AI and Automation
Built for Healthcare
Meaningful AI is more than the latest innovation. It’s a growth strategy, guided by thought leaders in healthcare and technology. While many organizations focus solely on groundbreaking technology, Netsmart also focuses on human capabilities. Our approach to AI is not “artificial intelligence,” but Augmented Intelligence, supporting everything from billing and QA to patient care and clinical documentation. See how Netsmart AI + Automation can support better workflows and transform outcomes in healthcare.
Artificial Intelligence. Human Potential.
Make AI in Healthcare Meaningful
At Netsmart, we don't view healthcare automation as one size fits all. We use our in-depth knowledge of the care you provide to automate what's most impactful to you. It's important to be strategic when implementing automation in healthcare administration, and we're here to help healthcare organizations with that strategy. This lets your providers and staff shine by taking some of their more repetitive work off without compromising quality.
Netsmart's approach to AI and Automation in human services and post-acute care aims to minimize manual, repetitive tasks, so your clinical, financial and operational staff can experience a better work environment and amplify their contributions to the organization.
Our clinical AI is meaningful because of the impact it has on the individuals you serve. We understand the unique operating models of the human services, public sector, post-acute, outpatient rehab therapy and geriatric care communities. That means we know the considerations and planning needed to implement AI solutions.
Simply put, Netsmart automated intelligence solutions are here to help you and your team - with a purpose and a plan.
AI and Automation with Real-World Results
How AI can transform your organization
When you make AI meaningful, you’re not just creating efficiency. You enable what we call the AI trifecta: empower staff, optimize processes and simplify reimbursement. These improvements benefit clinical, financial and operational staff. They strengthen your organization—and the communities you serve. Read the blog post to make AI meaningful
AI + Automation transform every stage of the care journey
As modern care becomes increasingly connected and automated, so do care tools, like referral automation, automated eligibility and benefits verification, AI-assisted clinical documentation, AI-assisted coding services and collection automation. AI + Automation tools can help connect each stage of care to encompass a seamlessly connected care journey. Clinicians and staff are moving from manual, time-intensive workflows to intelligent, proactive and automated processes that support staff at every step. These innovations fundamentally enhance the way teams interact with technology and elevate outcomes for the individuals they serve.
Just like compassionate, whole-person care, AI and augmented intelligence help deliver maximum value when care is connected. All it takes is one trusted partner.
AI Optimizing Workflows Before Care: Referrals, Authorizations, Eligibility and More
Before clients or patients even walk in the door, your intake and admission teams can leverage AI-powered Smart Referrals to extract biographical, health history and insurance information from efax or PDFs to populate needed referral data into your EHR.
And Benny, your multi-talented Revenue Cycle AI Assistant covers accuracy and efficiency at the beginning of the revenue cycle:3
- Supporting front-end workflows like provider enrollment, eligibility, coordination of benefits and prior authorizations
- Helping organizations achieve a high first-pass pay rate
- Reinforcing denial prevention with financial counseling workflows and payer requirements
When the beginning of the care journey goes smoothly, human services, post-acute, outpatient rehab therapy and geriatric care organizations fuel their care mission.
AI for Clinicians Provides Documentation Assistance and Insights During Care
Thanks to Bells, providers can stay focused on care delivery and reduce documentation time by up to 60%5.
- Ambient listening turns conversations into visit or meeting notes with ease
- In-the-moment coaching offers support for documentation quality
- Predictive insights can help providers plan care more proactively
Whether you’re onboarding someone new or lightening the load for seasoned providers, Bells can help empower staff to spend more time on what matters most: delivering person-centered, value-based care.
Tools for Coding, Denials Management and Cash Collection After Care
AI-assisted coding services work to drive accuracy, efficiency and compliance by delivering evidence-based recommendations for coders to consider.
- Based on Centers for Medicare & Medicaid Services (CMS) guidelines
- Intended to keep the focus on compliance
- Benny3, your coding assistant, can function as a supportive tool by providing additional insights for coders to react to.
Speaking of Benny…after care, he’s here to tackle your denials management needs within our collection automation solution helping you automate the manual functions that often get in the way of reimbursement. You want Benny on your team to help simplify denials management and surface the most critical, actionable information for your collections team.
See how one platform with the power of automation and AI can improve care across your organization.
See AI + Automation in action
AI-Powered Support Case Management Across Software
Otto, your automated virtual support assistant, can help support staff create detailed support cases and keep them moving at all stages along the care journey, thanks to dynamic case organization and a sophisticated search engine powered by augmented intelligence. Your support team can even chat live with Otto 24/7.
The care journey effortlessly comes full-circle when you’ve got the tools you need at every stage to stay focused on what matters most: providing competent, compassionate care to the communities you serve.
See how Otto has helped Netsmart clientsAccurately assess your AI readiness
Is your organization ready for Augmented Intelligence (AI) adoption? Do you know that based on facts or feelings? Get deeper insight into your organization’s ability to integrate AI into documentation assistance, denial management and beyond by measuring your team’s needs and goals.
Determine where you're at in your AI journey below with just a few clicks.
Take the AI readiness assessment
Meaningful AI client success stories
What is Meaningful AI?
Meaningful AI is the cornerstone of the Netsmart automation strategy, guided by thought leaders in both healthcare and technology. It includes three factors, which we call the AI Trifecta:
- Simplify Reimbursement
- Empower Staff
- Optimize Processes
Download the ebook to learn more about how AI + Automation can help enable your team to advance your mission.
Download the Meaningful AI ebook today
Netsmart AI + Automation solutions
Powering the AI Data Lab
Netsmart has collaborated with Amazon Web Services (AWS) to establish the AI Data Lab, combining the power of the CareFabric platform with AWS scalability. The AI Data Lab is a space for experimentation with vast sets of population health data, which has successfully developed algorithms for predictive analytics for Netsmart community-based care provider clients. Read our co-authored whitepaper to help you define, design and deploy a Meaningful AI strategy personalized to your organization.
Download the Adopting Meaningful AI in Healthcare white paperBuild your Organization’s AI Strategy with the Netsmart Framework
As trusted experts and advisors in the AI space, Netsmart is here to help community-based providers navigate this new era of healthcare technology. Download the interactive playbook to help determine next steps and learn how you can measure the value of your AI + Automation strategy.
Download the Meaningful AI playbook
Healthcare and AI industry resources
Bias in artificial intelligence (AI) algorithms is considered to be an extremely important subject both in AI and in society at large. Learn about how we can go beyond algorithmic solutions to eliminate bias, by looking at a variety of scenarios including facial recognition, financial services and more.
Discover the transformative potential of generative AI with insights from experts unpacking its applications, risks and best practices. From revolutionizing content creation to navigating privacy concerns, this article provides essential guidance for businesses and individuals preparing for an AI-driven future.
Explore a practical four-step framework, covering problem definition, timing assessment, roadmap creation, and considerations of data, algorithms, and infrastructure, to guide organizations through the complexities of AI adoption and ensure successful implementation aligned with their business objectives.
READ THE ARTICLE
READ THE ARTICLE
AI helps make medical systems smarter. Learn why 59% of U.S healthcare executives believe that artificial intelligence (AI) is either “very effective” or “often effective” at improving clinical outcomes.
As the healthcare industry propels into a new era of tech-enabled advancements, the conversation surrounding Artificial Intelligence shifts to an immediate focus on Augmented Intelligence, marking a pivotal moment in our journey toward transformative healthcare practices. Read the blog from Netsmart leaders Tom Herzog and Matthew Arnheiter to learn about how Netsmart is helping providers navigate the next era of tech-enabled healthcare.
READ THE BLOG
READ THE BLOG
AI and digital technologies have an incredible impact on business dynamics, while AI won't replace humans, those who embrace it will supersede those who don't. Discover why organizations need to adopt a digital mindset, promote continuous learning, and proactively navigate the evolving technological landscape to thrive in the AI-driven era.
READ THE ARTICLE
READ THE ARTICLE
Additional AI + Automation resources from Netsmart
BLOG
5 Ways Automation is Shaping the Future of Healthcare
Key takeaways from our recent webinar with OPEN MINDS about how AI is driving tangible returns across both clinical and financial healthcare operations.
Read the full articleWHITE PAPER
Improving Clinical Documentation Processes by Incorporating New Technology
Human services leaders are rethinking how technology can help address ongoing provider shortages. This resource highlights how organizations are using technology to support today’s demands and plan for the future.
Download the Bells white paperWEBINAR
Advancements That Attract: Using Technology to Support Your Workforce
Learn how one healthcare technology company uses advanced technology to increase productivity and speed efficiency and financial gains in ways that also improve end user satisfaction.
Watch the on-demand webinarNetsmart AI Frequently Asked Questions
Netsmart Meaningful AI is a human-centered approach to artificial intelligence designed to support care teams, streamline workflows, and deliver insights that are practical, ethical, and impactful. It focuses on using AI where it adds real value—enhancing decision-making without replacing the human connections at the heart of care.
Meaningful AI helps reduce administrative burden, surface actionable insights, and support better outcomes across the care continuum. By embedding AI capabilities directly into familiar Netsmart workflows, care teams can spend less time on documentation and data navigation and more time engaging with the people they serve.
Meaningful AI is built with purpose, transparency, and trust as core principles. Rather than using AI for its own sake, Netsmart focuses on realworld use cases, responsible data practices, and explainable outputs that clinicians and administrators can understand and rely on.
Netsmart Meaningful AI is designed with privacy, security, and governance in mind. Solutions leverage established safeguards to protect sensitive health information and follow responsible AI practices, including thoughtful model selection, monitoring, and human oversight.
Meaningful AI supports a wide range of healthcare and human services organizations, including behavioral health, post-acute, and community-based providers. Whether supporting clinicians, administrators, or leadership teams, it helps organizations operate more efficiently while keeping care quality and outcomes at the forefront.
Sources:
1Comparing 12 weeks of pre- and post-implementation data in 2021 from five Bells early adopters
2Attributed to multiple denial types, including Timely Filing, Eligibility and Authorization Denials. Comparing pre-AlphaCollector go live data from January – June 2024 and post-Alpha Collector go live data from October 2024 – March 2025, excluding self-pay data.
3Solution currently under development and testing with early adopters. Netsmart makes no guarantees when, or if, solution will be generally available.
4Results reflect the average time it took Referral Manager to process three referrals at a Spectrum facility in September, 2025. Full Success Story.
5Comparing 2023 pre-implementation data to 2024 post-implementation at CHOWC
Ready to learn more about AI throughout the Care Journey?
See technology in action that can empower staff, optimize processes and simplify reimbursement.