RCMS Solutions: Unlocking Financial Performance with Improved Processes, Workflow Automation & Technology

RCMS solutions provide a single platform to normalize and standardize data for integration to existing line of business systems. Artificial Intelligence (AI) and Robotics Process Automation (RPA) technologies enhance and automate workflow for a wide variety of claims and billing processes.

RCMS Solution Offerings

  • Document Capture, Classification & Optical Character Recognition (OCR)
  • Enterprise Content Management (ECM) and Workflow Automation
  • Revenue Cycle Management (RCM)
  • Business Process Management (BPM) & Consulting
  • Systems Integration
  • Robotic Process Automation (RPA)
  • Business Intelligence (BI) Reporting
  • Data Aggregation & Warehousing

Healthcare Provider Solutions

Improving the Entire Revenue Cycle Process

The RCMS ReSolve® A/R Management Platform provides clients with the ability to capture, validate, parse and reconcile ANSI 835 payment data before processing to to Hospital Billing System and/or Practice Management (PM) Systems for physician services. This ensures that correct information is applied to correct patient account and billing applications prior to posting.

For Practice Group Mergers and Acquisitions, RCMS is uniquely positioned to automate the splitting of co-mingled remittance transactions so that payments can be associated with the appropriate business unit — while also maintaining batch integrity. Regardless of how original data needs to be captured, we can streamline A/R processes and data validation to deliver permanent revenue cycle improvements.

Click here to learn more about all the ReSolve® Revenue Cycle Solutions for your organization.

Health Insurance Payor Solutions

Automating Capture, Conversion and Claim Adjudication

Whether outsourced, a SaaS based hosted solution or on-premise implementation, RCMS has the expertise to deliver the right Enterprise Content Management (ECM) & Workflow solution that provides staff with quick access to member and provider documentation, saving valuable time and administrative costs for the entire organization. The ECM platform, provided by Hyland’s OnBase, provides a secure health information exchange with providers in addition to detailed reporting and analytics.

Our Payor solutions include Claims Processing (paper to 837 conversion), Appeals & Grievances, Provider Credentialing and other back-office applications that reduce or eliminate manual data entry processes.

Learn more about our Payor Solution to improve member services and your bottom line.

Enterprise Content Management(ECM) & Workflow

Automated Workflow Processes and Improved Operational Efficiencies – for Businesses of All Types

RCMS utilizes Hyland’s OnBase industry-leading ECM platform, including their new HxP Hyland Experience Platform for rapid application development. With OnBase and RCMS custom workflow solutions, we transform static, unstructured information and documents into a dynamic part of your business operations. With our custom-designed workflows, clients are able to reduce and/or eliminate many of their inefficient, manual processes that require staff intervention.

Find out more about how ECM & Workflow can work for your organization.

Business Process Consulting

Leveraging End-to-End Process Changes with Best Practice, Workflow Automation Options and Measurement

RCMS Business Process Consulting will help to determine the best approach in redesigning inefficient work processes — or with implementing new technology to realize a measurable return on investment. We can provide step-by-step operational changes that safeguard the financial performance of your organization, specializing in complex billing scenarios with a practice group merger or acquisition.

Visit our Business Process Consulting page to learn more.

Reporting & Data Analytics

Identifying Hidden Trends within the Entire Revenue Cycle

RCMS Reporting & Data Analytics provides a centralized platform to visualize details on all charges, claims, payments, denials, co-pays, deductibles, contractual allowances, and more. By providing reporting, drill-down data analytics, pivot charts and scorecards, managers and executives can quickly identify hidden trends, isolate problem areas and ensure they have an accurate, real-time view of all their revenue cycle operations. 

Find out more about our Reporting & Analytics for Revenue Cycle Management.

Back Office Solutions

Back Office Solutions Including AP, HR and GL Integrations Delivering Process Efficiency Throughout Your Organization

RCMS Back Office Solutions helps customers to reduce, or eliminate, many of their time-consuming manual processes. By capturing and organizing all of your documents and data in a single repository, regardless of origin or format, we can automate and streamline a variety of organizational processes.

Visit our Back Office Solutions page for more details.

Data Warehousing Solutions

Making Information Accessible for Data Mining & Real-time Analytics

Utilizing a MSSQL database structure, RCMS Data Warehousing solutions allow client’s to integrate their systems for data mining and real-time analytics. Optionally, users can incorporate MS Power BI directly to their RCMS environment as the data source for drill-down analytics and utilization/statistical analysis.

Click here to learn more about our Data Warehousing capabilities.