AGS Health

AGS Health is a revenue cycle management (RCM) services provider with over a decade of experience serving hospitals, health systems, and physician groups across the United States. The company employs more than 7,000 specialists globally, including 3,000+ certified medical coders and 3,000+ A/R specialists, processing $53 billion in accounts receivable and coding 54 million+ charts annually.

The company combines offshore staffing with proprietary AI-powered technology platforms for patient access services, HIM and clinical services, and patient financial services. Their technology portfolio includes autonomous coding, computer-assisted coding (CAC), intelligent authorization automation, and AI agents for workflow automation. All team members hold minimum bachelor's degrees in related fields and receive specialty-specific training certified by AHIMA and AAPC.

AGS Health has been recognized as a Leader and Star Performer in Everest Group's 2024 RCM Operations PEAK Matrix Assessment and earned KLAS Research's 2024 Most Improved Services Solution award. The company maintains operations in the United States, India, and the Philippines, with Great Place to Work certifications in all three countries.

Organizations should consider AGS Health when seeking to substantially reduce RCM operational costs while maintaining or improving quality metrics. The combination of offshore staffing economics and proprietary AI tools delivers documented cost savings of 40%+ compared to in-house operations, with case studies showing specific results like SCP Health's 28% cost reduction.

The engagement model works best for organizations ready to transition significant portions of their RCM operations to a managed services partner with proven scalability. Clients gain access to deep specialty coding expertise and technology that may be cost-prohibitive to develop internally, particularly AI-powered autonomous coding and authorization automation.

AGS Health operates exclusively in healthcare revenue cycle management, with 100% focus on hospitals, health systems, physician practices, and clinical laboratories. The company maintains HIPAA compliance infrastructure, offers Business Associate Agreements, and holds certifications from both AHIMA and AAPC for medical coding standards. Their technology development focuses specifically on healthcare RCM challenges including ICD-10 coding complexity, prior authorization requirements, payer-specific rules, and clinical documentation integrity.

The company's expertise spans multiple healthcare verticals including acute care, laboratory services, emergency medicine, and multi-specialty physician groups, with demonstrated experience in highly regulated environments requiring stringent compliance and security protocols.

The ideal client is a mid-to-large hospital, health system, or physician group processing high claim volumes who seeks to reduce RCM costs through offshore services while maintaining quality and compliance. Best-fit organizations value the combination of cost efficiency and AI automation capabilities, have sufficient volume to justify managed services engagement, and are comfortable with global delivery models incorporating teams in India and the Philippines.