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

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