ModMed Announces Agentic RCM AI Platform to Help Specialty Medical Practices Slash the RCM Tax™

New agentic AI platform designed to help specialty medical practices optimize financial performance by reducing denials, accelerating reimbursement, and lowering the cost to collect.

Boca Raton, Fla. — August 4, 2026 — ModMed, a leading provider of AI-powered software and services for specialty medical practices, today announced the ModMed® RCM AI Platform, a new agentic AI platform for revenue cycle management (RCM) designed to optimize practice financial performance. Purpose-built for specialty healthcare, the platform will deploy intelligent AI agents to work alongside billing teams and help them optimize reimbursements, reduce denials, accelerate claim resolution, and lower the cost of collecting receivables – allowing practices to better capture the revenue they have earned and improve operational efficiency.

The ModMed RCM AI Platform will combine specialized AI agents, human expertise, and decades of specialty-specific revenue cycle intelligence into a single, integrated platform. Unlike disconnected point solutions that focus on isolated billing tasks or managing denials after they occur, the ModMed RCM AI Platform is designed to work across the entire revenue lifecycle to help practices optimize financial performance.

“The ModMed RCM AI Platform is a cornerstone of our AI-Powered Practice™ strategy,” said Joe Harpaz, co-CEO of ModMed. “The RCM AI Platform represents a fundamental shift in how specialty practices manage financial performance. By combining specialized AI agents with ModMed’s deep specialty expertise and human oversight, we’ll help practices optimize reimbursements, improve operational efficiency, and give practices greater visibility and control across the revenue cycle.”

It’s Time to Slash the RCM Tax

The RCM Tax™ is the hidden financial burden that quietly erodes the performance of specialty medical practices every day. Administrative inefficiencies, denied claims, delayed payments, payer complexity, and unnecessary manual work create friction across the revenue cycle, reducing cash flow, increasing operating costs, and preventing practices from collecting the revenue they have earned.

According to a recent MGMA poll, 48% of medical group leaders say denials and appeals are their biggest revenue leak¹. Additionally, healthcare systems spend an estimated $19.7 billion annually appealing denials². It’s clear that the status quo is no longer sustainable, and healthcare organizations are looking for ways to Slash the RCM Tax.

The ModMed RCM AI Platform leverages years of specialty-specific clinical and financial workflows, payer knowledge, historical claims data, and revenue cycle expertise that will provide contextual guidance at every stage of the billing process. Because the platform is integrated directly into ModMed’s clinical, practice management, and revenue cycle solutions, the RCM AI Platform will help identify reimbursement risks earlier in the patient journey before those risks become denied claims, delayed payments, or unnecessary administrative work. As payer policies and reimbursement requirements continue to evolve, the platform will continuously adapt recommendations using the latest payer intelligence and practice-specific data.

A Human-in-the-Loop architecture will keep revenue cycle teams in control, helping to maintain safe and responsible AI. Intelligent AI agents help prioritize work, automate repetitive tasks, surface relevant payer guidance, and recommend next-best actions. This approach will enable experienced staff to focus on higher-value work, while helping newer team members become productive faster by capturing and applying institutional knowledge built from years of specialty-specific revenue cycle expertise.

Bringing Agentic AI to Specialty RCM

As payer requirements become increasingly complex and staffing challenges persist, many revenue cycle teams simply lack the capacity to pursue every claim with the same level of attention. Lower-dollar claims, time-intensive appeals, and repetitive follow-up activities are often delayed or deprioritized as staff focus on the most urgent work. The AI agents inside the ModMed RCM AI Platform will help eliminate that tradeoff by automating repetitive tasks, prioritizing the highest-impact activities, and guiding staff through complex payer requirements.

The intelligence behind the ModMed RCM AI Platform is powered by one of the healthcare industry’s richest specialty-specific revenue cycle datasets. Built on decades of specialty expertise, the platform draws upon hundreds of millions of de-identified historical claims – including millions of denied claims – billions of dollars in annual transactions, payer-specific intelligence, and years of real-world revenue cycle outcomes that can deliver contextual guidance, intelligent automation, and improved visibility across the billing lifecycle. Preliminary internal analysis indicates the ModMed RCM AI Platform could help reduce manual accounts receivable follow-up activities by up to 57%.

Platform Includes Five Integrated AI Capabilities

The ModMed RCM AI platform will bring together five integrated AI capabilities designed to help practices prevent revenue leakage, accelerate reimbursement, improve operational efficiency, and optimize financial performance:

• AI RCM Agents – automating time-consuming revenue cycle activities, including generating appeal packages, suggesting intelligent claim edits, validating claims, executing resubmissions, researching payer requirements, navigating payer portals, and completing repetitive administrative tasks.
• AI Workflow Manager – serving as an intelligent command center for human and AI-powered revenue cycle work, providing operational dashboards, intelligent claim prioritization and routing, personalized work queues, workflow automation, and end-to-end performance tracking.
• AI Billing Assistant – giving billing professionals conversational, contextual guidance throughout the billing lifecycle by analyzing submission risk, summarizing claim history, surfacing payer requirements, recommending next-best actions, and embedding supporting documentation directly into workflows.
• AI RCM Advisor – transforming complex revenue cycle data into actionable financial and operational insights, enabling practice leaders to monitor performance, identify trends and anomalies, understand underlying drivers, generate reports, and uncover opportunities to improve reimbursement, cash flow, and overall financial performance.
• Specialty Intelligence Engine – powering these AI capabilities and interactions across the platform by combining specialty expertise, payer policies, coding guidance, customer-specific workflows, de-identified historical claims, denial patterns, and real-world revenue cycle outcomes into contextual recommendations.

RCM AI Platform Availability

The ModMed RCM AI Platform will support two delivery models designed to meet the needs of specialty practices of every size. Larger practices, enterprise organizations, and MSOs can deploy the platform to power their own internal revenue cycle operations. Practices that choose ModMed RCM Services can benefit from the same AI platform as part of a fully managed revenue cycle solution.

Portions of the ModMed RCM AI Platform are already deployed within ModMed RCM Services, where its AI capabilities are helping augment revenue cycle operations for managed services customers. A limited early adopter program for self-managed customers is expected to begin in the fourth quarter of 2026, with broader customer availability beginning in 2027.

The platform will be showcased publicly at MOMENTUM, ModMed’s annual customer conference in Orlando from October 16-18, 2026. Additional AI capabilities will continue to be introduced as part of ModMed’s broader AI-Powered Practice™ strategy.

For more information about the ModMed RCM AI Platform, visit www.modmed.com/rcm-ai.

About ModMed

At ModMed, we empower medical practices to grow and scale by delivering better patient experiences with cloud, data and AI technologies. Through the AI-Powered Practice™, we help specialty medical providers simplify, automate and streamline clinical workflows and drive practice efficiency. Our specialty-specific EHR, practice management, revenue cycle management and analytics solutions, as well as products for patient engagement, payment processing and marketing, are trusted by nearly 50,000 providers to drive their clinical, financial, and operational success. Learn more at modmed.com, read our blog and follow us on Facebook, LinkedIn, YouTube and Instagram.