Connecting Disparate Systems to a Single A/R Management Platform

Posted on February 7, 2024May 13, 2024

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 Banking systems. This allows us to leverage the most current Robotics Process Automation (RPA) and AI Machine Learning technologies to efficiently verify and/or correct defects that can delay or reduce revenue from being collected. As a result, our ‘connected systems’ approach unlocks the potential of extensive data being generated from all your claims and remittance processes.

Information Sharing and Automation

By capturing information from disparate systems and identifying bottlenecks at the various stages of reimbursement, our ReSolve® A/R Management Platform helps to maximize collections. Automation is achieved through seamless integration of account comments and other financial transactions within the host billing system(s), further promoting information sharing throughout the organization.

ReSolve® worklisting tools provide for definable qualification criteria, customizable sorting and filtering that makes it easier for users to resolve account deficiencies. By being proactive in account follow-up and having tools which present financial and clinical data in a user-friendly solution, your organization’s cost to collect can be significantly improved.

Implementing Permanent Revenue Cycle Improvements

A significant amount of time and attention in revenue cycle management is reactive. Fixing claim errors, looking for missing information and reworking denials that ultimitely lead to delays and lost revenue. With the ReSolve® platform, bottlenecks and errors in processing claims, reconciling payments, and with managing denials can be analyzed and traced to a specific location, department or type of service. By connecting systems and data in an aggregated business environment, we can provide pre-scheduled reports, scorecards and analytical data that helps to identify hidden trends, isolate problem areas and implement changes that lead to permanent revenue cycle improvements.

RCMS Strategies

Our Revenue Cycle Management (RCM) Strategies are a blend of Data Capture, Workflow Design, RPA, AI, Enterprise Content Management (ECM) and Systems Integration — connecting HIT systems, Clearinghouses, Banking partners and other Line of Business (LOB) applications to maximize efficiency. Contact RCMS today to schedule a call.

Using RPA and Workflow Across Multiple EMR & Billing Systems

Posted on September 20, 2023October 4, 2023

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 processes that are prone to human error and waste valuable time. In partnership with your Accounting and IT teams, RCMS can help your organization to develop an RPA plan that explores all areas of the revenue cycle — where repeated processes can be substantially improved.

Below are just a few examples of how RPA can benefit your organization:

Improved accuracy over redundant manual data entry
Unattended and attended RPA applications
Automates repetitive tasks in conjunction with AI and machine learning
Allows staff to be more productive and focus on higher-value work
Can move data across HIS applications
Connects multiple billing systems where APIs don’t exist
Data is stored for auditing compliance with regulatory requirements
Adjusts and scales to changes in underlying systems

About RCMS

RCMS brings decades of healthcare business office and software development experience to improve your revenue cycle. We specialize in working with IDNs having multiple EHR/EMRs and billing systems. Contact RCMS for an assessment of your business applications and how you can benefit from RPA to improve your operations.

Can RPA Technology Revolutionize Your Business Office?

Posted on July 5, 2022July 20, 2023

A subset of Artificial Intelligence (AI), the goal of Robotics Process Automation (RPA) is to create a streamlined process where the need for human intervention is minimized and/or removed. Using RPA in healthcare business office applications can significantly reduce manual processes by mapping interactions between traditional data entry tasks and core Line of Business (LOB) information systems. RCMS can help your organization to develop an RPA implementation plan that explores all areas of the revenue cycle — where repeated processes can be substantially improved.

RPA Revenue Cycle Improvement Benefits

Robotics Processing Automation provides significant opportunities in the business office for creating permanent revenue cycle improvements, including:

Improved accuracy over redundant manual data entry processing
Unattended and attended claims and billing applications
Automated repetitive tasks in conjunction with AI and machine learning
A more productive staff, focused on high-value work
Ability to move data across healthcare information system (HIS) applications
Connecting disparate systems where APIs don’t exist
Data is efficiently stored for auditing and regulatory requirements
RPA processes can adjust and scale to changes in underlying systems

About RCMS

RCMS brings decades of healthcare business office experience to improve your revenue cycle. We can provide a wide range of Technology Solutions that provide for workflow automation and increased data quality. Contact RCMS about robotics processing automation for your business office.