athenahealth announced a new corporate roadmap to enhance ambulatory Revenue Cycle Management performance. The updates add more than 80 artificial intelligence features to the athenaOne platform. This technology eliminates manual work across patient billing workflows. Furthermore, the plan targets major issues like claim errors and denials.
Live features already prove successful for medical groups. For instance, coding denial payment recovery increased by 30%. Insurance-related denials dropped by 16% through these automated tools. Additionally, software voice agents complete prior authorization calls in under an hour.
“athenahealth’s AI works quietly in the background within our existing workflows; providers and staff don’t have to change how they work. It’s been a game-changer: less manual work, better visibility, and more reliable, on-time payments,” said Larami Oliver, vice president of revenue cycle management at Heart & Vascular Care.
Currently, more than half of the company network meets top Revenue Cycle Management benchmarks. A new tool uses images of insurance cards to verify details. This feature cuts errors by nearly 16% compared to manual entries. Consequently, practices avoid typical eligibility mistakes.
New Features Upgrade Medical Billing
Another option evaluates appointment details to determine the correct copays. It delivers 39 percentage points greater accuracy than non-AI tools. Meanwhile, voice automation manages over 23,000 monthly prior authorization calls. These calls deliver critical updates 96% faster than humans.
Next, a tool called Express Coding is running a beta test with 500 clinicians. The capability automates medical coding for 51% of group charges. It achieves full automation for nearly one-third of claims. The vendor plans broad availability this July.
Payer surveillance tracking will also expand throughout 2026. The platform currently tracks 5,800 annual payer rule changes via human monitoring. Today, customers experience a median clean claim rate of 99.3%. The current median denial rate sits at 5.3%.
“Our goal is to ensure our practices receive every dollar of revenue that they are entitled to for the services they perform,” said Paul Brient, chief product and operations officer at athenahealth. “We have built our business on being the best in the industry at this. With AI, we can keep raising the bar, solving problems that once seemed out of reach while reducing the administrative burden on our practices.”
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News Source: Businesswire.com
