FAQs

What is a best practice number of AR days?
Best practice AR days vary by vertical. Dental providers aim for under 30 days, behavioral health for under 35, and infusion for 25–30. Many multisite providers operate higher. AI automation can help reach benchmark levels consistently.
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What is the average cost to collect in healthcare?
Healthcare providers typically spend 8-9% of net patient revenue on billing and collections. AI-driven RCM reduces that cost to <2% while improving claim accuracy and speed. This creates more working capital and frees staff for higher-value work.
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What is a clean claim rate and why does it matter?
A clean claim rate measures the percentage of claims accepted on first submission. Industry best practice is 95% or higher. Lower rates mean more rework, delayed cash, and higher administrative cost — all of which AI can reduce.
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How fast can AI deliver ROI in RCM?
AI-driven RCM typically produces measurable ROI within 2–3 months. Providers see improvements in claim acceptance, denial prevention, and AR speed. Full process stabilization usually takes 4–6 months, after which cost savings and efficiency gains compound across revenue cycle.
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Can AI RCM integrate with my PMS or EHR?
Yes. Tally integrates with major PMS and EHR systems using APIs and clearinghouse connections. Even legacy systems can be supported with human-in-the-loop (HITL) bridges. This means AI can work alongside existing workflows without disruption.
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How does staff shortage affect RCM?
Staff shortages increase claim errors, denials, and burnout. Many providers use temps or undertrained hires, raising cost and lowering accuracy. AI RCM reduces dependency on staffing, giving consistent throughput and reliability even during workforce gaps.
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What RCM processes can AI automate today?
AI agents now automate insurance verification, claims submission, payment posting, denial management, and prior authorization. With HITL support, even exceptions are resolved quickly. This allows providers to scale revenue cycle operations without increasing headcount.
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When should a provider switch from BPO to AI RCM?
Providers often switch when they want lower cost, greater transparency, or faster cash. AI RCM offers all three by combining automation with HITL oversight, giving providers control and visibility that traditional outsourcing can’t deliver.

Dental RCM FAQs
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What is best practice AR days in dental?
Dental Service Organizations (DSOs) and group practices should target AR days under 30. Many run at 40 or higher without automation. AI insurance verification and claims agents help achieve consistent AR improvement while reducing staff workload and burnout.
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What dental RCM tasks can AI automate?
AI can automate eligibility checks, benefits verification, claims submission, and payment posting. It also manages recurring processes like fee schedules and payer rule updates. Automation helps DSOs streamline central billing without adding staff.
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How does AI improve cash flow for DSOs?
AI accelerates claim submission and reduces errors, which speeds collections. It also lowers rework from denials. Together, these improvements shorten AR cycles, giving DSOs predictable cash flow and better financial control across multiple practices.
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Behavioral Health RCM FAQs
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Why is denial management harder in behavioral health?
Behavioral health faces frequent prior authorization rules, payer-specific claim formats, and documentation requirements. These lead to higher denial rates. AI + HITL agents streamline prior auth, check benefits upfront, and learn payer rules, lowering denials and improving cash flow.

What is best practice AR days in behavioral health?
Best practice AR days in behavioral health is 30–35 days. Many practices operate at 40–50 due to complex payer rules. AI-driven denial prevention and automated verification help providers achieve industry benchmarks more consistently.

How can AI help with behavioral health prior authorizations?
AI automates prior auth requests by verifying benefits, checking payer requirements, and preparing documentation. HITL support handles exceptions and clinical reviews. This reduces delays, improves patient access, and minimizes revenue risk.
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How does AI reduce staff burnout in behavioral health billing?
By handling repetitive verification, submission, and denial tasks, AI reduces the workload on billing teams. Staff focus on exceptions and patient interactions, improving morale and lowering turnover in an otherwise high-burnout specialty.
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Infusion RCM FAQs
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What makes infusion RCM uniquely complex?
Infusion billing is challenging due to expensive drugs, strict prior authorization rules, and payer carve-outs. Delays or errors directly impact margins. AI speeds verification and authorizations, preventing treatment delays and reducing revenue risk tied to drug waste or denials.
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What AR days are best practice for infusion providers?
Infusion providers should aim for 25–30 AR days. High drug costs make cash delays especially painful. AI-driven automation ensures claims are verified and submitted faster, reducing AR time and stabilizing cash flow.
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How does AI reduce drug waste risk in infusion?
AI accelerates prior authorization and eligibility checks, ensuring patients are approved before expensive drugs are prepared. This prevents last-minute denials and reduces waste that can erode provider margins.
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Can AI help infusion providers handle payer carve-outs?
Yes. AI learns payer-specific rules and routes claims appropriately. With HITL escalation for exceptions, infusion practices ensure claims are coded and submitted correctly, even with complex carve-out arrangements.

DME RCM FAQs

What is a best practice denial rate in DME?
Best practice denial rates in DME are under 7%. Many providers see 15–20% due to documentation errors. AI agents check requirements upfront, lowering denials and improving reimbursement speed.
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Can AI handle recurring DME resupply claims?
Yes. AI automates recurring verifications and claims for DME resupply. It ensures continued coverage, prevents lapses, and reduces staff time spent on repetitive tasks. This creates smoother cash flow and better patient experience.