One of the most prominent EHR Software vendors, athenahealth EMR Software, announced recently about releasing innovative AI-propelled Practice Management and Revenue Cycle Management Software Solutions. These upgraded functionalities will leverage Artificial Intelligence to streamline and automate tedious workflows for ambulatory practices in the USA. These forthcoming AI tools are a part of the expanding suite of capabilities offered in the athenaOne EMR Software System.

 The athenahealth EMR Software platform for Streamlined RCM

Medical Billing and Revenue Cycle Management is a tedious process for healthcare organizations, and even a very crucial part impacting practice cash flows and profitability. Athenahealth EHR Software has always stayed on top when it comes to quick advancements for enhanced RCM features.

Athenahealth’s revenue cycle management technology learns from analyzing billions of claims, payer policy updates, and denial resolutions all the time. The system then uses what it learns to automate operations that used to be done by hand. This makes claims cleaner and speeds up reimbursement.

AI-powered RCM Features in athenahealth EMR Software

  • Automated Insurance Selection – Fueled by the power of AI and available to athenaOne EHR System users, the automated insurance selection functionality can empower managers to swiftly find the right insurance package and register patients without a hitch. This can contribute to a reduction in denials and insurance-related claim holds.
  • Patient Liability Estimation – The patient liability estimation feature in the Electronic Medical Records (EMR) Software is still in its testing phase. Once available, it will help patients see their medical costs upfront and give improved transparency and even speed up patient payments.
  • Waitlist Scheduling – The AI-driven patient waitlist scheduling tool is in the Alpha stage. The use of AI will empower clinicians to fill appointment slots. This functionality will come in handy when a patient cancels an appointment; the AI feature will then automatically find another patient from the waitlist who wants an appointment at that time. This is a great way to manage patient waitlists efficiently and also address the grave issue of patient no-shows in the USA.
  • Automated Coding with AI – This is a biller’s dream come true, and is currently in Alpha testing. AI models will suggest procedure codes to medical billers and also streamline real-time clinical documentation.

RCM Related Accolades earned by athenahealth EMR Software System

The athenaOne EMR Software is known for its robust billing and revenue cycle management solutions. The recent awards include Best in KLAS awards for the years 2022, 2023, 2024, and 2025. These rankings frequently encompass areas where RCM or Practice Management plays a crucial role, such as “Practice Management,” “Ambulatory RCM Services,” and “Independent Physician Practice Suite.” This reflects ongoing acknowledgment from customers and the industry for financial processes, billing, payment, and more.

The rolling out of innovative AI solutions is a great step by athenahealth EMR Software System to make billing tasks a breeze, ensuring better patient services, and giving more time to providers to focus on patient care.

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Marissa Phillips