RCMS Featured Articles

RCMS, LLC is proud to announce that we will be exhibiting at the upcoming HFMA Annual Conference, June 22-24 at the Colorado Convention Center in Denver. Designed for healthcare finance professionals working in provider settings, the HFMA Annual Conference attracts anyone interested in the delivery of affordable and sustainable healthcare.

For RCMS clients needing to keep up with increased demands, an integrated ECM and Workflow Solution provides the best option for automating back-office processes. Our combination of document management expertise (with Hyland OnBase®) and custom programming capabilities can improve just about any high-volume, document-heavy process. Once implemented, a single workflow

IBM describes Robotics Process Automation (RPA) as a form of technology that uses rule-based software to perform business process activities at a high-volume, freeing up human resources to prioritize more complex tasks1. Used in concert with Intelligent Automation (IA), RPA is a sub-discipline of Artificial Intelligence (AI), like Machine Learning

Missing or incorrect information collected at any point in the healthcare revenue cycle can ultimately result in a claim being denied. The use of bots and AI by insurers is also making it easier for them to deny payment. According to a recent survey published by the American Medical Association

RCMS specializes in working with remittances containing multiple Tax ID/EINs and NPIs in a multi-submitter, single receiver business environment. With the use of workflow automation and AI, commingled ERA files are captured, ingested, and matched against corresponding bank deposits. Whenever possible, we also match 835 remittances to their associated 837

For merchant ships that traverse vast ocean waters, they are equipped with as many as twenty different navigation systems to assist with their journey. From GPS satellite and radar plotting devices to state-of-the-art compass systems, each plays a significant role in getting the cargo and crew safely to its destination.

RCMS’ solutions can improve a wide range of different patient billing areas where changes to manual work activities and the use of technology can have a significant impact on a health system’s financial performance. With the right tools and workflow processes, first-call resolution and time to collect patient payments can

Utilizing analytical solutions with Microsoft’s SSRS and Power BI, RCMS’ customized scorecards and management dashboards can help hospitals and healthcare systems to capture, visualize and report on all of their revenue generating resources throughout the enterprise. Integrated with our ReSolve® AI & Workflow Automation Technology, clients can quickly identify and

Whether you’re trying to improve specific remittance processing and reconciliation tasks or all of your revenue cycle procedures, RCMS Business Process Consulting (BPC) can help to determine the best approach for your organization. From redesigning workflows to implementing innovative technology, we’ll analyze current barriers and make recommendations for improvement. Long

Uncovering hidden trends within your billing and payment data can play a critical role in developing a strategic, successful revenue cycle plan — and in monitoring the progress of incremental modifications. This is especially true when implementing changes across a network of disparate financial applications and processes. RCMS’ systems integration

For many Health Systems and Integrated Delivery Networks (IDN) that have grown through mergers and acquisitions, there is typically going to be a period of time when claims need to be billed through multiple EMR and Practice Management (PM) Systems. In a perfect world, migrating to a single system for

In many of today’s Health Systems with multiple Hospitals, Clinics and ASCs, disconnected legacy applications and other sources of data require a significant amount of manual work in order to reconcile all bank deposits being received across all locations. This leads to business office inefficiencies and inaccurate reporting. To tackle

When it comes to getting work done better and faster, having quick access to all of the information you need is paramount to making that happen. Enterprise Content Management (ECM) is about organizing digital assets and automating document-driven processes. For Health Systems and IDNs facing increased demands on staff, integrating

RCMS works with Integrated Delivery Networks (IDN) and multi-facility Health Systems to implement solutions aimed directly at improving Central Business Office (CBO) efficiency. Designed to integrate with multiple EHR/EMR and Practice Management Systems, CBOs can manage all of their remittance processing and treasury reconciliation on a single platform. Below are

RCMS brings decades of business office and software technology experience that helps to improve and/or eliminate inefficient, manual processes within the revenue cycle. One of our strategies to increase productivity and to minimize delays in reimbursement is with the implementation of automated workflows, facilitated by solutions that provide quick access

For larger hospital systems and IDNs with multiple facilities, they can often include hospitals, clinics and physician practice groups with disparate EHR/EMR and Practice Management (PM) systems. Processing claims and payment information from multiple systems and clearinghouses can create certain challenges that result in business office inefficiencies and lost revenue.

Providing end-to-end reconciliation, from payment posting to bank deposits, ReSolve® Treasury Workstation turns your lockbox payment data into an exception-centric workflow that automates the matching and reconciliation of all posted and distributed remittances back to their associated lockbox deposits, without the need of third-party spreadsheets or manual re-entry of data.

What are your revenue cycle improvement goals for 2024 and beyond? By integrating with your EHR host billing system (or multiple systems), Clearinghouses and other Line of Business (LOB) applications, the RCMS ReSolve® A/R Management Platform can automate workflows that significantly improve a wide array of cash management and revenue

Minimizing Payment Delays with Synchronized Activity Across Multiple Applications RCMS works to improve a wide range of revenue cycle areas where changes to manual work processes and the use of workflow automation technology can have a significant impact on the financial performance of healthcare provider organizations. Our ReSolve® Denial/Defect Management

Using Artificial Intelligence (AI) and Robotic Process Automation (RPA) for Efficient Processing of ERA and Paper-Based Remittances. ReSolve® Payment Processing provides for the efficient capture, management, and use of all patient, government and third-party insurance payment data to dramatically improve posting accuracy and exceed benchmarks. Our Payment Processing solutions integrate

Systems Integration for Aggregated Environments Ensuring the smooth flow of claims from the Provider to the Payor, as well as funds from the Payor back to each Hospital or Practice Group, requires several different supporting organizations to receive and share information. RCMS specializes in the capture and conversion of all

Six Steps Toward Taking Control of Your Business Office Unstructured content plagues practically every healthcare organization. It’s the data that resides outside your organization’s core systems and processes. For patient care, it’s the patient information that exists outside your EMR. In patient finance, it’s the data outside your billing and

What Are Provider Level Adjustments? Provider Level Balance Adjustments (aka PLBs) are used to convey adjustment information in 835 files that can increase or decrease healthcare provider payments. It can be confusing to follow and determine what is truly owed for a claim because overpayments are often made by healthcare

Implementing Efficient Data Capture and Workflow Automation Whether you’re looking to implement a departmental solution or to install enterprise content management throughout the entire organization, RCMS has the ability and expertise to help you with gaining operational efficiencies and to increase revenue. With the use of advanced data capture technology

Automated Processes — Tailored to Your Business Needs. While the main focus for RCMS is in providing technology to the healthcare market, our document management and workflow solutions can also be applied to many other business sectors. Just like healthcare, industries such as education, energy, financial services, insurance, and manufacturing

For RCMS clients with multiple EMR and billing systems, the RCMS ReSolve® A/R Management Platform provides the means to consolidate resources and improve business office processes – without having to eliminate hard to displace, vested applications. One of the many technologies we utilize to do this is robotics process automation (RPA). Using

Are you ready to transform your business office? With enterprise content management (ECM) and our custom workflow solutions, RCMS can transform static, unstructured information and documents into a dynamic part of your business office operations. Utilizing Hyland’s OnBase ECM software and the RCMS ReSolve® A/R Management Platform, our automated workflow

Depending on the EMR systems and other purpose-built applications being used, a “rip and replace” migration strategy that dramatically changes A/R management and financial reporting processes can significantly affect revenue and collection cycles essential to a steady cash flow. RCMS’ proprietary technology and systems integration experience allow us to specialize

As systems integrators, RCMS can connect to multiple Healthcare Information Systems (HIS), in addition to those of our business partners. This includes multiple billing systems for the processing and posting of payments in a Central Business Office (CBO). With this connectivity in place, data-driven decision making can be automated, increasing

Line of Business (LOB) commonly refers to a set of critical applications that run an enterprise. When working through the layers of disconnected information silos in an organization for effective workflow, being able to connect key foundational systems can become a critical stumbling block for creating true revenue cycle improvements. RCMS solutions