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Healthcare System

HIPAA-First AI Enablement + an LLM Workflow that Improved Revenue Cycle Collections

Healthcare leaders want AI speed without compliance risk. This engagement designed and launched HIPAA-compliant AI and cloud literacy programs, established secure governance patterns, and deployed an LLM-based payer negotiation workflow focused on collections uplift—expanding ROI-generating AI programs by ~30× and improving collections by ~23% for the targeted use case.

Public role; patient/privacy-sensitive specifics not shared publicly; deeper details under NDA/appropriate approvals.

~30×

Increase in ROI-generating AI programs

~23%

Collections uplift (targeted workflow)

Enterprise

HIPAA-compliant governance deployed

Scalable

Safe acceleration operating model

Challenge

AI adoption in healthcare is often blocked by legitimate concerns: HIPAA, privacy, security, and auditability. Leaders needed a practical enablement model that let teams move fast—while staying defensible. In parallel, revenue cycle collections presented a clear, high-impact opportunity where better workflow support could improve outcomes without introducing patient safety risk.

What we did

  • Designed and launched HIPAA-compliant AI and cloud literacy programs for leaders and operators.
  • Established governance patterns for secure AI adoption (repeatable approvals, controls, and checklists).
  • Deployed an LLM-based payer negotiation workflow focused on collections uplift, with appropriate oversight.
  • Scaled enablement to expand the portfolio of ROI-generating AI programs.

Results

  • Expanded the number of ROI-generating AI programs by ~30×.
  • Delivered a targeted LLM workflow that increased collections by ~23%.

Strategic impact

This created a repeatable 'safe acceleration' operating model: training + governance + deployable workflows. Instead of treating AI as one-off pilots, the organization gained a scalable way to build, approve, and adopt AI solutions in a regulated environment.

Optics + governance

  • HIPAA-first posture: privacy and compliance were design inputs, not afterthoughts.
  • Positioned AI as workflow augmentation, not workforce reduction.
  • Built for audit readiness with governance checklists and repeatable controls.

Quick facts

Industry
Healthcare
Primary Stakeholders
CIO/CTO, CFO (Revenue Cycle), Compliance/Privacy, Clinical Ops
Methods
LLMs; AI governance; HIPAA-compliant enablement; cloud literacy

Related services

Responsible AI & GovernanceApplied AI SolutionsChange Management & Enablement

Key deliverables

HIPAA-compliant AI and cloud literacy curricula

Governance checklists and secure adoption patterns

Deployed LLM workflow for payer negotiation / collections support

Measurement dashboard for adoption and ROI tracking

Start with an AI Governance & Responsible AI assessment paired with an AI Value Creation Sprint—then deploy 1–2 KPI-tied workflows that prove ROI without creating compliance debt.