AI agents across clinical, revenue cycle, quality, and operations. The healthcare module models HL7 FHIR resources and the Epic and Cerner integration patterns a health system already runs on.
30+ healthcare agent roles are defined in the module, across clinical, revenue cycle, quality, and operations. Part of 26 industry modules (2 runtime-wired today) with 700+ AI agents.
Denied claims, coding errors, underpayments. Each denial is worked by hand, after the fact, against a payer deadline.
The revenue is recoverable on paper and unrecovered in practice.
Notes, orders, inbox, prior authorization. Documentation follows the clinician home, and it is a leading driver of burnout and turnover.
A 2016 Annals of Internal Medicine time-and-motion study (Sinsky et al.) found ambulatory physicians spent nearly two hours on EHR and desk work for every hour of direct clinical face time.
CMS quality measures, Joint Commission readiness, HEDIS reporting. Abstraction is manual, chart by chart, every quarter.
The measure definitions change, and the abstraction work starts over.
Patients fall through the cracks between departments, facilities, and post-discharge follow-up.
Under the CMS Hospital Readmissions Reduction Program, readmission penalties can reduce base Medicare inpatient payments by up to 3%.
Scoped deliverable
We map one high-value healthcare workflow together — typically revenue cycle review, clinical documentation, or quality measure abstraction — and walk you through how an agent would be configured against it.
Scoped per workflow
Expand from one workflow to several. Add the Clinical Quality Agent for HEDIS abstraction; extend the Revenue Cycle Agent to more service lines. Reviews on a set cadence to tune what the agents do.
Full module scope
The full healthcare module across the functions it covers — clinical, revenue cycle, quality, supply chain, and operations — designed to run inside your own perimeter.
Two of the 30+ agent roles defined in the healthcare module
The Revenue Guardian
I help you... automate charge capture, coding review, denial management, and payer contract optimization.
Human accountability
A certified coder reviews each code change and each appeal; the agent prepares the work and the coder submits it.
The Quality Champion
I help you... monitor quality measures, automate chart abstraction, and maintain Joint Commission readiness.
Human accountability
A qualified abstractor confirms each measure the agent assembles and signs the submission that goes to CMS or a registry.
Other roles defined in the module: Chief Nursing Officer, Patient Experience, Population Health, Supply Chain, Pharmacy Operations, Perioperative, and 20+ more.
FAOSX prices a deliverable, never consumed time.
| Area | What the agents do |
|---|---|
| Revenue Cycle | Reviews coding against ICD-10 and CPT rules, checks claims against payer edits before submission, and flags contract terms that do not match what was paid |
| Clinical Documentation | Drafts the encounter note and writes back through the EHR interface, leaving the signature with the clinician |
| Quality Measures | Extracts HEDIS and CMS measure elements from the chart and assembles numerator, denominator, and exclusion evidence for a human abstractor to confirm |
| Care Coordination | Tracks discharge instructions, follow-up appointments, and medication reconciliation across facilities, and raises the patients nobody has contacted |
| Staffing | Models census, acuity, and skill mix against the published schedule and shows where the next shift is short |
| Compliance | Maps Joint Commission and CMS requirements to the evidence that satisfies them, and shows what is missing before a survey rather than after |
The module models HL7 FHIR resources and the integration patterns Epic and Cerner environments use.
Book a Discovery Workshop. We map one healthcare workflow against the module, walk you through the agent configuration for it, and you decide whether to go further.