INTEGRATED REVENUE CYCLE INTELLIGENCE
Eliminate guesswork.
Ensure outcomes.
to outcomes
informing ML and AI models
RCM processes
automation and data exchange
EIQ: OUR APPLIED AI
Actionable intel. Frictionless revenue cycle.
Ensure efficient and accurate outcomes every time. Ensemble’s AI‑powered decisioning engine, EIQ®, is built on a decade of best practices and advanced technology. EIQ® delivers unmatched RCM Intelligence, guiding operator actions, automating workflows, and preventing errors.
Unified Data
We aggregate and harmonize structured and unstructured data from hundreds of hospitals, transforming information into actionable insights while ensuring your EHR remains the system of record.
Agentic + Generative AI
Powered by RCM-specific machine learning models, our multi-agent system automates entire revenue cycle processes and non-value add tasks, reducing administrative burdens and elevating patient experiences.
Analytics + Reporting
Our predictive analytics identifies patterns + anomalies across RCM processes. Real-time scoring and recommendations support automation and operator actions, while dashboards and reports offer insights into root causes and performance.
AI for CLINICAL ALIGNMENT
Our clients focus on delivering care, not defending it.
With Ensemble’s new AI for clinical alignment, we’re helping clients combat denials by justifying care decisions quickly and effectively at scale to alleviate administrative burden and ensure accurate, prompt payment.
TECH SNAPSHOT
EIQ prevents $80 million in revenue loss for health systems in 12 months.
Ensemble’s proprietary revenue cycle intelligence engine, EIQ®, helps hospitals and health systems avoid lost revenue, reduce claim denials and lower administrative costs.
Powered by adaptive machine learning models trained on billions of transactions, EIQ enables pre-bill analysis for 100% of inpatient claims to identify anomalies that traditional human audits often miss. By flagging and addressing errors early, EIQ helps safeguard over $5,000 per account from being lost to inaccuracies, translating into millions of dollars saved across clients.
CLIENT SNAPSHOT
Swift action safeguards financial stability during holiday outage
A large health system faced a significant disruption when their systems were compromised by a cyberattack. As their end-to-end RCM partner, we responded with same-day systems analysis, redeployed resources, and worked alongside the client to engage payers and maintain operational stability. Within two weeks, a paper backlog supporting nearly 100K patient encounters was scanned and translated into actionable data, totaling $1.2 billion in gross charges, and within 90 days, paper-based records were digitized and systems, including Epic, were fully restored.
Our AI in action
We cut through the hype to explain the real-life application of AI in healthcare revenue cycle. Learn how we’re deploying innovative solutions today to improve revenue yield for clients.
CYBERSECURITY
When it comes to your security, our standards are high.
Our chief information security officer was named a 2024 Top Global CISO by Cyber Defense Magazine for his work to mitigate and manage major risks and regulatory compliance issues.
