Innovaccer acquires CaduceusHealth to make Revenue Cycle Autonomous

The deal will make Innovaccer’s Flow platform stronger by adding full revenue cycle management (RCM) features. This means the platform can now handle healthcare billing and payment processes more effectively.

With this upgrade, Flow becomes an AI-powered all-in-one system that includes appointment scheduling, patient engagement, and complete billing and payment management for outpatient healthcare providers.

Founded in 1997, CaduceusHealth provides outsourced services like revenue cycle management (RCM), medical billing, and clinical staffing. It works with around 4,000 healthcare providers across the United States.

The company handles about $5 billion worth of patient billing every year. Through this acquisition, Innovaccer will also use CaduceusHealth’s 30 years of healthcare data, including billing codes and local insurance rules, to improve its AI system.

Innovaccer says that insurance claim rejections and payment denials cost US healthcare providers around $20 billion each year. Its AI platform, Flow, aims to bring all scattered healthcare data into one system to reduce errors, delays, and problems in billing and operations.

“This acquisition represents a structural shift in how revenue cycle performance gets managed with a single system that pairs AI-driven automation with expert human oversight, learns your payer mix, anticipates denials before they happen and closes revenue gaps at a scale no billing team could reach alone,” the company said.

Founded in 2014 by Abhinav Shashank, Kanav Hasija and Sandeep Gupta, Innovaccer helps hospitals and healthcare companies bring all their data together in one place so they can improve patient care and work more efficiently.

Its Healthcare Intelligence Cloud collects information from different systems like electronic health records (EHRs), insurance claims, financial records, and hospital operations, and combines it into a single platform.

This makes it easier for healthcare providers to see complete patient information, make quicker decisions, and improve both medical treatment and overall business performance.

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