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Revenue Cycle Management Services

Choosing a revenue cycle management company shouldn’t be a question of cost alone but also value. It’s about dependability, security, and working with responsive, forward-thinking experts. Partnering with RM Healthcare achieves all three.

RM Healthcare is ready to provide the depth of revenue cycle Services you want and eager to deliver the breadth of solutions your provider organization and health system needs today and into the future.

RM Healthcare Services, Proven to Increase Leads, Patient Access Services, Mid-Cycle Services, & Revenue

Your provider organization and health system can count on RM Healthcare to be there for them with the comprehensive revenue cycle Services they require, as well as the innovative, cutting-edge solutions they'll need tomorrow.

  • # Payment posting
  • # revenue reconciliation
  • # refund processing
  • # Practice Health Analytics
  • # Professional and Facility Coding
  • # On-Demand advanced reporting
  • # Practice Health Analytics

Advantages of RM Services

  • Payment posting, revenue reconciliation, and refund processing.
  • Pre-appointment verification enabling practices collect the out of pocket upfront.
  • Focused review of Payor/clearing house rejections.
  • Patient Follow-up and Statement processing.
  • Focused analytics to quickly identify trends and increase cash flow.
  • Managed care compliance audits to review payments against contracts.

Revenue Cycle Management Services

RM Healthcare helps health systems, hospitals, and provider practices streamline operations, reduce costs, improve outcomes, and enhance the patient experience.

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Patient Access Services

The health of your revenue cycle begins at Patient Access.

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Mid-Cycle Services

The quality of your mid-cycle processes impacts cashflow, days in A/R, and your ability to meet value-based care requirements.

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Business Office Services

The health of your bottom line is in direct correlation with the health of your business office practices.

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The health of your revenue cycle starts with Patient Access

The patient access process sets the stage for the entire patient engagement experience.

Revenue Cycle Management Services

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Patient Access Services

Patient Access is the starting point for a well-functioning revenue cycle. Having a positive experience as a patient helps a lot, too. This is the starting point for all financial transactions involving a patient, from the initial consultation to reimbursement by third parties and final payment by the patient themselves. It all starts here,


Appointment Scheduling & Registration, Insurance Benefits and Eligibility Verification, Prior Authorizations, Healthcare Call Center

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Mid-Cycle Services

Cash flow, days in A/R, and the capacity to achieve value-based care criteria are all affected by the quality of your mid-cycle procedures. Reduced denials and delays in payments can be achieved by improving mid-cycle efficiencies.


Coding and Auditing of Patient Medical Records; Charge Capture; enhancing the quality of Clinical Documentation; Registry Services

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Business Office Services

There is a direct relationship between the efficiency of your business procedures and the state of your bottom line. There are no leaks in the system from the time you submit a claim until you receive your final payment and have reconciled your accounts receivable and recovered any underpayments.

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Clinical Communication Services

If we want good results, we need to take care of people in ways that go beyond the typical doctor's visit. Improving outcomes and patient satisfaction through enhancing care quality and continuity across the continuum can save costs and boost reimbursements.


Telephone and Message Triage, as well as Remote Patient Monitoring

Process

Our revenue cycle management Services are technology-enabled:

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Automation as a Service

When we deliver an RM Healthcare engagement, our team of 45+ technology specialists will tailor solutions based on robotic process automation (RPA), artificial intelligence (AI), natural language processing (NLP), and machine learning (ML) to your company's unique requirements.

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Coding Automation, Workflow

With the help of RM Healthcare's Suggestive Coding Augmented Routine, we are able to provide our clients with timely, precise coding while simultaneously shortening the claim-to-cash time frame. Our coding and audit process workflow solution is highly customizable.

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A/R Management Workflow

Claim classification is streamlined with our A/R workflow system, and metrics like productivity, quality, age, and trend analysis can be viewed in real time.

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Payment Posting & Reconciliation

With the help of an artificial intelligence-based optical character recognition (OCR) system and a business rules engine, we were able to convert EOB images into electronic text and generate 835 payment transactions, drastically cutting down on manual labor while simultaneously increasing productivity and accuracy.

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Dynamic Denial Predictive Solution

When a possible rejection arises, our service professionals use AI/ML technology to precisely predict and flag it.

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RM Healthcare handles more than 250,000 patient support calls each month