Thoughtful

Thoughtful is an AI-powered automation-as-a-service platform offered by Thoughtful Automation Inc. that aims to streamline revenue cycle management (RCM) processes for healthcare organizations. According to the vendor, the platform caters to healthcare providers of all sizes, including small clinics, mid-sized practices, and large hospitals. It is utilized by a range of professionals and industries, including healthcare providers such as physicians, hospitals, clinics, and specialty practices, revenue cycle management (RCM) professionals, healthcare administrators, healthcare IT professionals, and finance and accounting professionals in healthcare organizations.

Key Features

Eligibility Verification: According to the vendor, Thoughtful automates the verification of insurance eligibility for patients, reducing manual data entry and ensuring accurate and up-to-date information.

Patient Intake and Prior Authorization: The platform streamlines the patient intake process by automating data entry and the prior authorization process for procedures and treatments, aiming to reduce administrative burden and improve efficiency.

Coding and Notes Review: Thoughtful automates coding of diagnoses and procedures for accurate billing and reviews clinical notes to identify coding errors or missing information, with the goal of improving coding accuracy and reducing the risk of claim denials.

Claims Processing: The platform automates the generation and submission of claims to insurance companies, aiming to ensure accurate and timely filing and reduce manual effort in claims processing.

Collections and Payment Posting: Thoughtful automates the payment posting process, aiming to reduce errors and workload by logging into payor portals and pulling remit data for accurate payment posting and reducing reconciliation errors.

Revenue Reporting and Reconciliation: According to the vendor, Thoughtful automates revenue reporting, providing valuable insights into financial performance and reconciling accounts across various banks and the EHR for faster course correction.

Provider Management: The platform automates provider credentialing and contract management processes, streamlining the onboarding process for new providers and aiming to improve efficiency and accuracy in provider management.

Information Exchange: Thoughtful facilitates secure and seamless data exchange among healthcare stakeholders, aiming to ensure data interoperability, transparency, and enhance collaboration and patient care coordination.

Security and Privacy: According to the vendor, the platform enhances data security and privacy in healthcare IT systems by automating data backup and recovery processes and ensuring compliance with regulatory requirements.

Accounts Payable: Thoughtful automates the accounts payable process for faster and more accurate payments, streamlining invoice processing and aiming to improve vendor relationships by ensuring timely payments.