Healthcare Revenue Cycle Management Solution

Optimize medical revenue cycles with custom healthcare revenue cycle management solution.

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Healthcare Revenue Cycle Management Solution Development

We specialize in healthcare revenue cycle management software implementation that optimize the financial processes of medical facilities. Our solution is designed to support all stages of revenue cycles by incorporating Electronic Health Record (EHR) workflows and payment collection procedures into a centralized platform. With advanced features and integrations, our revenue cycle management healthcare software optimizes efficiency and financial operations for medical institutions.

Task Management System

We specialize in task manager systems tailored for Revenue Cycle Management (RCM) purposes. Our systems empower medical facilities to assists patient eligibility, collect copays and other payments, and systematically track, code, and follow up on claims. This approach not only enhances revenue generation but also significantly reduces the time invested in billing processes.

Cost Saving

Insurance Discovery

Our revenue cycle management software experts develops cloud-based systems to process accounts. These systems utilize an automated coverage identifier that employs analytics and machine learning to verify patient demographics, assess insurance profiles, and determine benefits. Through this digital approach, our systems not only fix information inaccuracies but also ensure accurate billing and efficient collection processes.

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Remittance Application Development & Implementation

We design remittance applications for medical providers. These applications facilitate the automatic posting of Accounts Receivable (AR) and swift reconciliation of payments through a cloud-based architecture. This will help in peak efficiency, expedites claim filing, and optimizes the management of Explanation of Benefits (EOB) claims.

Automated Claims

Payment System Development

We are experts in various payment systems deployment such Medicare, inpatient PPS, outpatient PPS, MACRA, long-term care hospital PPS, and others. This customization enables patients to cover the costs of value-based care, whether through direct copayments or utilizing insurance coverage.

Custom Billing Software Development

We provide custom development of billing software designed for healthcare providers associated with multi-specialty physician groups. This software handles various tasks including charge entry, payment posting, AR follow-up, patient billing, medical claims filing, and more. With built-in features aimed at minimizing errors and delays, our custom billing software ensures financial processes for healthcare organizations.

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Smart Payment

We will help you in intelligent payment collection system development that brings medical facilities to monitor, visualize, and oversee payments effectively. Our systems come equipped with customized tools to establish payment plans, manage patient Accounts Receivable (AR), and insurance receivables, offering comprehensive control over financial processes for healthcare providers.

Healthcare RCM Solution Features

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Improved Patient Engagement

Conventional communication methods between patients and hospitals can be cumbersome. However, leveraging medical revenue cycle management and its related applications, such as personalized payment strategies and chatbots, transforms not only the rcm process but also the feasibility of all these processes. With medical revenue cycle management solution, you can improve communication efficiency, elevate patient satisfaction, and optimize overall revenue collection.

Workflows

Workflows Process

The procedures within the healthcare revenue cycle management solution built a comprehensive method of gathering funds. Manual inputs and human tasks introduce errors, leading to delayed payment processing. Therefore, healthcare revenue cycle management software can address the needs of a hospital. Through automation, you can reduce errors and accelerate the revenue cycle across all aspects, whether it be patient registration or billing. Experience the benefits of a custom revenue cycle management healthcare software.

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Data-Driven Approach

Leveraging revenue cycle management software insights, You can get high level view of resource allocation, revenue maximization, and compliance adherence. Revenue cycle management software healthcare provides a transparent view of resource requirements and revenue enhancement for professionals. With the capability to swiftly pinpoint compliance pitfalls, mitigate risks, and adherence, Our system serves as a data-driven solution to revolutionize insights.

Insurance Claim

Claim Processing

Claim processing can be challenging due to its complexity in large user database.  As medical revenue cycle management identifies inconsistencies, compliance standards adherence, and rectifies coding discrepancies, errors diminish, and reimbursements expedite. The outcome is a reduction in costs and revenue optimization through the claims processing.

Custom Healthcare Revenue Cycle Management Solutions

Our healthcare revenue cycle management software is design for hospitals, physicians, academic medical centers, and many healthcare facilities.

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Startup and Enterprise Solution

We design revenue cycle management software for large medical enterprises and startups to handle costs and resources, quality management among patients and employees. Our revenue cycle management solution include features for tracking waitlists, generating reservations, and scheduling across departments.

Pharmacy & Drug Stores

Our medical revenue cycle management developers offer solutions for pharmacies in the Medicare, Medicaid, and commercial immunizations. Additionally, these solutions facilitate billing for durable medical equipment (DME) across all major product categories and automate processes related to denial and recovery.

Cost Containment

We specialize in cost containment solutions dedicated to optimize the claim cycle. This is achieved through the reduction of overutilization and healthcare spending, increased transparency, conducting audits of medical accounts, and managing PPO network administration and repricing.

Medical Records

Healthcare revenue cycle management solution also involve the assignment and validation of diagnoses based on recorded evidence, aiming for absolute accuracy.

Benefits of Custom Healthcare Revenue Cycle Management Solution

Accounts Receivable

Minimize manual write-offs and maximize revenue. Automated Accounts receivable will help you out to reduce manual efforts.

Medical Insurance Denials

Our healthcare revenue cycle management software experts-built features for denial analysis, resolution, and follow-up, collections and automatically addressing coding issues with medical insurance companies.

Vendor and Client Portals

Our revenue cycle management healthcare software have user-friendly vendor and patient portals that automate schedule appointments, make online payments, receive notifications, and engage in remote communication with healthcare facilities.

Insurance Validation

Real-time verification of insurance eligibility for Medicare, Medicaid, and private health insurance plans through a centralized access point.

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Revenue Cycle Management Healthcare Software Integrations

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Our software will support below integrations

  • DrChrono
  • Veradigm (ex-Allscripts)
  • Kareo
  • CareCloud
  • CureMD
  • Epic
  • AthenaHealth
  • OpenEMR
  • Custom APIs

Why Outsource Medical Revenue Cycle Management Solution to Us?

20

Years in Healthcare Industry

Expertise in Regulatory Compliance with HIPAA, FIPS 140-2, FDA/CE

100

Successful Projects

3

Offices Worldwide

Our Tech Stack

Vue JS

vue JS

Angular JS

Angular JS

React JS

reactjs

JavaScript

JavaScript

HTML5

html5

CSS3

css

PHP

PHP

Python

python

Node

node

.NET

.NET

Android

Android

IOS

IOS

Flutter

Flutter

React Native

React Native

MySQL

MySQL

PostgreSQL

PostgreSQL

SQLite

SQLite

Oracle

Oracle

MongoDB

MongoDb

Laravel

Laravel

CakePHP

CakePHP

CodeIgniter

CodeIgniter

Express JS

express-js

WooCommerce

WooCommerce

Shopify

Shopify

PrestaShop

prestashop

Opencart

opencart

WordPress

WordPress

Joomla

Joomla

Kentico

Kentico

Drupal

drupal

Magento

magento

Portfolio Highlights

Industries We Serve

Healthcare

Healthcare & Insurance

Insurance

Insurance

Manufacturing

Manufacturing

Education

Education

Travel & Hospitality

Travel & Hospitality

Construction

Construction

eCommerce

eCommerce

Automotive

Automotive

FAQs

Why is revenue cycle management being important for Startups, SMEs and Enterprise Healthcare?

Revenue cycle management is important for startups, SMEs, and enterprises as it promises efficient financial operations, accelerates cash flow, and enhances overall profitability by optimizing billing processes and reducing revenue leakage.

How can a healthcare organization improve its revenue cycle management through technology?

A healthcare organization can improve revenue cycle management through technology by implementing automated billing systems, leveraging AI for claims processing, and utilizing advanced analytics to identify optimization opportunities, reducing errors and speeding up reimbursement processes.

What are the phases of revenue cycle management in healthcare?

The phases of revenue cycle management in healthcare include patient pre-registration and registration, charge capture and coding, claims submission and processing, payment posting and reconciliation, and finally, denial management and appeals,.

How TechnologyAlly will help me in RCM and Billing?

TechnologyAlly will build end-to-end custom systems using an advanced tech stack, assisting you in achieving financial success for your healthcare organization.

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