Revenue Cycle Management Resources
Practical guidance and analysis on the issues shaping revenue cycle performance and financial outcomes across healthcare.
Automating RCM Workflow for Multiple EHR/EMR Systems
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. The goal of RCMS is to collect all of the…
Automated Matching and Reconciliation of all Posted and Distributed Remittance
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. ReSolve® Treasury Workstation automates the capture of electronic deposits received…
Fundamental Design Principles for Effective Cash Management
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 cycle processes. Below are some of the key areas we…
Reducing Denials with Integration, Automation, ECM and Analytics
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 enables simultaneous access to both billing and ECM document imaging…
Automated Workflow for Payment Processing and Data Validation
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 with existing host billing systems, through a variety of Data…
Connecting Disparate Systems to a Single A/R Management Platform
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 data types from disconnected information silos, including HIT, Clearinghouses and…
Linking Enterprise Content Management with Revenue Cycle Automation
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 financial systems. And in accounting, it lives beyond the reach…
Efficiently Managing Provider Level Balance Adjustments (PLBs)
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 insurance companies, or interest might have accrued due to late…
Key Solution Drivers for Creating Permanent Revenue Cycle Improvements
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 and robotics process automation, we eliminate wasteful, manual tasks that…
Cost-Saving ECM & Workflow Solutions For All Industries
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 continue to rely on a variety of decentralized electronic and…
Using RPA and Workflow Across Multiple EMR & Billing Systems
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 RPA in healthcare business applications can significantly reduce manual, repetitive…
Improving Operational Efficiencies with ECM & Workflow
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 technologies seamlessly integrate to your billing applications and revenue cycle…
Maintaining A/R Management Processes In Migrating to a New System
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 in the capture and conversion of all data types from…
Connecting Your Line of Business (LOB) Applications
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 provide a single platform to normalize and standardize data for…
Records Management Integrated with Line of Business Systems
Are you manually storing and retrieving a lot of paper documents in file cabinets and boxes? If you don’t have an enterprise content management (ECM) system, the answer is typically yes. For most companies, large and small, poor records management leads to staff inefficiency, loss of information, potential HIPAA violations, unnecessary risk (in the case of litigation) and dissatisfied customers….
Automated Correspondence Management with the Indexing of All Documents
Leveraging Artificial Intelligence (AI) to automate the collection of all correspondence, RCMS is able to create efficiencies throughout the revenue cycle. The key to effective correspondence management is having the right software technology in place to capture paper and electronic documentation in all formats, including scanned mail, faxes, emails and other data. Using advanced document management programming tools, such as…