Cloudmed (an R1 Company)

Cloudmed helps healthcare providers accelerate cash, optimize reimbursements, and effectively navigate government programs with Revenue Intelligence—actionable insights surfaced at the convergence of industry-leading expertise and data-driven technology and powered by the CloudmedAI Platform.

In 2022, we are substantially increasing investments in the Cloudmed Automation suite to deliver a faster time to value across more areas of the revenue cycle. We are using Best in KLAS RPA and the industry’s leading revenue identification engine, workflow, and analytics to decrease implementation times, lower ongoing maintenance costs, and speed up the time to value. We are also providing deeper integration with Cerner and Epic EHRs and additional prepackaged revenue cycle bots to automate every stage of the revenue cycle.

Cloudmed is laser focused on helping providers identify and capture more revenue opportunities and continually improving to prevent potential losses. Our 2022 roadmap for CloudmedAI delivers expanded end-to-end data integration, analytics, and actionable insights through

• A significant expansion of our 12,000+ advanced rules and proprietary algorithms to further identify, recover, and optimize reimbursement.  More than 500 million patient interactions gathered across 3,100+ providers annually continue to train our AI-driven analytics to identify and correct payments across a broad range of procedures, payers, and reimbursement types.
• New analytics capabilities to deliver real-time, consolidated insights on missed reimbursement opportunities for coding, charging, billing, DRGs, transfer DRGs, and underpayments in our Optimization Suite. 

We are proud to partner with 3,100+ healthcare providers in the US to recover over $1.5 billion of underpaid or unidentified revenue annually. We are a diverse team with all sorts of backgrounds and experiences that come together every day to create the best outcomes for our clients.

What we do matters. Cloudmed is one organization with one mission: to help hospital communities become healthier. We wow our customers and pull out all the stops in our relentless pursuit of innovation. We also show up for one another by embracing our differences; we excel when team members bring their unique selves to work. We create memorable moments and celebrate the good work we do for our customers, our communities, and each other.

Cloudmed won the 2021 Best in KLAS award for the revenue integrity/underpayment services and RPA segments and is HFMA peer reviewed.*

*HFMA staff and volunteers determined that the product has met specific criteria developed under the HFMA peer review process. HFMA does not endorse or guarantee use of this product.