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Innovation Center

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How Unlimited Systems applies AI to the specialty revenue cycle: what it does today, how it works in each specialty, and the principles behind it.

Johnathon Trout (JT)
Free live webinarWed, Oct 28 · 1:00 PM ET

The Practical Side of AI for Specialty Practices

Avoid the pitfalls, cut through the noise, and put AI to work on everyday challenges. With Johnathon Trout (JT), Director of Product Management.

What AI does in the platform today

Unlimited AI adds automation, prediction, and prioritization to the work already happening in Unlimited Financials.

Prioritized worklists

Staff start each day with the claims and accounts that matter most, ranked by value and risk instead of age alone.

Denial-risk identification

Claims likely to be denied are flagged before submission, while there is still time to fix them.

Exception detection

Routine work flows through automatically, and the unusual cases are surfaced for a person to review.

Recommended next actions

Each exception comes with a suggested next step, so staff spend less time deciding and more time resolving.

How AI works across charge validation, posting, denials, and AR

AI by specialty

Each specialty has its own revenue risks. See what AI focuses on in yours.

Oncology & Cancer Care

Biologic drug waste, prior authorization, and high-value claim risk, surfaced before they cost revenue.

Infusion Practices

Chair scheduling, concurrent hydration lines, and drug-waste modifiers, tracked automatically.

Rheumatology

Biologic co-pay program matching and infusion billing, worked by exception instead of reviewed line by line.

Dermatology

Cosmetic-versus-covered prior authorization and complex diagnosis coding, flagged before claims go out.

Gastroenterology

Professional and facility fee splits, anesthesia coordination, and scope-procedure coding, checked automatically.

Ophthalmology

Intravitreal injection billing and ASC fee splits, automated from charge entry to close.

Urology

Surgical global-period modifiers and in-office lab billing, validated before submission.

Neurology & Neurosurgery

Chronic therapy cycles, EEG billing, and complex surgical sequences, worked by exception.

Diagnostic Imaging

Global-versus-professional splits and PACS-driven charge capture, automated end to end.

Behavioral Health

Session-time units and diagnostic matching, validated before claims submit.

Multi-Specialty Practices

Cross-discipline routing and one unified ledger, with intelligence applied consistently across every department.

Psychiatry

Psychotherapy add-on time, carve-out payers, and TMS session limits, checked before a claim goes out.

Orthopedics

Op-note coding, global period checks, and surgical AR, worked by exception instead of claim by claim.

Addiction Medicine

Counseling H-codes, drug testing limits, and MAT approvals, checked before a claim leaves the practice.

Allergy & Immunology

Extract doses, testing units, and biologic approvals, reconciled before claims go out.

Ambulatory Surgery Center

Facility coding, implant billing, and site-of-service approvals, checked before the claim leaves the center.

Cardiology

Imaging approvals, component modifiers, and device monitoring periods, checked before claims go out.

Chiropractic

Medicare modifiers, spinal region counts, and visit limits, checked against the note before a claim goes out.

Chronic Care

Monthly time thresholds, consent, and program overlap, tracked before the month closes.

Clinical Research

Coverage analysis, trial claim identifiers, and sponsor invoicing, kept apart from routine billing.

Diabetes Care

CGM codes, training hours, and supply documentation, checked before claims and orders go out.

Emergency Medicine

ED E/M levels, critical care time, and No Surprises Act payments, checked before a claim goes out.

Endocrinology

Injectable approvals, DXA frequency, and thyroid biopsy coding, checked before the claim leaves.

Endoscopy Center

Screening conversions, claims that must agree for each case, and edits on combined procedures, checked case by case.

Family Medicine

Same-day preventive and problem visits, vaccine pairs, and PCP assignment, checked on every claim.

Fertility & Reproductive Endocrinology

Cycle cost estimates, fertility benefit managers, and per-cycle approvals, checked before treatment starts.

General Surgery

Operative note coding, global period modifiers, and surgical approvals, checked before the claim goes out.

Geriatrics

Care management time, Medicare Advantage rules, and crossover payments, tracked so nothing slips.

Hematology

ESA lab rules, IV iron approvals, and drug units, checked against the administration record.

How we build

People stay in control

AI prioritizes and recommends; your team makes the decisions that affect patients and payers.

Built into the workflow

Intelligence lives inside Unlimited Financials, where the work already happens, not in a separate tool.

Specialty first

Models and rules are shaped by the drugs, procedures, and payer policies of each specialty we serve.

GET STARTED

Help shape what we build next

Our roadmap is driven by the practices that use Unlimited Systems every day. Tell us about the problems you want solved.

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Using our product doesn't just mean quality software, but also access to a community to keep you connected to your peers and to your product team.

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Rated 5 out of 5

The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.

Ernelita Dacumos
Billing Manager, SHOM
“
Rated 5 out of 5

Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.

Melissa Shook
Medical Biller, SHOM
“
Rated 5 out of 5

We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.

Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Rated 5 out of 5

Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.

Mel Davies
CFO, Oregon Oncology Specialists
“
Rated 5 out of 5

Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.

Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Rated 5 out of 5

Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.

Erin Wilcher
Executive Director, Commonwealth Cancer Center