CMS TEAM Model

The only platform built for CMS TEAM.

The CMS TEAM model puts hospitals at financial risk across a 90-day episode window. IntelliBill is the only RCM platform that tracks this exposure continuously, in production — not in a spreadsheet.

Strategic Moat

TEAMBot: the flagship module.

TEAMBot · Flagship Module

Once a facility runs TEAM episodes through IntelliBill, the switching cost is enormous.

The CMS TEAM model is not a reporting requirement — it is a financial mechanism. Hospitals are at risk for actual versus benchmark cost across a 90-day window that begins at admission and ends 90 days after discharge, spanning every care partner in between.

TEAMBot is the only bot in market that runs this calculation continuously, in production, embedded in the RCM system. Not a dashboard bolted onto data exports. Not a quarterly report. Live cost trajectory, live gainshare forecast, live exposure alerts.

✦90-day episode cost trackerReal-time roll-up across hospital, post-acute, professional, ancillary, pharmacy.
✦Gainshare calculation engineContinuous benchmark comparison; risk-adjusted forecast; live target-vs-projected delta.
✦Quality metric trackerHCAHPS, readmission rate, complication rate, PROMs — all aligned to TEAM scorecard.
✦Care coordinator workflowEmbedded in the RCM system. Episode milestones, care gap alerts, post-discharge follow-up.
✦Episode eligibility screenerIdentifies TEAM-qualifying admissions at the point of registration; no episodes missed.
Our Products

Four product lines. One orchestrator.

Our enterprise-grade autonomous products deliver transformational outcomes across the full revenue cycle. Each is independently deployable; together they replace the worklist entirely.

PATIENT INTAKE
1
IntelliBill Access
Clear patients early. Verify, authorize, intake — autonomously.
Bots → EligibilityBot, AuthBot, PatientBot
837P · CLEAN CLAIM SUBMISSION
2
IntelliBill Claim
Code accurately. Scrub aggressively. Submit touchlessly.
Bots → ChargeBot, ClaimBot, RemitBot
DENIAL · APPEAL · A/R
3
IntelliBill Flow
Resolve denials. Drive appeals. Accelerate A/R — autonomously.
Bots → StatusBot, DenialBot, AppealBot, ARBot
90-day EPISODE CMS TEAM TRACKING
4
Flagship
IntelliBill TEAM
Track 90-day episode cost. Win the gainshare. Eliminate the penalty.
Bot → TEAMBot · CMS TEAM Module
Who We Serve

Built for the practices, surgical centers, and platforms that run perioperative care.

ICP A

Private Practices

Single-specialty and multi-specialty groups, 1–50 providers. Owner-led. Where every billing FTE is a line item against partner distributions.

  • Orthopedics, primary care, multi-specialty
  • Pain management, podiatry, OB/GYN
  • Cardiology, GI, dermatology
  • $15K–$75K ACV per practice
ICP B

Ambulatory Surgery Centers

ASCs and surgical specialty centers. Bundled-payment-aware, episode-driven, and disproportionately exposed to CMS TEAM as the model expands.

  • Orthopedic and joint replacement ASCs
  • Pain management surgical centers
  • GI / endoscopy specialty
  • Native CMS TEAM episode tracking
ICP C

MSOs & Health Systems

Practice management platforms, PE-backed roll-ups, regional health systems. One MSO relationship can unlock 10–30 affiliated practices in a single conversation.

  • PE-backed practice aggregators
  • Regional perioperative health systems
  • Multi-location physician platforms
  • Enterprise managed-services available
Next step

Ready to retire the worklist?

For practice owners and hospital execs

30-minute working demo.

We walk through a real claim lifecycle and show TEAMBot tracking a live 90-day episode. Then we model the FTE math against your facility — you leave with a defensible business case.

Request a working demo
Investorsinvestors@intellibillrcm.com