial sustainability.
Company Overview
Generate for Healthcare allows organizations to use RHTP funds to acquire technology that finds revenue for hospitals and health systems.
RHTP Capabilities
Primary focus
Health IT, EHR & InteroperabilityAI, Analytics & ReportingFinancial Sustainability & Revenue Cycle
Service areas
Health IT, EHR & InteroperabilityAI, Analytics & ReportingFinancial Sustainability & Revenue Cycle
RHTP priority alignment
Technology ModernizationRural Infrastructure
Care settings
Primary Care ClinicPublic Health Department
Problems addressed
Lack of EHR / interoperabilityLack of reporting capacityRevenue leakageOther
Use Cases
1Scenario
Find unpaid and underpaid insurance claims
2Scenario
Automate time intensive tasks, such as writing Appeal Letters for resubmisssion
3Scenario
Easily track RVUs for physician payments
The Solution
Software PlatformSaaSRCM / Billing ServiceOther
How it works
Hospitals and Health Systems are struggling to collect revenue from insurance companies. Payers are leveraging AI to quick deny claims, and the reasons why are often challenging to find. Without technology, and specifically AI, overcoming these challenges are all but insurmountable due to the sheer volume of data.
While many AI companies came about with the release of ChatGPT in 2022, Iterate.ai has been building AI applications since 2015. And the proprietary underlying software used in Generate for Healthcare is AUDIT-GRADE DATA that was tested at 99% accuracy by an independent auditor.
Standard package includes
Generate for Healthcare - EMR and deployment agnostic. Generate can work with any EMR, and deployed either on-prem or in a Private Cloud
Optional add-ons
Staffing to help claims recovery as needed
Rural relevance
Rural hospitals and health systems are feeling the affects of a workforce shortage and challenges with Payers more so than larger Providers. The need to increase revenue is critical, as well as maximizing the output of existing staff members. Generate can help in both areas.
Implementation
Timeline
Less than 30 days
Training
Yes
Ongoing Support
Yes
Grant Reporting
Depends
Site requirements
Internet / broadband
Detailed rollout plan
Implementation, and subsequent Time To Value (TTV) is extremely easy, relatively speaking to the majority of software deployments. Generate can quickly be spun up in a Private Cloud, or if on-prem servers are preferred, the software is loaded upon hardware procurement, and capture raw EDI file transfers at the same location as the daily transfer where your EMR transfers data to the clearinghouse.
Reporting metrics supported
Increased Revenue, Historical Payer Data, Vendor Scoring Analysis
Who It's For
Ideal customers
Rural HospitalCritical Access HospitalFQHCRural Health ClinicCommunity Health CenterBehavioral Health ProviderLocal Health DepartmentState AgencyTribal Health OrganizationSchool-based Health CenterSenior CenterCounty / Municipal GovernmentCorrectional Health ProgramEMS / Mobile Care ProgramHome Health AgencyNonprofit / CBOPayer / Medicaid PlanOther
Multi-site deployment
Statewide programs
Rural / frontier
Technical & Compliance
Involves PHI
Signs HIPAA BAA
Credentials & Evidence
Critical Access HospitalsFQHCsRural Health Clinics
Expected outcomes / measurable benefits
1% - 5% increase in revenue collections. Tremendous ROI - customers have recognized up to a 10x ROI in 90 days. Significant increase in efficiency - 15x increase per Revenue Cycle employee has been reported
Published outcomes / metrics
10x ROI in 90 days
Rural health experience detail
Generate for Healthcare has been successfully deployed at numerous rural healthcare Providers, and several are referenceable customers. We would be happy to schedule a conversations with a reference upon request.
References available upon request