Healthcare providers must navigate complex reimbursement landscapes with reimbursement cuts, rising administrative burdens, and evolving regulations. Intelligent revenue cycle management is critical to improving cash flow, reducing backlogs, and ensuring long-term financial stability.
Sutherland’s enhanced RCM solutions leverage AI, automation, and analytics to streamline collections, improve claim visibility, and simplify workflows. Delivered through our BPaaS model, these solutions reduce manual effort, accelerate revenue cycles, and strengthen overall financial performance.
$3B+
RCM collections annually
25%+
Reduction in TCO
15%+
Improvement in collection rate
25%+
Reduction in AR Days
75%+
Average denial conversion
90%+
Average AR liquidation rate increase
Case Studies
Our Solutions
Our team of RCM experts, including certified coders and collection specialists, provides end-to-end revenue cycle support—from patient access to claims processing, denial management, and patient experience services. We combine process redesign, digital engineering, and AI embedded into live RCM operations to drive measurable improvements in cash flow, accuracy, and efficiency.
Denials Management & Prevention
Using AI and analytics to identify root causes and prevent denials based on real RCM patterns.
Patient Access Solutions
A strategic blueprint to unify registration, verification, and authorization into a high-performance entry cycle.
Provider Life Cycle Solutions
Automating prescreening, primary source verification, and gap analysis to ensure providers are mission-ready.
Central Scheduling & Registration
Orchestrating patient entry with integrated quality assurance to ensure 100% data accuracy from day one.
Financial Counseling & Propensity
AI-driven propensity-to-pay modeling to provide compassionate counseling and personalized patient liability estimates.
Patient Contact Center Services
Scalable, omnichannel support to resolve billing inquiries quickly and improve the overall patient experience.
Verification & Pre-Certification
High-velocity insurance verification and medical necessity checks to secure authorizations and avoid denials.
Patient Accounting
Running high-volume billing and collections with AI-enabled workflows to improve accuracy and cycle times.
3rd Party & Self-Pay Collections
Managing empathetic, multi-channel outreach to maximize recovery while maintaining patient trust and loyalty.
Multi-Specialty Autonomous
Coding Utilizing AI to automate professional and facility coding across specialties, reducing human error and acceleration.
Pre-Bill Edits & CDI
Embedding clinical documentation improvement and automated edits to ensure claims are clean before submission.
Digital Order Management
Streamlining the intake process with automated order routing and tracking to prevent front-end bottlenecks.
Smart Access
Deploying hyper-automation to transform complex patient access workflows into high-velocity, digital-first operations.
Sutherland SmartCred®
Digitally transforming provider enrollment and credentialing to slash turnaround times and ensure constant clinical compliance.
Sutherland SmartREV
An AI and RPA enabled workflow management platform designed to optimize productivity and dissolve revenue cycle friction.
Sutherland Health Analytics
AI-enabled business intelligence delivering actionable clinical and operational insights to drive strategic decision-making.
Sutherland Connect®
A unified, omnichannel communications solution that orchestrates seamless patient and provider engagement across every channel.
Sutherland CX360®
An advanced intelligence platform that turns multi-channel interactions into deep insights across the end-to-end journey.
Conversational Al
NLP and NLU led automation that powers intelligent interactions, providing full self-service capabilities and reducing costs.
CHATX
A sophisticated channel integration platform that unifies invisible app functionality with high-engagement digital media.
Extract.Al
High-performance document ingestion and extraction utilizing AI to transform unstructured data into structured clinical assets.
Health Information Processing
Unifying fragmented clinical data into a secure, standard-driven architecture for seamless downstream billing.
Legacy A/R Conversions
Safely migrating and reconciling aging receivables from decommissioned systems into a modern, digital ledger.
RCM Reporting & Analytics
Real-time dashboards providing actionable insights to identify leakage and optimize enterprise financial health.
Why Sutherland
Outcome-Based Engagement
We are trusted partners to healthcare leaders – we align our success directly with their business outcomes.
Proprietary RCM Platforms
Utilizing built-for-purpose technology to automate documentation and accelerate the reimbursement cycle.
Deep Healthcare Expertise
18+ years of experience and 5,000+ specialists dedicated to healthcare financial operations.
363 Innovations under patents
Accelerate your digital ambitions with a vast portfolio of inventions focused on AI and experience engineering.