Connecting HIT with Systems Integration

Connecting Disparate Systems to a Single A/R Management Platform

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.

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.

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.

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.

Key Solution Drivers for Creating Permanent Revenue Cycle Improvements

Implementing Efficient Data Capture and Workflow Automation

Whether you’re looking to implement a departmental solution or to install enterprise content management throughout the entire organization, RCMS has the ability and expertise to help you with gaining operational efficiencies and to increase revenue.

With the use of advanced data capture technology and robotics process automation, we eliminate wasteful, manual tasks that maximize the efforts of your workforce – while integrating with core business systems and any relevant patient or payor information. This includes the capture and indexing of all claims, remittances and correspondence, no matter how many different EMRs, billing systems, practice management systems and lockboxes are currently being used.

To accomplish your operational and revenue cycle objectives, we focus on creating permanent improvements (with key solution drivers) that can deliver the greatest impact on your bottom line.

Key Solution Drivers

RCMS utilizes the following key solution drivers in designing specific revenue cycle management (RCM) applications and with implementing changes to how information is captured, verified and processed for reconciling and posting payments to multiple systems.

  • Acquire diverse information to provide organized access to critical business records, regardless of format.
  • Unify disparate systems and software applications to improve information flow and automate redundant processes.
  • Streamline operational efficiencies with technology and best practices to deliver sustainable financial results.

About RCMS

With expertise in business office operations, revenue cycle management, and HIS integration, RCMS can improve your business office operations and the financial performance of your entire organization. Our solutions include the ReSolve­® A/R Management Platform, designed for the efficient capture, management and use of patient and payment information to dramatically improve posting accuracy and to exceed RCM benchmarks.

Contact RCMS today to schedule a call or presentation with your revenue cycle teams.

RPA - Robotics Process Automation from RCMS

Using RPA and Workflow Across Multiple EMR & Billing Systems

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.