Tag Archives: systems migration

Bridging the Revenue Cycle Gap in Multi-System Environments

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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).

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Maintaining A/R Management Processes In Migrating to a New System

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Depending on the EMR systems and other purpose-built applications being used, a “rip and replace” migration strategy that dramatically changes A/R management and financial reporting processes can significantly affect revenue and collection cycles essential to a steady cash flow.

RCMS’ proprietary technology and systems integration experience allow us to specialize in the capture and conversion of all data types from disconnected information silos. By utilizing our ReSolve® A/R Management Platform that is designed to be a system agnostic front-end solution, we can leverage the most current RPA and AI technologies to optimize all the revenue cycle information being generated or received.

By integrating with the host billing systems, practice management systems, enterprise content management (ECM), and other line of business (LOB) applications, RCMS can improve data accuracy and automate workflows to significantly enhance your cash management and revenue cycle processes. This also provides for a more strategic and successful migration – with minimal disruption to cash flow.

Please visit our Systems Integration page for additional information.

Keys to Maintaining A/R Processes

  • Integration with host billing systems
  • Use best available capture solutions
  • Same day processing of today’s receipts
  • Capture all adjudication data
  • Automate separation of remittance data
  • Use data validation rules to cleanse, scrub and normalize payment data
  • Provide reconciliation from bank deposit through billing system to general ledger (GL)
  • Performance monitoring metrics by payor/user

Working with RCMS

At RCMS, we are experienced in working with most every major EHR/EMR, Clearinghouse and PM system. We utilize Artificial Intelligence (AI) and Robotics Process Automation (RBA) in order to enhance and automate workflow for a wide variety of medical claims and billing processes. Our solutions, featuring the ReSolve® A/R Management Platform, provide business process improvements in all areas of the revenue cycle. Contact RCMS about helping to develop a systems migration strategy for your organization.