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 a series of benefits that our ReSolve® A/R Management (RCM) Solutions can provide, including lower operating costs, streamlined Revenue Cycle Management (RCM) processes, denial tracking, and increased cash flow.

Revenue Cycle Efficiency Benefits:

• Integrated with existing patient billing applications for all major EHR/EMR and Practice Management (PM) systems
• Automated capture of patient and payment information, including high volume paper-based EOBs
• Use of Optical Character Recognition (OCR) technology and Robotics Process Automation (RPA) for reducing data entry requirements
• Elimination of posting distribution steps
• Less time spent with error corrections due to increased data accuracy
• Elimination of manually creating reconciliation, user productivity and A/R reports
• Automated capture, routing, and prioritization of denials information
• Automated secondary billing processes for required generation of matching EOB’s
• Efficient worklisting tools for exceptions, third-party follow up, A/R collections and denial management

Posting Accuracy Benefits:

• Uniform application of data validation rules for all transactions, without error, twenty-four hours a day, seven days a week
• Elimination of human interpretation and decision-making during cash posting, including facility matching and distribution process
• Automated capture of a complete audit trail of payment batches and monitoring of batch integrity and balancing for all facilities
• Comprehensive user productivity reporting of business office staff

Cash Flow Benefits:

• Automated secondary billing for all payers currently being processed manually
• Posting of all payments within 48 hours from receipt, reducing account follow up on payments that have already been collected
• Improving accuracy and quality of patient statements
• Lower A/R days

Denial Management Benefits:

• Capture of all denials, automatically routing them to predefined work queues for improved account qualification and user productivity
• Automated tracking and trending of denials for complete process improvement throughout the entire revenue cycle
• Easier assessment of the impact of follow-up activities
• Automated documenting of increased cash flow from denials improvements.
• Identification of denial patterns that are in violation of payor contract agreements
• Improved reporting — including payments on denials and user productivity indicating how successful each collector’s efforts are in the appeal process

Enterprise Content Management (ECM) Benefits:

• Efficient organization of data and documents in a central repository
• Integrated with Hyland Software’s OnBase® Enterprise Content Management (ECM) solution
• Eliminates disparate, disconnected content silos
• Improved customer service with easy access to all Lockbox Correspondence
• Document version control
• Integration with other systems
• Provides for hosted or on-site installation

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Contact RCMS

RCMS brings decades of healthcare business office experience to your organization. We can provide a wide range of proven RCM solutions that provide significant productivity gains and cash management benefits. Contact RCMS about automating workflow in your business office.

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