ReSolve^® Patient Access

From Scheduling to Insurance Validation and POS Collections, RCMS ReSolve™ Patient Access Ensures that Insurance Information and Deductible Payments are Captured at Registration

Patient Access is a critical first step with implementing best practice strategies in Revenue Cycle Management and in creating permanent, measurable improvements. We start with automated workflows that capture referrals, orders and other pre-visit documentation, linking them to the patient record in the Electronic Medical Record (EMR) and/or Practice Management System (PMS). Staff can then schedule appointments with confidence and assist the A/R billing and collection teams for insurance reimbursement.

ReSolve™ captures additional patient information at registration (insurance cards, identification, etc.) and integrates them into the EMR – where documents are securely stored and indexed in the document management system. RCMS Patient Access solutions provide staff with the ability to review a patient’s outstanding balances for a department, group and/or health system – streamlining automated workflow tools to discretely collect in-person co-pays and other remaining funds to be paid. Built-in tracking and audit controls ensure accurate statement reporting on all payments received.

As part of the patient registration process, point-of-service payments are captured and applied to patient co-pays and deductibles. By collecting payments at the beginning of the revenue cycle, providers collect cash faster and prevent payment delays.

RCMS ReSolve™ Patient Access integrates with your billing and ECM/Document Management Systems to automate all point-of-service collections, eliminating the need to re-key patient information. Additional features include receipt generation, payment posting, balancing tools and reporting capabilities – with real-time scorecards showing department efficiencies and cash collections.

Medical Necessity Determination and Orders

RCMS ReSolve™ Patient Access captures physician orders electronically and routes them automatically using customizable workflows, regardless of the original intake format. This allows for a centralized solution that supports sorting and splitting orders that have been indexed to patient accounts. Workflows for medical necessity determination can also be implemented, reducing overall denial rates.