athenaOne for Specialties
Women's Health Revenue Cycle Optimization
Revenue cycle optimization (RCO) for Women’s Health focuses on streamlining highly complex billing workflows—such as spanning ultrasounds, prenatal care, and annual exams over multiple months. athenaOne can leverage AI-native tools like automated claim scrubbers, Voice AI for prior authorizations, and integrated patient self-service options to reduce complexity.
Key components
- AI Authorization Management: athenahealth uses Voice AI agents to place prior authorization calls, reducing manual work by up to 96% and securing status updates in less than an hour.
- Automated Coding & Claim Scrubbing: The system uses 23,000+ rules to process claims and features tools like Express Coding to automate medical coding and catch errors before submission, driving a 98.4% clean claim rate.
- Insurance Selection & Verification: AI automatically identifies the correct insurance package from a photo of the patient's card, cutting insurance-related denials by nearly 16%.
- Patient Payment Yield (PPY): Digital tools like Card-on-File and automated billing portals allow practices to collect patient balances faster while reducing administrative burden.
Revenue cycles and maternity care
Maternity care is typically billed as a single global service rather than individual visits. Understanding how global billing works — and when it doesn't apply — helps ensure your practice captures all eligible revenue, including situations where a patient's care is transferred mid-pregnancy. Work with your enrollment and implementation team for billing configuration guidance in these areas.