Your RCM Deserves More
Than Automation.
It Deserves Agentic AI.

Agentic AI RCM That Executes Your Entire Revenue Cycle

GeBBS Agentic AI doesn’t replace your team — it empowers them. Together, human expertise and AI-driven execution cover every touchpoint of the Revenue Cycle, turning complexity into clarity and claims into revenue.

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Did You Know?

Most revenue cycle teams operate across disconnected systems for eligibility, coding, billing, denials, and payments—creating manual work, delays, and preventable revenue leakage.

Agentic AI unifies these workflows through coordinated AI agents that detect, decide, and act in real time—preventing errors before submission, automating decisions, and continuously improving performance.

Built for enterprise environments, Agentic AI delivers faster reimbursement, reduced denials, and complete financial visibility—without increasing headcount.

30%+

Reduction in Claim Denials

30-50%

Reduction in Manual Workload

30%

Faster Claim Submission

20%

Improvement in Clean Claim Rate

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How Our Agentic AI RCM Transforms the Revenue Cycle

  • Medical Coding

Automated agents verify coverage, benefits, and authorization requirements in real time—before care is delivered. Risks are identified early and corrective actions are initiated automatically to prevent downstream denials.

Impact

Benefits

  • Prevent eligibility-related denials
  • Reduce manual eligibility processing
  • Accelerate authorization approval timelines
  • Improve scheduling and clearance confidence
  • Ensure accurate front-end data capture

Performance

30%

Fewer authorization-related denials

25%

Lower administrative costs

30%

Faster approval processing

LLM-powered agents analyze clinical documentation and assign ICD-10, CPT, HCPCS, and HCC codes with confidence scores and explainable rationale. Coding workflows are streamlined with real-time validation and audit readiness.

Impact

Benefits

  • Surface missed diagnoses in real time
  • Reduce coder workload through automation
  • Strengthen coding compliance and accuracy
  • Accelerate coding turnaround time
  • Align documentation with payer requirements

Performance

40-50%

Faster coding turnaround

95%

First-pass capture rate

24-48

Hour turnaround time

Agentic AI validates claims against payer rules, coding guidelines, and compliance requirements before submission ensuring issues are identified and resolved proactively.

Impact

Benefits

  • Increase clean claim submission rates
  • Reduce preventable claim denials
  • Automate pre-bill validation workflows
  • Improve submission accuracy and completeness
  • Minimize downstream rework and corrections

Performance

20%

Improvement in clean claim rate

30%

Fewer preventable denials

30%

Faster claim submission

When denials occur, AI agents analyze root causes, trigger corrective workflows, and generate compliant appeals with supporting documentation.

Impact

Benefits

  • Accelerate denial resolution timelines
  • Improve appeal success rates
  • Reduce manual denial analysis
  • Strengthen audit-ready documentation
  • Identify recurring denial patterns

Performance

35%

Faster denial resolution

25%

Higher appeal success rate

40%

Reduction in manual review time

Payment agents compare expected vs. actual reimbursements, detect underpayments, and initiate recovery workflows automatically—ensuring full contract compliance.

Impact

Benefits

  • Detect underpayments against contract terms
  • Improve revenue recovery performance
  • Ensure payer contract compliance
  • Reduce manual reconciliation effort
  • Increase payment posting accuracy

Performance

20%

Faster payment reconciliation

25%

Improvement in underpayment recovery

98%

payment posting accuracy

Agentic AI provides real-time visibility into the full revenue cycle—tracking claims, identifying risks, and forecasting financial performance.

Impact

Benefits

  • Track claims across lifecycle stages
  • Identify denial drivers and trends
  • Forecast reimbursement and cash flow
  • Prioritize AR by financial impact
  • Deliver real-time performance visibility

Performance

20%

Faster payment reconciliation

25%

Improvement in underpayment recovery

98%

payment posting accuracy

Our Agentic AI RCM Helps Leading Healthcare Providers

Insights