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Case StudyHealthcareCompliance Checking

From Manual to AI: Compliance Checking in Healthcare

Learn how a healthcare company used Arahi AI to automate compliance checking, achieving 93% faster faster audit preparation time and 85% savings in compliance cost.

Company Profile

Company Type

Specialty healthcare practice

Team Size

50-200 employees

Industry

Healthcare

Key Challenge

Struggling with inefficient manual compliance checking processes that were slowing growth and increasing operational costs. Their primary concern was patient data security.

Tools Connected

EpicCernerAthenahealthKareoGoogle Forms
Setup TimeHalf a day
Agents Deployed4 AI agents

The Challenge

Manual compliance checking was the biggest bottleneck in this specialty healthcare practice's operations. Their team of 50-200 employees processed hundreds of compliance checking requests weekly, each requiring multiple steps, cross-referencing against healthcare-specific requirements, and coordination between departments. The average compliance checking request took 45 minutes to complete manually, and the backlog was growing by 15% each quarter.

Beyond the time drain, the quality of their compliance checking output was inconsistent. Different team members followed different procedures, and there was no standardized way to handle edge cases that are common in healthcare. A recent audit revealed that 12% of completed compliance checking records contained errors that required rework — costing the organization an additional $50K annually in correction and remediation efforts. The leadership team recognized that continuing to throw people at the problem wasn't viable and began searching for an AI-powered solution.

The Solution

Arahi AI provided the automation backbone this healthcare team needed. They deployed a multi-agent workflow that breaks the compliance checking process into discrete, automated steps — each handled by a specialized AI agent. The first agent monitors triggers from Epic and Kareo. The second agent analyzes and processes incoming requests using healthcare-specific business logic. The third agent executes actions across connected tools and notifies team members via Slack.

The beauty of the no-code approach was speed of implementation. The team had their first agent live within 90 minutes, and the full compliance checking workflow was operational within a single afternoon. They used Arahi AI's template for healthcare compliance checking as a starting point, customized the business rules to match their specific process, and connected their existing tool stack without writing a single line of code. Within the first week, the agents had processed over 200 compliance checking instances with 99%+ accuracy — more than the team typically handled in a month.

The Results

Measurable improvements across key healthcare compliance checking metrics.

Audit Preparation Time

93% faster

Before

3-4 weeks

After

< 2 days

Compliance Check Coverage

100% coverage

Before

60% of operations

After

100% continuous

Violation Detection Speed

From weeks to seconds

Before

Found during quarterly audit

After

Real-time alerts

Compliance Cost

85% savings

Before

$120K/year (consultants)

After

$18K/year (AI + oversight)

Regulatory Penalty Risk

Risk eliminated

Before

High (3 near-misses last year)

After

Low (zero findings)

The difference is night and day. Our healthcare clients used to wait days for compliance checking to be completed. Now it happens in minutes, and the quality is consistently higher than what we achieved manually. Customer satisfaction scores went through the roof.

VP of Customer Success

Specialty healthcare practice

Key Takeaways

The most important lessons from this healthcare compliance checking automation project.

This healthcare team proved that compliance checking automation doesn't require technical expertise — the no-code platform made it accessible to business users.

Scaling compliance checking capacity by 10x without adding headcount fundamentally changed the economics of their healthcare operations.

Consistent AI-powered processing eliminated the quality variance that came with different team members handling compliance checking differently.

Real-time visibility into compliance checking metrics gave leadership the data they needed to make better strategic decisions.

Implementation Timeline

From zero to production in Half a day — here's how they did it.

Step 1: Mapped the existing compliance checking workflow

Documented every step of the current manual compliance checking process, including decision points, exceptions, and handoffs between team members. Identified which steps could be fully automated versus those needing human oversight.

Step 2: Built the automation in Arahi AI

Used Arahi AI's no-code builder to create the compliance checking workflow: connected Epic and Athenahealth as data sources, configured AI decision logic for healthcare-specific requirements, and set up automated actions and notifications.

Step 3: Parallel run with manual process

Ran the AI agents alongside the manual process for one week to compare outputs. The AI matched or exceeded human accuracy on 98% of compliance checking instances, with the 2% of edge cases automatically flagged for human review.

Setup Time

Half a day

AI Agents

4 AI agents

Tools Connected

5 integrations

Frequently Asked Questions

Common questions about automating compliance checking in healthcare.

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This case study represents a typical customer scenario. Individual results may vary.