The only AI consultancy built for healthcare regulatory requirements

AI that regulators approve, not just approve.

Healthcare compliance isn't an add-on. It's the foundation. HIPAA, CMS, state insurance boards, international regulations — our systems are built to pass audit from day one. Deploy with regulatory confidence.

Purpose-built for healthcare complexity.

Each solution is built from deep healthcare knowledge — claims, billing, clinical operations, patient data, and regulatory requirements.

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Claims & Billing Automation

Revenue Cycle Acceleration

Eliminate manual claim processing. AI validates claims in real-time, flags compliance issues, and routes to payers with 99.8% accuracy.

  • Claims processed 60% faster
  • Denial rate reduction to <2%
  • Compliance validation built-in
  • Real-time payer integration
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Revenue Leakage Detection

Capture Hidden Revenue

Intelligent scanning of contracts, claims data, and patient records identifies unbilled services, incorrect coding, and missed revenue opportunities.

  • $2-5M annual recovery (typical)
  • Automated pattern detection
  • Root cause identification
  • Predictive analytics dashboard
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Clinical Workflow Automation

Provider & Staff Efficiency

Automate charting, documentation, referral management, and appointment workflows. Physicians spend more time with patients.

  • Charting time reduced 40%
  • Clinical documentation accuracy
  • Referral automation
  • EHR integration
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Patient Intelligence Platform

Data-Driven Care

Aggregate patient data across systems. AI identifies risk patterns, predicts readmissions, and enables proactive interventions.

  • Readmission prediction (85%+ accuracy)
  • Risk stratification
  • Patient engagement scores
  • Outreach recommendations
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Prior Authorization & Compliance

Regulatory Confidence

Automated prior auth management with built-in compliance tracking. Reduce denials and staff time navigating payer requirements.

  • Prior auth automation 70%
  • Compliance audit trails
  • Denial prevention
  • Payer-specific workflows
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Operations Visibility & Analytics

Executive Dashboards

Real-time operational dashboards. Track revenue, claims, patient satisfaction, and clinical outcomes. Spot bottlenecks instantly.

  • Real-time KPI tracking
  • Anomaly detection
  • Capacity planning insights
  • Drill-down analytics

Real healthcare outcomes.

  • Revenue Integrity First Every dollar owed is captured. No compliance shortcuts. Zero tolerance for data quality issues.
  • Clinical Confidence Healthcare is unforgiving. Our systems are built for 99.9% uptime, auditable decision-making, and healthcare-grade security.
  • Provider-Centric Design Systems that improve workflow, not complicate it. Providers see time savings, not added admin burden.
  • Regulatory Alignment HIPAA, CMS, state insurance board requirements built in. Compliance is automated, not a manual afterthought.

Healthcare clients see in 90 days

$380K+
Average annual revenue impact (mix of capture + reduction)
45%
Reduction in claims processing time
3-4 weeks
Deployment to full production
3:1
ROI within first 90 days

Healthcare regulatory expertise, built-in.

Most AI consultants treat compliance as an afterthought. We treat it as the foundation. Every system, every decision, every algorithm is designed for regulatory approval — US-focused, globally scalable.

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HIPAA Compliance

Every system is HIPAA-compliant from architecture to operations. BAA agreements, encryption, audit trails, access controls — all automatic.

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CMS & Reimbursement Policy

Deep expertise in CMS regulations, state insurance board requirements, and reimbursement policy. Claims align with regulatory requirements automatically.

✓

Auditable AI

Every AI decision is logged, documented, and explainable. Complete visibility for regulators. No black boxes.

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Global Expansion Ready

Built for US healthcare regulations with architecture for global expansion. GDPR, data localization, international compliance — ready.

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SOC 2 Type II

Systems built to SOC 2 Type II standards. Healthcare-grade security, zero-trust architecture, data isolation.

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Government Policy Mastery

Deep understanding of US policy + expertise navigating state-specific requirements. We know the rules others miss.

Ready to unlock your revenue and operations?

Let's talk about your specific challenges. 30 minutes with a healthcare operations expert — no vendor pitch, just clarity.

hello@swasthtech.ai → Schedule Demo