Cut Denials. Get Paid Faster.
Automate Revenue Recovery with the RCM AI Agent Built for Specialty Clinics
Most clinics lose 18%+ of their revenue to billing failures. Our AI flags pre-auth gaps, denial risks, and coding errors—before you submit.
If You Are a Clinic Experiencing...
High denial rates and delays
The agent flags pre-auth and coding issues before submission—no surprises at adjudication.
Undercoded procedures cutting your reimbursement
CPT/ICD-10 checker ensures correct reimbursement on high-value procedures.
Claims stuck in your RCM
Agent alerts admins when claims are left in draft or error status.
Preauth and Appeals taking weeks to resolve
The agent drafts, routes, and flags appeal responses instantly—no more 30-day delays or missed opportunities.
Claims stuck in draft or error status
The agent monitors all claims and alerts admins when submissions are stalled or incomplete.
No insight into denial patterns
Denials are tracked, categorized, and surfaced in trend dashboards—so you can fix root causes proactively.
Clinics that Already Switched to AI Solutions:
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Three steps to cleaner claims and faster cash flow.
Connect
Understand
Resolve
Core Features
Pre-Authorization Detection
Denial Management AI
Code Validator
Claim Submission Readiness
A/R Performance Tracker
Specialty Tuning
Benefits
Get Paid What You're Owed—Faster
- Reduces claim denials and submission errors
- Improves cash flow predictability for reinvestment and growth
- Shortens the collections cycle from 60+ days to as few as 12
Remove 80% of the Admin Grind
- Automatically detects missing pre-auths, code mismatches, and payer rule violations
- Eliminates repetitive denial handling and manual follow-ups
- Transforms your billing team into a strategic, insight-driven function
Capture Revenue That Was Leaking Through the Cracks
- Identifies and alerts for claims left in draft or error status
- Ensures no claim is forgotten or stalled
- Surfaces recurring issues, payer trends, and process gaps before they cost you
Built for Your Specialty
- Preloaded with specialty-specific CPT/ICD-10 logic for high-complexity domains like neurosurgery, orthopedics, and cardiology
- Handles advanced scenarios like bundling, implants, and surgical modifiers
- Co-developed with RCM consultants to ensure relevance and compliance
Common Problems & AI Solutions
Problem
Manual RCM Reality
With RCM AI Agent
Case Studies
BitLab specializes in helping medical professionals convert medical insights into compliant, investor-ready healthtech platforms.
OneBridge Logistics
- OneBridge needed custom tracking tools to meet enterprise client demands for visibility.
- Off-the-shelf software didn’t support their unique workflows.
- Penalty fines from warehouses were increasing due to a lack of verifiable data.
- Their website and branding were outdated, impacting credibility with high-level decision-makers.
- Internal IT systems were fragmented and lacked technical oversight.
- Strategic Technical Partnership: BitLab became OneBridge’s long-term fractional CTO and trusted advisor.
- Rapid Product Delivery: Built and deployed a working real-time tracking system in under 90 days.
- Hardware & Software Integration: Delivered custom geofencing solutions using GPS/ELD integrations and route simulators.
- Cost-Saving Innovation: Enabled clients to fight warehouse fines with timestamped delivery data.
- Brand & Website Overhaul: Modernized OneBridge’s digital presence, improving trust and perception.
- Sustained Support: Supported backend systems, security, and infrastructure over 7+ years of growth.
AI Content Writer
- Limited scalability for handling complex SEO tasks.
- Frequent errors and inefficiencies in content generation.
- Miscommunication between SEO experts and developers about requirements.
- User interface lacked simplicity, creating a steep learning curve for users.
- Achieved $42k in <24 hours post-launch, validating market demand.
- Migrated to a robust and scalable architecture for reliable performance.
- Redesigned the backend to efficiently handle complex SEO workflows.
- Revamped the user interface for intuitive, user-friendly interactions.
- Automated advanced SEO features to reduce manual input and enhance usability.
World’s First Group-Friendly Travel App
- Initially a “slow, buggy, poorly optimized marketplace platform”
- Lack of experienced mentorship and technical knowledge on the team
- No active CTO to overlook the project
- Fully rebuilt into a platform that has a robust backend, web and mobile apps.
- Successfully integrated the Amadeus API, significantly improving the system's functionality.
- Overcame previous challenges with slow-performing senior developers, streamlining the development process.
Genoplex.ai
- Two previous development agencies failed, resulting in delays and wasted resources.
- Inadequate technical leadership caused missed milestones and slow progress.
- Lack of healthcare expertise hindered compliance with regulations like HIPAA.
- Poor project management led to bottlenecks and inefficiencies.
- All prior code was unusable, requiring a complete rewrite.
- Leadership Excellence and PMF: Fractional CTO provided strategic guidance, aligning development with business goals, establishing Product Market Fit (PMF).
- Rapid Development: Delivered a functional prototype within 60 days, enabling market testing.
- Regulatory Compliance: Built HIPAA-compliant, privacy-focused features.
- User-Friendly Design: Built an intuitive platform for patients and healthcare providers to streamline referrals and access advanced therapies.
- Future-Proof Infrastructure: Designed a scalable architecture supporting global expansion.
Deep EMR/EHR/PMS Integration Expertise
and 40+ others
Technologies and Platforms We Use
Neurosurgery Clinic – Lost $7K on a Single Case Due to a Missed Pre-Auth
A busy neurosurgery clinic was preparing a patient for a $75,000 spinal fusion procedure. The front desk scheduled the patient, but missed a critical pre-authorization step because the requirement varied by payer and procedure complexity.
The claim was submitted but got denied due to a missing pre-auth. The clinic scrambled to resubmit with supporting documentation, which added 14 days of delay. When reimbursed, the claim was undercoded, and the practice was only paid $60,000. After a 30-day appeal process, they recovered $68,000—still short.
- $7,000 lost revenue
- 44 days delay
- $800 in staff time wasted chasing appeals
The AI would have:
- Detected the payer’s pre-auth requirement at scheduling
- Auto-prepared and submitted documentation before the appointment
- Flagged coding inconsistencies before the first submission
→ Full reimbursement
→ Zero appeal backlog
→ Staff hours reallocated to high-value tasks
Multi-Specialty Clinic – Denials Were the Norm, Not the Exception
A 10-provider clinic processing 800+ claims/month was seeing a 15% denial rate, mostly from minor errors: mismatched ICD-10/CPT codes, unchecked modifiers, and missing NPI fields. Staff were stuck in a denial loop: resubmit, wait, repeat.
- Claims denied for trivial issues
- Appeals backlog growing
- Delayed cash flow affecting payroll
- Staff burnout rising
- ~$20,000/month in delayed collections
- Denial resubmission turnaround averaged 21 days
- 30+ hours/month spent manually correcting rejections
- Each claim is auto-validated for payer-specific formatting
- CPT/ICD-10 pairings are double-checked
- Missing fields flagged before submission
- Denial reasons are parsed and appeals suggested in real time
→ Denial rate dropped from 15% to 6%
→ $16,000+/month recovered
→ 50% fewer hours spent on resubmissions
Orthopedic Group – Claims Were “Stuck” in the PMS and No One Knew
An orthopedic group’s billing team was surprised to find over 180 claims were never submitted—they were sitting in a "draft" status in their PMS due to system quirks and human oversight. These claims had been sitting idle for weeks.
- $110,000 in claims were never sent to payers
- The PMS offered no real-time alerts
- Aging AR ballooned without anyone noticing
- Thousands in lost or delayed revenue
- Operational chaos trying to retroactively fix the backlog
- Missed payment windows on several claims
- The agent continuously monitored claim statuses
- Triggered alerts for any claims idle >48 hours
- Escalated high-value drafts to billing leads for review
→ 100% of claims submitted within 72 hours
→ Prevented $100K+ in leakage over 3 months
→ Created a proactive, not reactive, billing team culture
Why It Works
Built with experts from…
Deep EMR/EHR/PMS Integration Expertise
Clinics that Already Switched to AI Solutions:
Protecting Our Patients' Information
Robust Security
Data Privacy
PIPEDA and Regional Compliance
- Provincial regulations like PHIPA, PIPA, HIA, PHIA, and PHIPAA.
- Specific compliance for Quebec’s TGV (Travailleur Général Virtuel) standards.
Don’t just take our word for it
"Bitlab demonstrates deep technology, product, business expertise, and fast time-to-market. We have been working with BitLab for 5 years across our portfolio companies. They helped in various capacities, from turning our founders' visions into products, executing project delivery, and helping with staff augmentation."
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“BitLab’s model is honest and fair. There’s no surprises and hidden expenses anywhere, and I would recommend anyone talk to BitLab first before they go anywhere else."
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"I highly recommend Shoukri and BitLab as a fractional CTO and software development agency. They quickly fixed performance issues and built new features for our travel app, resulting in a significant improvement in user experience."
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“I wasted 6 months trying to play (Fractional CTO's) role... If I have any regrets its that we didn't start earlier on that project together.”
"Working with BitLab has been amazing. They treat your business like their own, diving deep into every aspect to ensure success. Their dedication and commitment are truly unparalleled."
"The BitLab team was always extra responsive, even after hours. They consistently went above and beyond to address our needs, making us feel valued and supported. Their customer service is exceptional."
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"BitLab delivered a fully functional MVP in just 67 days, enabling us to launch quickly and successfully. This speed was crucial for us as a startup with limited resources. Their efficiency saved us both time and money."
"Within 90 days, we were able to take what was barely partially built after 3 months of 2 different agencies billing hours against this project, and be able to get it back on course and make it even better."
"BitLab provided clear, continuous communication and was genuinely excited about solving our problem. They kept us informed every step of the way, ensuring we were always on the same page. Their enthusiasm was infectious and motivating."
"They made us feel confident about our project by diving deep into the code and providing thorough documentation. BitLab's meticulous approach ensured that our platform was robust and well-documented. This level of detail made future development much smoother."
"BitLab's speed of execution and commitment to delivering high-quality work are unparalleled. They prioritized our project's success and worked tirelessly to meet our deadlines. Their dedication was evident in every aspect of their work."
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"BitLab's expertise and dedication were instrumental in transforming our vision into a reality. They took our ideas and turned them into a functional, market-ready product. Their skill and commitment were crucial to our success."
"BitLab's technical knowledge and clear communication ensured a smooth and successful development process. They anticipated potential issues and addressed them proactively, keeping everything on track. Their approach made the entire experience seamless."
"With BitLab’s help, we went from an idea to a working product, and now we’re getting interest from global pharmaceutical companies. It’s a testament to what a small, efficient team can accomplish when you have the right leadership."
Your Questions, Answered
Our minimum budget on projects starts at $30,000. This ensures we can dedicate the necessary resources to deliver high-quality solutions tailored to your needs while maintaining the standards required for healthtech and medtech projects.