Admin Spend Increase
2021 → 2022
In today’s healthcare market, the front desk is more than a greeting point — it’s the gateway to revenue integrity. Errors at registration, eligibility verification, or prior authorization can snowball into denied claims, delayed payments, and frustrated patients. With administrative spending surging by $18 billion from 2021 to 2022, labor costs rising 5.4% YoY, and 79% of providers citing denials as their top RCM issue, the stakes have never been higher.
FrontDesk Shield is the AI platform built to automate and optimize every step of patient access. By capturing demographic and insurance data with precision, orchestrating eligibility and prior-auth workflows, and enhancing scheduling and pre-visit counseling, FrontDesk Shield ensures providers start every encounter on the right financial and clinical footing.
Healthcare organizations deploying FrontDesk Shield are reducing denied claims, lowering admin overhead, and improving both patient and staff experience. This isn’t just technology — it’s a new operating model for patient access.
U.S. Market Overview
2021 → 2022
Denials tied to eligibility/registration
Staffing pressure at registration
Of denied claims (up to)
Depicts incremental increase; not total spend.
Indexed to prior year = 100 (illustrative index).
Wrong patient data, missed coverage, or prior-auth lapses.
Across markets, provider organizations report the same struggle: administrative bottlenecks at the front desk leading to downstream revenue leakage. In single-payer systems, poor data capture creates compliance issues; in multi-payer systems, payer-specific prior-auth rules cause delays and claim disputes. The problem is universal — and growing.
Streamlines patient intake by capturing demographic and insurance data accurately, minimizing manual entry errors.
AI agents confirm coverage instantly across payers, reducing costly eligibility-related denials.
Automates submission and tracking of prior auth requests, accelerating approval turnaround.
Integrates with provider calendars and payer rules to improve scheduling accuracy and prepare patients for financial responsibilities upfront.
Every payer response feeds into FrontDesk Shield’s learning loop, enabling real-time adaptation to evolving payer policies.
FrontDesk Shield is powered by agentic AI — specialized, task-oriented agents designed for front-desk operations. Unlike static workflows, the orchestration layer adapts dynamically, ensuring smooth handoffs between intake, eligibility, prior auth, and scheduling tasks.
For a 500-provider health system
of denials tied to front-end errors
from those front-end issues
recovered/retained revenue
lower admin spend & faster payments
Assumes preventing 50% of front-end related denials.
Composite view of benefits: recovered revenue, lower admin labor, and faster payments.
AI-driven denial management is not a trend it is the inevitable future of revenue cycle optimization. With payer policies evolving faster than manual teams can adapt, only automated, learning-based systems can keep pace. DenialShield’s AI agents operate 24/7, never tiring, never missing a rule update, and always working to protect provider revenue.
Don’t let front-end errors derail your revenue cycle. With FrontDesk Shield, you can automate patient access, prevent denials at the source, and deliver a better experience for patients and staff alike. Contact Scale Healthcare today to see FrontDesk Shield in action.
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