CAPABILITIES
Prior Authorization AI
Seven agentic AI agents deliver prior authorization decisions in approximately 47 seconds. Achieves 90%+ auto-approval target with a full ML audit trail, eliminating manual PA bottlenecks across high-volume payer environments.
Client Intake Automation
Converts scanned and faxed patient packets into structured, validated intake records. Splits multi-patient files, classifies pages, extracts demographic and order data, and flags DMEPOS issues before anything reaches billing.
Denial Prediction & Prevention
AI models predict claim denials before submission and surface actionable recommendations for clean claim filing. A self-learning system that improves accuracy continuously to reduce revenue leakage over time.
Agentic RCM Automation
Autonomous monitoring of supplier performance, inventory levels, and demand signals. Flags risks and recommends actions before they escalate.
Revenue Optimization
Continuously analyzes payer contracts, payment patterns, and claims data to identify underpayments and improve revenue integrity. Self-optimizes to recommend corrective actions and forecast cash flows.
Real-Time Compliance Intelligence
Ensures continuous compliance with evolving payer guidelines, CMS policies, and HIPAA regulations. Flags contractual risks and delivers audit-ready reports automatically without slowing operations.
27 Years of Building Enterprise Technology
1,000+
Partners across the US, Europe, and Middle East
2,000+
Enterprise applications delivered
27+
Years serving regulated industries
USM Business Systems has spent nearly three decades building technology for industries where mistakes are
expensive and compliance is mandatory — healthcare, pharma, life sciences, logistics, and manufacturing.
Our RCM AI practice combines deep revenue cycle expertise with custom-built systems your team owns. You keep the IP. You keep the architecture. We build it to integrate with your existing payer mix, EHR, and billing
infrastructure — not the other way around.
Revenue Cycle Domain Experts on Every Engagement
The team you meet on day one is the team you work with at go-live. Our RCM specialists have spent careers inside health system billing operations. They understand the difference between a payer process problem and a technology problem, and they build accordingly.
Senior Advisor
Healthcare Payer & RCM Operational Excellence
Senior Advisor
Behavioral Health Hospital Operations & Patient Intake and Access
Senior Advisor
FQHC & Community Health Operations
Ready to Eliminate Denials and Accelerate Your Revenue Pipeline?
You bring your biggest revenue cycle challenge — denial volume, prior auth delays, intake bottlenecks, or AR recovery gaps. Our domain experts walk through exactly how AI would address it in your environment. The session runs 30 to 45 minutes and is focused entirely on your operation.
USM BUSINESS SYSTEMS
Washington, DC (HQ), 44320 Premier plaza, Suite 210, Ashburn, VA 20147
Phone: 1-703-263-0855 | Web: www.usmsystems.com | Email: sales@usmsystems.com