Delta: HealthTech Innovators

From $60K/Month Revenue Recovery to YC Success: How Ember is Fixing Healthcare's $10B Fraud Problem

Sep 22, 2025
Charlene, CEO of Ember, dives into how AI is transforming healthcare by tackling revenue integrity. She reveals that hospitals lose millions from inefficient billing, but her platform recovers over 51% of denied claims. Discover the impact of ambient listening on accurate clinical documentation and how startup focus strategies help navigate regulated industries. Charlene shares insights on the $10B healthcare fraud problem and the vital role of smart AI tools in detecting fraud. Perfect insights for healthcare executives and aspiring entrepreneurs!
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INSIGHT

Revenue Integrity Is The North Star

  • Revenue integrity fixes the long delay between care delivered and payment, often 30–90 days or longer.
  • Ember targets recovering lost cash by making the billing process accurate and traceable.
ADVICE

Integrate Data Then Audit Before Acting

  • Start by integrating clinical and financial data to find top revenue or loss drivers before building solutions.
  • Audit recent claims to find root causes, then apply targeted fixes like coding, charge capture, or denial appeals.
ANECDOTE

Orthopedics Yielded Rapid Revenue Wins

  • Ember focused on orthopedics and recovered professional fees that were frequently missed or delayed.
  • Clients saw over $60K/month additional revenue by solving one high-impact category well.
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