For RCMS clients with multiple EMRs and billing applications, 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 systems. ReSolve® is complimentary to existing billings systems, also known as ‘host systems’, and other […]
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Taking a Comprehensive Approach to Denial Management and A/R
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 […]
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Navigating Complex Business Environments for IDNs
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. […]
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Business Process Consulting for Permanent Revenue Cycle Improvements
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 […]
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Improving Your Revenue Cycle with Enterprise Business Intelligence (BI)
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 […]
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Leveraging ECM with Your Revenue Cycle Management Objectives
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 […]
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Technology Solutions for Managing Lockbox Correspondence Documents
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 […]
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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. […]
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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. […]
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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 […]
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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 […]
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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 […]
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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 […]
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Streamlined PLB Adjustments with Payment History and ICN
RCMS automated workflows and worklisting tools can increase efficiency, improve data accuracy, generate work queues and many other time-saving benefits. Identifying Provider Level Adjustments (PLB) within your ERA payments is just one example of how systems integration and workflow automation can be utilized to reduce and often eliminate manual data-entry […]
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Managed Service Providers (MSP) and HC Revenue Cycle Improvements
For many healthcare delivery organizations, working with a Managed Service Provider (MSP) for specific IT, workflow and data management needs is an important part of their infrastructure. MSPs come in many different shapes and sizes and can range from remote support for software as a service (SaaS) to the outsourcing […]
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Correspondence & Third Party Follow Up for Revenue Cycle Management
RCMS Revenue Cycle Management Solutions cover a wide range of different patient billing areas where changes to manual work processes and the use of technology can have a significant impact on financial performance. In this article, we concentrate on three Post-Encounter areas that take place before payment processing, validation and […]
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Payment Processing and Data Validation Strategies for RCM Improvements
RCMS Revenue Cycle Management Solutions improve a wide range of different patient billing areas where changes to manual work processes and the use of technology can have a significant impact on financial performance. In this article, we concentrate on three more Post-Encounter areas, including: Payment Processing; Payment Validation; and Treasury […]
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