Real-Time Data Visualization to Improve Your Business Office

Posted on February 20, 2025February 20, 2025

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 address negative trends and inconsistencies in their revenue cycle. This real-time data visualization leads to more effective process changes and/or corrected flaws in how work is being performed and/or with updates to core business applications. RCMS reporting capabilities can also include any ancillary sources of revenue, such as ambulatory surgery centers (ASCs), mobile diagnostic services, home health care, dialysis services and hospice care.

Facilitating better management of all available data, SSRS and Power BI generated scorecards and dashboards help to visualize business office efficiency and discover opportunities for improvement. Coupled with our ReSolve^® technology and systems integration capabilities, we can help business office leadership to quickly identify where revenue is being delayed or lost completely.

RCMS Reporting & Analytics Features

Ability to connect disparate data sources to a single platform
Accelerated decision making with real-time data visualization
Creation of customized scorecards for each division, location or specialty area
Efficient revenue cycle management of all Hospital Billing (HB) and Professional Billing (PB) across multiple systems – with integration to all major EMR systems
Integration with Clearinghouses, Banks and General Ledger (GL) accounting systems
Detailed reporting on denials by payers, departments, and physician specialties
Tracking of all revenue from ancillary services and non-clinical departments
Ability to share scorecards with all department managers
Options for self-serve reporting & dashboard manipulation

Leveraging Your Existing HIT/HIS Investments with RCMS

Designed to improve Central Business Office efficiency, our ReSolve^® software solution leverages your existing HIT/HIS investments by providing a common front-end for more efficient and accurate payment processing, cash posting, treasury reconciliation and collections activities. With the use of MS SSRS and Power BI data visualization to manage all of your disparate revenue streams, we can help your organization to make data-driven, permanent improvements. Contact RCMS today to learn how.

Improving Your Revenue Cycle with Enterprise Business Intelligence (BI)

Posted on January 30, 2025February 1, 2025

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 experience and capabilities facilitate seamless data exchange between multiple HIT Systems, Banks and Clearinghouses, streamlining workflows and improving accuracy.

RCMS solutions include customized Power BI Scorecards that can help to drive accelerated, intelligent decision making in your revenue cycle. To start, we provide the means to capture and process all payments, denials, exceptions, adjustments and follow up activity from multiple business systems into our ReSolve^® A/R & Workflow Automation platform. This allows for a variety of scorecards to be created by payers, business units, specialty groups and facility locations. With drill-down reporting and visualization features provided by Microsoft’s Power BI, our scorecards help to quickly identify and correct problematic areas that lead to sustained, measurable improvements.

RCMS and Power BI Reporting Benefits

Systems integration experience with healthcare delivery networks
Ability to connect with disparate data sources
Customized scorecards for each revenue cycle area
Accelerated decision making with real-time data visualization
Denials scorecard by payers, physicians, business units and locations
Analytic data available from desktop, tablet or smartphone
Ability to share scorecards with all department managers
Options for self-serve reporting & dashboard manipulation

Contact RCMS to Discover the Full Potential of your Revenue Cycle

RCMS can help Regional Hospitals, Health System IDNs and Practice Groups to leverage and enhance their current EHR/EMR/PM business applications. By identifying negative trends and inconsistencies across multiple sources of claim and payment information, we can help to develop changes and/or make corrections to current technology and processes. Contact RCMS today to discover the full potential of your revenue cycle.

Reducing Denials with Integration, Automation, ECM and Analytics

Posted on April 11, 2024May 13, 2024

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 systems — a key step for creating efficient workflow. It first queries eligibility and authorization files to determine a course of action, then routes the denials to appropriate work queues. ReSolve® then facilitates decisive activities with predesigned correspondence and tracking capabilities, from generating appeals through rebilling and payment.

An optional component of the ReSolve® A/R Management Platform, the Denial/Defect Management module can track follow-up pursuits by user, KPIs and work queue, enhancing departmental oversight and staff performance.

In addition to providing configurable worklists for more efficient and organized user activity, ReSolve® can also synchronize denial and appeal actions to multiple EMR/EHR billing applications and/or Practice Management systems. This is extremely beneficial to Central Billing Offices (CBOs) having to reconcile and post payments for multiple systems.

Creating Permanent Revenue Cycle Improvements

Our ‘connected systems’ approach unlocks the potential of extensive data generated as a result of revenue cycle processes. Integrated with Hyland Software’s OnBase Enterprise Content Management (ECM) solution, the ReSolve® Platform combines the advantages of ECM with systems integration and automated workflow. With this capability, RCMS clients have access to automated reports, drill-down data analytics, pivot charts and customized scorecards — where denial trends can be analyzed and traced to specific areas, from patient access and eligibility to individual physicians and departments. By identifying the root cause of denials and taking corrective actions, the initial denial rate of future claims is therefore reduced.

Working with RCMS

With enhanced productivity through improved data collection and automated workflow processes, our ReSolve® applications can work across your entire revenue cycle for a tightly integrated solution. Contact RCMS to discuss all of your remittance processing, data validation, treasury reconciliation and denial management objectives.

Automated Workflow for Payment Processing and Data Validation

Posted on February 13, 2024April 11, 2024

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 Capture, Artificial Intelligence (AI), and Robotic Process Automation (RPA) systems integration methodologies; thereby allowing for efficient and accurate processing of both ERA/EDI and paper-based remittances. Once complete, the system sends transactions directly to the billing system using native 835 file integration or client-definable RPA technology while monitoring denials and other conditions.

Data Scrubbing Prior to Posting

ReSolve® Payment Validation helps to correct any errors in remittance data prior to posting, regardless of how the data was captured. This automated workflow process is used to validate the entirety of information needed for processing, thus improving data integrity.

Once all information is captured, ReSolve’s Payment Validation begins analyzing the data with over 200 available client-definable business rules to scrub and cleanse potential errors prior to posting, while routing any errors back to exception work queues for user correction.

Revenue Cycle Reporting with Microsoft SSRS and Power BI

ReSolve® Reporting & Data Analytics unlocks the potential of your extensive data generated as a result of revenue cycle processes and workflows. Our platform provides for the automation, scheduling and distribution of reports on a daily, weekly, or monthly schedule via network share, email, SFTP and other delivery options.

With integration to Microsoft SSRS and Power BI tools, authorized users can tailor their own reports and scorecards with a ‘drag and drop’ interface, enabling managers to dynamically see report layouts as they are created.

Working with RCMS

RCMS brings decades of healthcare business office and workflow automation experience to improve your revenue cycle. We specialize in working with Healthcare Systems and IDNs having a Central Business Office (CBO) for processing payments across multiple EMRs and Practice Management systems. Contact RCMS for an assessment of your remittance and treasury reconciliation processes and how you can benefit from our solutions.

Connecting Your Line of Business (LOB) Applications

Posted on February 12, 2023May 13, 2024

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 integration to existing LOB applications and external partners critical to the revenue cycle. Standardized data provides for a complete solution in aggregated environments, with a higher degree of data accuracy in complex, multi-vendor conditions.

LOB Integration Benefits

Systems integration experience with healthcare delivery networks
Ability to connect with disparate data sources
Customized scorecards for each revenue cycle area
Accelerated decision making with real-time data visualization
Denials scorecard by payers, physicians, business units and locations
Analytic data available from desktop, tablet or smartphone
Ability to share scorecards with all department managers
Options for self-serve reporting & dashboard manipulation

Contact RCMS

RCMS can help Hospital Systems, IDNs and Practice Groups to leverage and enhance their existing core business systems. By identifying negative trends and inconsistencies across multiple sources of rev cycle information, we can help to develop changes and/or make corrections to current technology and processes. Contact RCMS today about maximizing the power of your business intelligence.