Healthcare IT

Revenue cycle technology, stop leaving money in the claim.

Every denied claim and missed charge is margin you earned and didn't collect. We build the eligibility, charge-capture, claims and denial technology that closes the gaps — wired into the chart, not bolted beside it.

The model

Three stages where revenue is won and lost

The revenue cycle isn't just billing. Money is made and lost across all three stages — and the earlier you fix it, the cheaper it is.

Where revenue is won and lost

Front-end

Before care even happens — getting the money right at the front door, where most denials are actually created.

  • Eligibility & benefits
  • Prior authorization
  • Registration accuracy
  • Patient estimates

Mid-cycle

During care — making sure everything billable is captured, coded and documented to support the claim.

  • Charge capture
  • Coding
  • Clinical documentation
  • CDI

Back-end

After care — turning clean claims into collected cash, and fighting the denials that aren't.

  • Claims (837)
  • Clearinghouse
  • Denial management
  • Patient collections
Why AST

RCM tech from people who know the chart and the claim

The revenue cycle lives in the gap between clinical and financial systems. We build on both sides of it, so nothing falls into the gap.

17+
years in healthcare software

RCM technology built by people who understand both the clinical chart and the claim it produces.

X12
EDI fluently

837 claims, 835 remittance, 270/271 eligibility — the transactions the revenue cycle actually runs on.

Denials
tackled at the source

Most denials are made at registration, not billing. We fix the front door, not just the appeal.

EHR
and RCM, connected

Charges, codes and claims flow from the chart, instead of being re-keyed and dropped along the way.

The engagement

How we close the gaps

From finding the leakage to automating the cycle and working denials as a system — RCM technology that pays for itself.

Start a conversation
Reviewing financials
01Revenue cycle assessment

We find where the money is leaking — the denials, the missed charges, the manual steps — and quantify what fixing each is worth.

  • Leakage analysis
  • Denial root-cause
  • Process mapping
  • ROI-ranked plan
02Eligibility & auth automation

We automate the front-end checks that prevent denials — real-time eligibility and prior authorization, before the patient is even seen.

  • Real-time eligibility
  • Prior auth automation
  • Estimate generation
  • Registration validation
03Claims & clearinghouse

We build the claim submission and clearinghouse integration that gets clean claims out the door and remittance back in.

  • 837 claim generation
  • Clearinghouse integration
  • 835 remittance posting
  • Status tracking
04Denials & analytics

We turn denial management from a pile of paper into a system — worked by reason, tracked to recovery, and measured so the leak gets smaller.

  • Denial workflow
  • Appeal automation
  • Recovery tracking
  • RCM dashboards
What we build

The revenue cycle, instrumented

Eligibility & auth

Confirm coverage and authorization before care.

  • 270/271 eligibility
  • Prior auth
  • Benefit checks
  • Estimates

Charge capture

Capture every billable service from the chart.

  • Charge automation
  • Missing-charge detection
  • Charge reconciliation
  • Fee schedules

Coding & CDI

Accurate codes and the documentation to support them.

  • Coding support
  • CDI
  • Compliance edits
  • Audit trail

Claims & EDI

Clean claims out, remittance in.

  • 837 / 835
  • Scrubbing & edits
  • Clearinghouse
  • Status (277)

Denial management

Work denials by reason and recover the cash.

  • Denial routing
  • Appeals
  • Root-cause feedback
  • Recovery

RCM analytics

See the whole cycle and where it leaks.

  • KPI dashboards
  • Denial trends
  • AR aging
  • Net collection rate
Who it's for

Anyone losing revenue to the cycle

A provider leaking margin, a post-acute operator with brutal billing, or a vendor building RCM software — the technology is the lever.

Financial operations

Leaving revenue on the table

You're delivering the care but not collecting for all of it — denials, missed charges and manual rework are quietly eating your margin. We close those gaps with technology, not more staff.

  • Less leakage
  • Fewer denials
  • Faster cash
  • Less manual rework

Complex, high-volume billing

Therapy minutes, MDS-driven reimbursement and multi-payer rules make post-acute billing brutal. We build the RCM technology tuned to how that billing actually works.

  • Therapy & MDS billing
  • Multi-payer rules
  • Volume automation
  • Compliance

Building revenue-cycle products

You're building RCM software and need the EDI, the clearinghouse integration and the denial engine done right. We build that core with you, healthcare-native from the start.

  • X12 / EDI engine
  • Clearinghouse integration
  • Denial logic
  • Scalable platform
The difference

Manual rework, or a cycle that collects

A few percent of net revenue leaks quietly through a manual cycle every month. Technology is how you find it and keep it.

The status quo
Manual revenue cycle
Spreadsheets and rework

Eligibility checked by phone, charges captured by memory, denials worked from a printout. It mostly functions — while quietly leaking a few percent of net revenue every month.

  • Denials made at the door
  • Missed charges
  • Manual rework
  • Invisible leakage
With AST
Automated revenue cycle
Technology that collects

Front-end checks that prevent denials, charges captured from the chart, claims scrubbed before they go, and denials worked as a system — with the leakage measured and shrinking.

  • Prevented denials
  • Complete charge capture
  • Clean claims
  • Measured recovery
How we deliver

From verify to recover

01
Verify

Eligibility and authorization, up front.

02
Capture

Every billable charge from the chart.

03
Code

Accurate codes with documentation.

04
Submit

Scrubbed, clean claims out the door.

05
Reconcile

Post remittance and spot shortfalls.

06
Recover

Work denials and feed back the cause.

How we engineer

Revenue principles we build by

The convictions that turn a leaky, manual cycle into one that quietly collects what you earned.

Care meets revenue

Get it right at the door

Most denials are created at registration, not billing. We fix the front-end so the claim is clean before it's ever sent.

Automate the rote

Eligibility checks, charge reconciliation and claim scrubbing are rules-based work. We automate them so people work the exceptions.

Work denials systematically

A denial is a workflow with a root cause, not a piece of paper. We route, appeal and feed the cause back upstream.

Measure the leakage

You can't fix what you can't see. We instrument the whole cycle so the gaps are visible and trackable.

Integrate with the chart

Charges and codes flow from the EHR. Re-keying between clinical and billing is where revenue goes to die.

Bill compliantly

Faster collection is worthless if it isn't clean. Compliance and coding integrity are built in, not traded off.

Questions

Revenue cycle FAQ

Are you an RCM service, or technology?

Technology, primarily. We build and integrate the systems that run your revenue cycle — eligibility, charge capture, claims, denials and analytics — and automate the manual steps. We're not a billing outsourcer; we make the cycle you run work better.

Where does revenue actually leak?

Mostly at the front end. The majority of denials trace back to registration and eligibility errors made before care is even delivered. That's why we focus on getting it right at the door, not just appealing denials after the fact — the cheapest denial is the one that never happens.

Do you handle post-acute and therapy billing?

Yes, and it's a particular strength. Therapy minutes, MDS-driven reimbursement and multi-payer rules make post-acute billing especially complex, and we build RCM technology tuned to how that billing actually works rather than a generic acute-care model.

Will it integrate with our EHR and clearinghouse?

Yes. We connect to your EHR so charges and codes flow without re-keying, and we integrate with clearinghouses for claim submission and remittance. Connected systems are the whole point — a disconnected RCM tool just moves the manual work around.

Can you reduce our denial rate?

That's the goal, and we approach it at the source. By preventing denials at registration, scrubbing claims before submission, and feeding denial root-causes back upstream, the denial rate comes down structurally rather than being managed reactively forever.

Let's find the leak

How much revenue is your cycle quietly losing?

Tell us about your payers and your pain points. We'll find where the money leaks and build the technology that keeps it.

Talk to our team
A revenue-cycle team