ReSolve™ Provider Solutions: Improving Revenue Cycle Management Processes in Healthcare Delivery Organizations

Healthcare Provider Revenue Cycle Solutions

Optimizing Reimbursement and Cash Flow from Patient Access to Denial Management

Healthcare organizations lose millions each year in net revenue due to complicated reimbursement methodologies, complex regulatory issues, increasing patient payment responsibility, and growth in self pay or uninsured patients. Reallocating resources to improve practice financial performance however, can be daunting and requires people with a specific knowledge base in order to fix inadequate revenue cycle processes. Once we understand your areas of need, RCMS can deliver a solution to optimize reimbursement and available cash flow, from patient registration through collections and denial management. Visit one of the many key revenue cycle management solutions listed below.

RCMS ReSolve™ Healthcare Provider Solutions:

Patient Access | Correspondence Management | Follow Up & Collections | Payment Processing | Bank Reconciliation | Denial Management | Reporting & Analytics

From point-of-service collections and payment posting to bank reconciliation, RCMS automates workflow processes while improving data integrity and reporting capabilities.

Practice Aggregation: Co-mingled Remittance Splitting and Business Unit Autonomy

With Practice Group co-mingled remittance, RCMS can automatically split remittance files and associate the transactions to the appropriate business unit, location or specialty group while maintaining batch integrity. With this unique capability, RCMS is helping to facilitate merger & acquisition strategies for groups of all sizes and specialties.

RCMS has the ability to Capture, Validate, Parse and Reconcile ANSI 835 payment data before processing to the Practice Management System (PMS) and AR billing application. This ensures that correct information is applied to patient accounting systems prior to posting – with exceptions being automatically submitted to worklists for correction and re-submission. Regardless of where or how your original data is captured, data integrity is improved resulting in fewer items to be worked as downstream exceptions. Contact our Business Process Consulting Team to help with developing a practice aggregation strategy that works for your specific M&A needs.


ReSolve™ Key Revenue Cycle Management Features

  • AR Management
  • Data Validation
  • Denial Management
  • Enterprise Content Management (ECM)
  • ERA Processing
  • Front-Office Scanning
  • HL7, XML, CSV, X12 Interfaces
  • Line of Business (LOB) Integrations
  • Paper to 835 Conversion
  • Payer Rate Verification
  • Payment Posting
  • Point-of-Service Collections
  • Reporting & Analytics
  • Robotic Process Automaton (RPA)
  • Splitting Capabilities for Business Unit Autonomy
  • Treasury/Bank Reconciliation

Enterprise Content Management (ECM) for Healthcare Providers

RCMS can implement hosted or on-site Enterprise Content Management (ECM) that provides staff with quick access to patient and payor information in all data and document formats. Contact RCMS to learn more about ECM and our Provider Solutions that can help to improve all of your revenue cycle management processes.