PHYSICIAN SERVICES

Helping Physicians

Increase CollectionsMinimize AR DaysAccelerate Revenue Cycle Operations

SHAI understands revenue cycle gaps in your physician practice, analyzes denials and rejections, and fixes issues across your revenue cycle, leading to improved physician collections.

Helping Healthcare Companies
Helping Healthcare CompaniesHelping Healthcare CompaniesHelping Healthcare Companies

How SHAI Improves Physician Collections By 20% or more

SHAI Enables Trust and Streamlines Intake

Credentialing

Credentialing

SHAI ensures appropriate provider credentials are in place for faster onboarding and processing

Eligibility Verification

Eligibility Verification

SHAI confirms that all criteria are met before services are rendered

Prior Auth

Prior Auth

SHAI secures approvals quickly, minimizing delays and reducing costs

Referrals

Referrals

SHAI increases referral volume while strengthening relationships with insurance providers

SHAI Enables Trust and Streamlines Intake

SHAI Minimizes Revenue Leak

Handles claims submission and rejection management

Takes care of payment posting and secondary submissions

Checks credit balances and manages refunds

Manages denials and reduces denial rate

SHAI Minimizes Revenue Leak

SHAI Defines and Executes Next Steps On Behalf of Physicians

Conducts AR follow-up

Prepares and sends appeals

Hands over patient statements

Handles patient calls and self-pay collection

SHAI Defines and Executes Next Steps On Behalf of Physicians

SHAI Leverages Talent and AI Tech to Improve First-Pass Rate

Talent

Talent

Certified multi-specialty coders to improve accuracy

Initiate provider contracting

AI Tech

AI Tech

Proprietary AI tech to reduce AR days

AI spots and fixes all addressable denials

SHAI Leverages Talent and AI Tech to Improve First-Pass Rate

Demonstrable Outcomes
In Maximizing Physician Revenue

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Ophthalmology Specialty

Reduced AR Days from 23 to 5

Increased First-Pass Rate% from 85% to 97%

Improved collections by 43%

Ophthalmology Specialty

Ophthalmology Specialty

Cardiovascular Specialty

Reduced AR Days from 23 to 2

Increased First-Pass Rate% from 68% to 95%

Improved collections by 40%

Cardiovascular Specialty

Cardiovascular Specialty

Primary Care Specialty

Reduced AR Days from 27 to 5

Increased First-Pass Rate% from 66% to 88%

Improved collections by 32%

Primary Care Specialty

Primary Care Specialty

How SHAI Handles Transitions and Quality Assurance

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

ISO 27001

HIPAA ,[object Object], compliant

HIPAA
compliant

PHI Policy Rigor With ,[object Object], Clean Desk Policy

PHI Policy Rigor With
Clean Desk Policy

Purpose-Built SSO ,[object Object], Login and Cloud Infra

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

Payer Process Audit

STEP 02

Gap Analysis

Gap Analysis

STEP 03

Solutioning Scope with 24-48 Hours TAT

Solutioning Scope with 24-48 Hours TAT

STEP 04

Systematic Monitoring and Feedback Loop

Systematic Monitoring and Feedback Loop

Related Healthcare Insights

Minimize Risk and Maximize Cash Flow Through Value-Based Care Delivery With SHAI