The eClinicalWorks Revenue Cycle Management (RCM) Console provides you with the ability to filter claims which enhances visibility into your practice. eClinicalWorks RCM Services provides an alternative by allowing their staff of expert billers to handle back-office operations directly through the eClinicalWorks application, securely and accurately. Dashboards provide authorized users with transparency into the process and visibility into your practice’s financial performance in real-time.
EMA by Modernizing Medicine is an all-in-one, specialty-specific EHR system (derm, ophth, ortho, ENT, pain management, urology, plastic surgery, podiatry etc.) and is suited for any number of providers and staff. It offers an integrated audio & video telehealth platform. Some key features include: built by practicing physicians, native iPad application, cloud-based, adaptive learning, automated notes and bills, suggested automated coding, a built-in MIPS dashboard & more.
The Allscripts® Practice Financial Platform is a comprehensive platform, including practice management, claims processing and revenue cycle management solutions for physician practices, billing services and large hospital organizations. The platform helps support financial and operational efficiencies by streamlining appointment and patient flow, collections, claims, denial management, transaction management, real-time eligibility verification, integrated revenue collection and statements.
CareCloud Concierge is a comprehensive revenue cycle management solution that allows you to shift the burden of collections off your shoulders, so you can focus on patient care. Their flexible, consultative approach, combined with their end-to-end services and specialized back-office team, meet your needs head-on. Boost practice productivity and enjoy the peace of mind that comes from having an RCM team working on your behalf.
Waystar’s technology platform simplifies and unifies healthcare payments across the revenue cycle. Waystar empowers healthcare organizations to automate manual work, gain insight into processes and performance, and ultimately collect more revenue. Their single sign-on platform lets you manage commercial, government, and patient payments all in one place, so you can consolidate vendors and eliminate the hassle of multiple systems.
Your revenue cycle engagement with eMDs ARIA RCM is more than just a transaction. Upon implementation, you are assigned a team of regulatory and payment experts to work your billing cycle from claims generation, to payment posting, to insurance collections. ARIA RCM also provides patient inquiry services including a dedicated toll free number and experienced bi-lingual (English/Spanish) representatives to answer patient payment questions.
Really Simple Systems CRM helps you work smarter by managing and tracking your sales leads and customers, letting you get on with growing your business. Designed for growing teams B2B, our CRM is super-easy to set up and simple to use - with exceptional customer service. There’s a customizable Sales CRM, plus options for Marketing and Service tools and external app integrations - so everything is in one place, enabling great team collaboration and customer relationships that drive sales growth.
Minimizing effort and maximizing reimbursement through automation is a key strategy in RCM optimization according to OpenPractice. OpenPractice provides a cloud-based solution built for managing the A/R challenges of today’s healthcare. Their software, OpenPM, is ideal for billing services large and small. OPEN technology allows integration with your client’s EHR of choice. OpenPM's implementation, training and support staff work with your team to ensure you are set up for success.
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Revenue cycle management (RCM) software combines the financial and administrative sides of medical practice to simplify the processes in which patients get billed and services get paid for.
RCM software automates administrative tasks, pulls data from healthcare IT management solutions, and organizes various financial processes, such as invoicing and receiving.
RCM functionality is often found within comprehensive software solutions, such as electronic health records software (EHR) and electronic medical records (EMR) software. However, as standalone software, it’s imperative for RCM to integrate with other software solutions.
Athenahealth is a healthcare IT solutions company that provides cloud-based practice management and EHR systems. athenaIDX Revenue Cycle Management is one of many scalable solutions that it offers to healthcare practices of all sizes.
Key features include:
Add-on services, such as athena EDI, enhance what athena IDX can do by proactively addressing payor issues, thereby speeding up your practice’s revenue cycle.
athenaIDX is scalable; however, for small practices seeking revenue cycle support, athenaCollector may be a better option.
CareCloud is a cloud-based software provider for the healthcare industry. Their Revenue Cycle Management solution is flexible, meaning your practice doesn’t have to commit to CareCloud’s entire practice management/EHR platform if it doesn’t want to. It integrates with many other popular software solutions. Even as a standalone product, CareCloud’s RCM has a lot to offer. This includes:
A couple of standout features of CareCloud’s RCM is that it ensures that your practice stays up-to-date on regulatory changes, such as MACRA or ICD-10. Moreover, it handles worker’s compensation claims and payors, an area of specialization that we haven’t seen with other vendors.
DrChrono is an EHR and medical billing platform that manages patient intake, clinical charting, billing, and revenue cycle management. DrChrono’s RCM product ensures that your practice has a steady income stream so you can focus on patient care.
Here’s what you get with DrChrono’s RCM:
DrChrono’s business intelligence tool is a feature worth noting, as it provides medical practices with real-time reports and insights into how to improve practice performance. This is especially helpful for small practices and/or those that are relatively young.
Kareo is a cloud-based electronic health record solution and revenue cycle management provider that specializes in serving independent practices. Its medical billing product focuses on automation and workflow so you can concentrate on the services you provide to patients, rather than the behind-the-scenes work of billing and payments.
Features of Kareo include, but are not limited to:
Managed Billing Smart Workflow is a feature in Kareo’s RCM that encompasses automated tasks and workflows for patient intake, scheduling, check-in, billing tasks, billing analytics, claim tracking, and more. Kareo also features analytics to track KPIs, monitor trends, and identify opportunities for improvement.
Kareo is a great option if you’re looking for a comprehensive platform.
Waystar is a cloud-based platform that serves healthcare providers in financial and operational aspects by centralizing their payment processes in one place. Its suite of AI-powered solutions include:
Like Kareo, Waystar is an integrated platform of solutions. The functions of Waystar’s platform, including its revenue capture function, are not available as a la carte options. However, Waystar offers bundles, so if your practice is looking for at least a few different revenue management tasks to defer to software, Waystar likely offers a solution package that fits your needs.
The more repetitive tasks that your RCM of choice can take over for human staff, the better. RCMs should automatically keep information flowing throughout the revenue cycle from patient visit to payment received.
The payment process should be visible and intuitive to those who manage the practice and its financial operations, which means the RCM should also have dashboards and reports. Vendors commonly offer a reporting function that identifies places for improvement in the way your practice handles a number of stages in the revenue cycle process, such as coding, billing, receiving, etc.
Some RCMs are available for purchase as isolated products without needing to commit to an entire platform. In that case, it’s imperative that the RCM of choice integrates with your practice’s existing EHR/EMR solutions to avoid interruptions in workflows.
RCMs maximize your practice’s revenue by ensuring clean (error-free) claim submission, uncovering lost revenue from underpayment, and collecting claims payments more quickly via automation. And with the help of AI tools, intelligent RCMs track KPIs for your practice and alert you to your practice’s performance from a financial perspective.
Medical and administrative staff at your healthcare practice can focus on what software can’t — customer service and quality patient care — if they’re not held up by manual data entry. Today’s RCMs take care of identifying code errors and underpayments, sending invoices, and more.
Coding errors are often a result of poorly trained staff or simple mistakes, but they can cost your practice a lot of money. Choose an RCM that automatically identifies medical coding errors and/or has a robust support team of expert coders who can assist your staff in ensuring billing accuracy.
The right RCM for your practice hinges on whether you have solutions currently in place that you’re satisfied with. In that case, you’ll want an RCM solution from a provider that offers it as standalone software. However, be sure the RCM will integrate with the software already in use.
Otherwise, if you need an overhaul or have the budget to commit to a platform, it’s more cost-effective to opt for a vendor that offers a comprehensive suite of solutions.