By Santosh Kesari, Country Manager of Omega Healthcare Philippines
Healthcare organizations, particularly in the United States, are increasingly focused on making healthcare more affordable to people. However, a recent Deloitte study, titled 2025 US Health Care Outlook, found that nearly half of healthcare leaders view consumer affordability as a significant concern, highlighting how financial barriers prevent many individuals from accessing medical care.
Addressing this issue requires a multifaceted approach, with the integration of artificial intelligence (AI) into healthcare operations as one key strategy. One of the most promising applications of AI in healthcare is in revenue cycle management (RCM).
Leveraging AI-driven technologies enables healthcare providers to streamline administrative processes, reduce inefficiencies, and lower operational costs. These improvements ultimately translate into more affordable healthcare services for consumers.
Enhancing RCM with AI
Integrating AI into RCM allows healthcare organizations to automate administrative tasks, such as patient registration, coding, eligibility verification, billing, claims submission, and many more. This reduces manual processes, minimizes errors, and lowers administrative costs, which can help in making healthcare more affordable for patients.
A key example of this is AI-powered automation in prior authorization, where AI extracts relevant data, verifies insurance coverage and applies intelligent algorithms to evaluate payer requirements and determine eligibility. In medical coding, AI improves accuracy, minimizing denials related to coding and ensuring providers receive proper reimbursements without unnecessary delays.
Another key advantage of AI in RCM is its ability to leverage advanced analytics. AI-driven analytics help healthcare providers analyze historical data, identify potential claim denials, and recommend corrective actions before submission. This proactive approach ensures timely payments, reduces financial inefficiencies and helps prevent costs from being passed on to patients.
AI also enhances revenue recovery by assessing patient payment behaviors and financial profiles. By identifying accounts with a high likelihood of payment, healthcare providers can prioritize collections while offering personalized payment plans for those facing financial challenges. Additionally, AI detects underreported or missed charges, helping maximize reimbursements without overcharging patients.
By optimizing RCM processes, AI helps healthcare providers reduce administrative expenses, improve financial performance, and reinvest savings into patient care initiatives. This not only alleviates financial burdens on both providers and patients but also enhances access to high-quality, cost-effective healthcare services.
Leveraging AI with Omega Healthcare
While AI offers significant benefits in RCM, many healthcare organizations struggle to implement AI-driven solutions due to limited financial resources and expertise. Partnering with experts who provide AI-as-a-service allows these organizations to harness AI’s power without the burden of extensive investments.
Omega Healthcare, a leading provider of RCM solutions, helps healthcare providers seamlessly integrate AI into their operations. Through the Omega Digital Platform (ODP), the company delivers a suite of AI-driven technologies and clinically enabled solutions designed to optimize RCM processes and enhance overall healthcare operations. These solutions minimize administrative burdens, enhance clinical workflows, and elevate patient experience.
With a highly skilled workforce and deep industry expertise, Omega Healthcare operates across 14 delivery centers in four countries, including the Philippines. This extensive presence ensures that U.S. healthcare providers can effectively integrate AI into their operations and maximize its benefits.
As a trusted partner of U.S. healthcare enterprises, Omega Healthcare continues to expand its capabilities to meet evolving industry needs. In the Philippines, our teams in Manila and Cebu—comprising over 2,800 professionals—play a crucial role in advancing AI-driven RCM solutions. To support its growing operations, the company hires over 200 new employees each month in the country.
Outsourcing RCM functions to experts like Omega Healthcare enables healthcare organizations to integrate AI more effectively, enhance efficiency, and reduce operational costs, ultimately making healthcare more accessible and affordable.