In-Patient Services
Complex inpatient coding—covering SNF, rehab, pediatric, AP, and MS-DRG cases—ensuring compliant documentation, accurate reimbursement, and reduced denial risk.
Out- Patient Services
Outpatient coding covers multi-specialty encounters—from surgery and radiology to cardiology and therapy—delivering precision, compliance, and faster reimbursements.
Streamline Cash Flow Without the Manual Work
SHAI manages your patient-to-payment workflow, making it easier to collect cash, reduce denials, and minimize AR days.
Payments
Processing, posting, and record-keeping
Status
Conducts denial analysis and adjustments
Patient Process
Handles appeals, resubmissions, and reconciliation
Cash Flow
Takes care of billing, collection, and AR management
Reports and Dashboards to Maximize Performance
Track financial health, identify and address gaps, and optimize outcomes with data.
Revenue
Financial, claims, and payment reports
Performance
KPI reports, provider and specialty-focused reports
Risk
Compliance, regulatory, and AR age reports
Payment
Claims, denials, and reconciliation reports
Analytics For Deeper Visibility Into Bottlenecks and Revenue Attainment
Drill down into insights that reduce healthcare cost, improve cash flow, and minimize admin.
Revenue Forecasting Analytics
Payment Variance and Trend Analytics
Operational Workflow Analytics
Payer Behavior Analytics
Value-Based Care Analytics
Provider Performance Analytics
Prescription Priority Analytics
Denials Root Cause Analytics
Review, Improve, and Codify Your Clinical Operations
Maintain clinical records, reduce risk, and drive clinical outcomes.
Ensure prior authorization
Care Coordination
Case Management
Audit utilization, medical necessity, and clinical coding
Handle Chronic Care Management (CCM)
How One California Based Hospital Network Recovered $2M From Denied Claims With SHAI
Challenge
30k denied claims
Capacity issues
Inefficient process across paper and EDI
SHAI’s Solution
Claim prioritization
Resource mobilization for quick resolutions and refilling
Dedicated process to pull medical records from EMR for refiling
Isolated duplicates for write-off and adjustment
The Result
<3 week closure time
$2M recovered
Repeatable process for high velocity in claims resolution
How SHAI Handles Transitions and Quality Assurance
Refresher Sessions and 1:1 Training
Weekly EBTs (Error-Based Trainings) and PKTs (Process Knowledge Tests)
RCA, 5 Whys, Fishbone Analysis, Pareto Chart, and CAPA (Corrective Action Preventive Action)
Proactive Daily Team Huddles With Peer Audits
Periodic Calibrations For Continuous Improvement
The Numbers Speak For Themselves
98%+
Transaction Accuracy
40-60%
Payroll Cost Reduction
98%
Financial Accuracy
<5%
AR Time Reduction
20%+
Increase in Collections
99%+
Vendor SLA Compliance
<2%
Denial Rate
90%+
Increase in First Pass Rate
95%+
Claims Adjudicated Within 30 days
Secure. Compliant.
A Hospital Services Provider You Can Trust.
ISO 27001
![HIPAA ,[object Object], compliant](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg2.webp&w=256&q=75)
HIPAA
compliant
![PHI Policy Rigor With ,[object Object], Clean Desk Policy](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg3.webp&w=256&q=75)
PHI Policy Rigor With
Clean Desk Policy
![Purpose-Built SSO ,[object Object], Login and Cloud Infra](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg4.webp&w=256&q=75)
Purpose-Built SSO
Login and Cloud Infra
The SHAI Promise
Not just a Hospital Services provider, but a reliable business partner who works continuously to drive growth & operational efficiency through talent & tech-solutions
STEP 01
Payer Process Audit
STEP 02
Gap Analysis
STEP 03
Solutioning Scope with 24-48 Hours TAT
STEP 04
Systematic Monitoring and Feedback Loop
