ReSolve^® Payment Processing

Eliminate Manual Data Entry Tasks, Increase Revenue Cycle Performance

RCMS ReSolve Payment Processing is at the core of our Revenue Cycle Management (RCM) solution, providing for efficient capture, management and use of patient and payment information to dramatically improve posting accuracy and exceed benchmarks. Our Payment Processing solutions integrate with existing patient billing systems, allowing for accurate capture and processing of patient payment information from both EDI and paper. Once complete, the system transfers payments directly to the billing system using client-defined posting rules while monitoring denials and other conditions.

While most payments today are processed using EDI, RCMS also provides the ability to capture all forms of paper-based EOB’s. Operators can also key data from a scanned image with underlying audit and batch control procedures. For higher volume paper EOB’s, we use optical character (OCR) technology and Robotics Process Automation (RPA) to eliminate manual data-entry tasks, increasing accuracy and overall performance.

RCMS ReSolve Payment Processing automates workflow, improves efficiency, and reduces costs—tailored to the way your business office works, for any mix of electronic remittances and paper EOBs.

Improve Data Integrity with Payment Validation

ReSolve Payment Validation helps to scrub and cleanse the data before posting. We automatically check for errors, validating information needed for processing while improving data integrity. Once data is captured (EDI or paper), Payment Validation begins applying client-defined rules to find potential cash application errors before posting while routing those errors back to work queues for correction. Payment validation verifies batch control totals, compares payment transactions (with patient import files) and routes exceptions to an operator for correction.

Verify Payer Rate Accuracy

Accurate, verified data is critical to optimizing payer contract negotiations. ReSolve helps ensure your organization is paid the rates it negotiated by automatically comparing reimbursements against payer contracts. With a payer rate matrix, you can systematically review all remittance data against configured fee schedules.