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 professional billing and hospital billing (for all facilities) would be a relatively straightforward process. As most have realized, however, it can take years of coordination and a significant investment in resources to make that happen.
In a recent article published by Becker’s Healthcare, they reported that several large Health Systems had EMR installation costs in excess of $500 Million. In other reports, the implementation timeline for some of the systems was typically 2 to 3 years. Once fully migrated to a new EMR, legacy systems may still need to be kept online for an unknown period of time.
Optimizing Business Office Processes Throughout a Provider Network
RCMS’ proprietary technology and systems integration experience allows us to specialize in the capture and management of aggregated data from disparate EMR and PM Systems, Clearinghouses and Banks. We then leverage workflow automation technology to optimize revenue cycle processes throughout a provider network — from remittance processing and treasury reconciliation to appeals and collections. Designed to parse and reconcile payments for any number of facilities or divisions in co-mingled batch files, our ReSolve® Platform becomes a customized, system agnostic front-end solution that bridges the revenue cycle gap in multi-system environments for as long as needed.
Utilizing AI and Workflow Automation
RCMS utilizes several different forms of Artificial Intelligence (AI), including Robotics Process Automation (RPA) and Machine Learning Technology, in order to enhance and automate workflows for a wide variety of revenue cycle and A/R management processes. With ReSolve®, customized rules are applied in the workflow for a client’s requirements, such as routing denials and exceptions to specific work queues for more efficient corrections and appeals. By integrating with all host billing systems and other Line of Business (LOB) applications, RCMS can provide for a more strategic and successful migration – with minimal disruption to cash flow.
Working with RCMS
Our services and solutions provide process improvements in all areas of the revenue cycle. Contact RCMS about managing your business office more efficiently – and to help with developing a more successful EMR systems migration strategy.
ReSolve® is a registered trademark of Revenue Cycle Management Solutions, LLC (dba RCMS, LLC).