Top RCM Companies
Everything you need to know about the Top RCM Companies
Top 10 Healthcare Revenue Cycle Management Companies in USA
PwC Revenue Cycle Managed Services
12 Reviews
PwC (PricewaterhouseCoopers) is a global professional services firm that provides a wide range of consulting and advisory services to clients in various industries, including healthcare. One of the services they offer is revenue cycle management (RCM) consulting for healthcare providers.
PwC (PricewaterhouseCoopers) is a global professional services firm that provides a wide range of consulting and advisory services to clients in various industries, including healthcare. One of the services they offer is revenue cycle management (RCM) consulting for healthcare providers. PwC's RCM help healthcare organizations optimize their revenue cycle by identifying inefficiencies, improving processes, and implementing best practices. This can involve everything from streamlining billing and coding processes to improving patient collections and reducing denials. PwC's RCM also focus on leveraging technology and data analytics to improve revenue cycle performance. They help healthcare organizations select and implement the right technology solutions to support RCM, and use data analytics to identify areas for improvement and measure performance. Overall, PwC's RCM are designed to help healthcare providers improve their financial performance and optimize their revenue cycle, ultimately leading to improved patient care and outcomes.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Interactive Reporting Framework
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Intutative PMO Features
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Adequate KPIs definition
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Visual interface
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High Price
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Better Alternative Available
Customer Ratings
Ease-of-use
4.0
Customer Support
3.8
Value For money
4.1
Functionality
3.9
athenahealth
15 Reviews
Athenahealth is a healthcare technology company that provides cloud-based services and software to medical practices, hospitals, and other healthcare organizations. The company was founded in 1997 and is headquartered in Watertown, Massachusetts, USA.
Athenahealth is a healthcare technology company that provides cloud-based services and software to medical practices, hospitals, and other healthcare organizations. The company was founded in 1997 and is headquartered in Watertown, Massachusetts, USA. Athenahealth's offerings include electronic health records (EHRs), practice management software, revenue cycle management tools, patient engagement solutions, and population health management services. These services are designed to help healthcare providers improve patient care, streamline administrative tasks, and increase revenue. At athenahealth, their team of revenue cycle management (RCM) experts strive to understand the unique needs of their clients and implement customized solutions to support their goals. Their tailored approach to RCM has proven to be effective in helping hospitals achieve impressive financial outcomes. To further enhance staff productivity and encourage adherence to best practices, athenahealth has developed Gamify, a staff-facing, game-like experience that sits on top of their athenaIDX RCM system. Gamify incentivizes billing team members to improve their performance and compete with their colleagues by earning points for their achievements. This has resulted in increased engagement and motivation among billing staff.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Combined Business Office
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Athena Gamify
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Athena Collector
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Lacks transparent pricing
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Third-party software integrations with a fee
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Starting price doesn’t include PM or medical billing tools
Customer Ratings
Ease-of-use
3.7
Customer Support
3.6
Value For money
3.7
Functionality
3.5
CureMD
19 Reviews
CureMD's revenue cycle management is designed to streamline clinical workflows and enhance patient care. The system includes features such as clinical decision support, Eligibility and benefit verification, and chart entry tools. Additionally, CureMD offers practice management tools that are designed to help healthcare providers manage their operations more efficiently, including billing and revenue cycle management, scheduling, and reporting.
CureMD's revenue cycle management is designed to streamline clinical workflows and enhance patient care. The system includes features such as clinical decision support, Eligibility and benefit verification, and chart entry tools. Additionally, CureMD offers practice management tools that are designed to help healthcare providers manage their operations more efficiently, including billing and revenue cycle management, scheduling, and reporting. CureMD understands that each healthcare organization has unique RCM needs, which is why the company offers a customized approach to RCM. Their team of certified coding and billing professionals work tirelessly to gain a thorough understanding of each client's specific RCM challenges, and then tailor a solution to address those challenges. CureMD's RCM solution includes a range of services, from coding and billing to denial management and collections. By taking a comprehensive approach to RCM, CureMD helps its clients maximize their revenue and improve their financial performance. CureMD's RCM team is highly experienced and trained in the latest industry standards and regulations. They work diligently to stay up-to-date on any changes to billing codes, regulations, and compliance requirements, ensuring that their clients are always receiving accurate and compliant billing services.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Competitive pricing
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Exceptional Go-Live support
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Free hosting, upgrades, training, maintenance and support
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No dentistry
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No Free Trial
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Does not support Android
Customer Ratings
Ease-of-use
4.2
Customer Support
4.4
Value For money
4.1
Functionality
4.0
Azalea's RCM
8 Reviews
Healthcare revenue management can be a daunting task for any provider, which is why we have created a more effective solution. Azalea’s team of dedicated and fully-certified billers are here to assist you with every aspect of revenue management, from claims submissions to denials management.
Healthcare revenue management can be a daunting task for any provider, which is why we have created a more effective solution. Azalea’s team of dedicated and fully-certified billers are here to assist you with every aspect of revenue management, from claims submissions to denials management. With Azalea’s support, you can accelerate revenue growth, reduce overhead spending, minimize claims and denials, and gain complete visibility into your practice's performance. Azalea’s solution is designed to streamline revenue workflows and maximize revenue streams, while also providing you with peace of mind and more time to focus on delivering quality care to your patients. Azalea Health's RCM has been shown to perform up to 20% better than the Medical Group Management Association (MGMA) industry standard for A/R days outstanding. This means that Azalea Health's RCM can help healthcare providers collect payment faster and more efficiently, improving their cash flow and reducing the risk of bad debt. Azalea Health achieves this exceptional performance through a combination of technology and expertise. Their RCM leverage advanced analytics and reporting tools to identify areas for improvement and streamline revenue workflows. In addition, their team of certified billing professionals are highly experienced and knowledgeable in industry best practices, coding requirements, and compliance regulations.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Ease of Scanning documents into patient chart
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Doesn't go down very often
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Print and view revenue reports at any time for any period
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Billing errors in patients invoices
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Dependence on an reliable internet provider
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Lack of call support
Customer Ratings
Ease-of-use
4.4
Customer Support
4.4
Value For money
4.1
Functionality
4.0
AdvancedMD RCM
7 Reviews
AdvancedMD's revenue cycle management offer a cost-effective and competitive solution for healthcare providers seeking a high level of expertise and technology scalability. With AdvancedMD RCM, providers gain access to a team of expert RCM personnel and innovative technologies that can adjust to meet their fluctuating needs.
AdvancedMD's revenue cycle management offer a cost-effective and competitive solution for healthcare providers seeking a high level of expertise and technology scalability. With AdvancedMD RCM, providers gain access to a team of expert RCM personnel and innovative technologies that can adjust to meet their fluctuating needs. AdvancedMD also offers clinical flexibility, allowing providers to choose to use their AdvancedMD electronic health record (EHR) or any other EHR that they prefer. This flexibility ensures that providers can continue using the EHR system that best fits their practice. One of the key benefits of AdvancedMD RCM is its streamlined charge capture process. The system is designed to be simple, fast, and integrated, ensuring that data flows seamlessly in real-time. This enables providers to stay on top of their revenue cycle with ease, minimizing the risk of missed charges and reducing the potential for revenue loss. Overall, AdvancedMD RCM provides an affordable and efficient solution for healthcare providers seeking a high level of RCM expertise and technology scalability. With clinical flexibility and seamless charge capture, providers can focus on delivering quality patient care while leaving their revenue management in the hands of experts.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Auto-accept consent forms
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Comprehensive patient portal
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Secured iPhone and iPad function
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Additional cost for add-ons and training
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Frequently slow systems
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More expensive than some competitor software
Customer Ratings
Ease-of-use
3.5
Customer Support
3.4
Value For money
3.6
Functionality
3.3
Kareo Revenue Cycle Management
11 Reviews
Kareo covers the entire revenue cycle, from eligibility verification and claims submission to payment posting and collections. The service also includes features such as denial management, appeals management, and reporting and analytics. The system is designed to be user-friendly and intuitive, allowing medical practices to easily manage their billing and collections processes without needing to be billing experts.
Kareo covers the entire revenue cycle, from eligibility verification and claims submission to payment posting and collections. The service also includes features such as denial management, appeals management, and reporting and analytics. The system is designed to be user-friendly and intuitive, allowing medical practices to easily manage their billing and collections processes without needing to be billing experts. One of the key benefits of Kareo's RCM is the dedicated support provided by a team of billing experts. These experts work directly with medical practices to ensure that their billing processes are optimized and that they are collecting the maximum amount of revenue possible. The team also provides ongoing training and support to ensure that medical practices are up to date with the latest billing and compliance regulations. Kareo's RCM is also highly customizable, allowing medical practices to tailor the service to their unique needs. Kareo offers multiple pricing plans, so practices can choose the level of service that is best suited for their business. Overall, Kareo's RCM provides a comprehensive and customizable solution for medical practices looking to streamline their billing and collections processes. With dedicated support, user-friendly software, and customizable pricing plans, Kareo's RCM is a valuable tool for medical practices looking to optimize their revenue cycle management.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Easily train staff to use the software
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Comprehensive analytics
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Intuitive design and easy to use
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Slow processing while uploading
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Outsourced Customer support
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Scheduling is fee-based
Customer Ratings
Ease-of-use
4.2
Customer Support
3.9
Value For money
3.9
Functionality
3.7
R1 RCM
6 Reviews
R1rcm offers healthcare providers the flexibility to choose from a comprehensive end-to-end engagement or targeted solutions for specific areas of their revenue cycle management needs. With these solutions, R1rcm helps to reduce total cost to collect, enhance net patient revenue, and improve overall patient experience.
R1rcm offers healthcare providers the flexibility to choose from a comprehensive end-to-end engagement or targeted solutions for specific areas of their revenue cycle management needs. With these solutions, R1rcm helps to reduce total cost to collect, enhance net patient revenue, and improve overall patient experience. One of the key advantages of R1rcm's services is their purpose-built technology platform, which is powered by intelligent automation. This platform is designed to eliminate the friction caused by fragmented point solutions, making it easier for healthcare providers to manage their revenue cycle more efficiently. In addition to their advanced technology platform, R1rcm also brings a wealth of domain expertise and proven processes to the table. The combination of these resources and integrated technology enables a true transformation of the revenue cycle for healthcare providers. By partnering with R1rcm, healthcare providers can optimize their revenue cycle management processes, improve their financial performance, and deliver a better patient experience.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Pre-Registration
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Scheduling
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Financial Counseling
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No control over your information
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Not Fully Automation
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Not Recommended for Non Emergency Medical Services
Customer Ratings
Ease-of-use
4.0
Customer Support
3.8
Value For money
4.1
Functionality
4.0
DrChrono
10 Reviews
DrChrono's Revenue Cycle Management offers healthcare providers the opportunity to focus on delivering quality patient care while maintaining income stability. The DrChrono team manages the complete lifecycle of medical claims, including claim submission and coding compliance, allowing providers to reduce their administrative burden and free up more time to focus on their patients.
DrChrono's Revenue Cycle Management offers healthcare providers the opportunity to focus on delivering quality patient care while maintaining income stability. The DrChrono team manages the complete lifecycle of medical claims, including claim submission and coding compliance, allowing providers to reduce their administrative burden and free up more time to focus on their patients. DrChrono's personalized service is designed to provide a high level of support and assistance to medical practices. Each practice is assigned a dedicated Account Manager who is available to answer questions, provide support, and help the practice reach its financial goals. This tailored approach has resulted in practice managers reporting an average 20 percent increase in annual revenue and a 30 percent reduction in administrative costs when using DrChrono's revenue cycle management solution. To ensure optimal revenue cycle management, DrChrono provides dedicated teams of coders, billers, and compliance officers to handle each practice's needs from check-in to claim submission. These teams work closely with each practice to ensure that they are receiving the support and guidance they need to optimize their revenue streams and maintain financial stability. Overall, DrChrono's Revenue Cycle Management offers a comprehensive and personalized solution to revenue cycle management. With a dedicated Account Manager, tailored teams of experts, and a focus on optimizing revenue streams and reducing administrative costs, DrChrono's RCM is a valuable tool for medical practices seeking to streamline their revenue management processes.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Free shifting from old EHR
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Cost is competitive
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Seamless telemedicine application
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The system can sometimes be slow
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Delayed technical solutions
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Reports of slowness due to maintenance updates
Customer Ratings
Ease-of-use
4.1
Customer Support
3.8
Value For money
3.9
Functionality
3.8
CareCloud
4 Reviews
CareCloud provides a suite of revenue cycle management, including all aspects of billing and revenue management. In addition, clients have the option to add on CareCloud's medical software and consulting services for a comprehensive healthcare technology solution.
CareCloud provides a suite of revenue cycle management, including all aspects of billing and revenue management. In addition, clients have the option to add on CareCloud's medical software and consulting services for a comprehensive healthcare technology solution. One unique advantage of CareCloud is their PMS-agnostic structure, which allows clients to choose their preferred practice management system (PMS) provider. This flexibility ensures that clients can continue to use the PMS system that best fits their business needs. CareCloud's team of RCM professionals are dedicated to serving as an extension of each client's own staff. They work closely with clients to streamline administrative and back-office functions that support their medical practices, ensuring optimal revenue management and financial performance. CareCloud's billing solution is highly flexible and often offered at low cost. However, smaller practices should be aware that there may be a hefty setup fee associated with the solution. For high-revenue practices in need of flexible and scalable solutions, CareCloud is an excellent choice. Overall, CareCloud's RCM provide clients with a comprehensive and flexible solution to their revenue cycle management needs.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Integrates revenue cycle management and practice management
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Provide drag and drop scheduling
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Cloud-based
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Android app not available
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Uploading large files difficult
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Lacks pricing transparency
Customer Ratings
Ease-of-use
3.8
Customer Support
3.5
Value For money
3.5
Functionality
3.3
Medics RCM
9 Reviews
MedicsRCM is a healthcare technology company that offers revenue cycle management at an outstanding value. The company charges a competitive range of 3% to 6% of a medical practice's monthly collections, making it a cost-effective solution compared to other RCM.
MedicsRCM is a healthcare technology company that offers revenue cycle management at an outstanding value. The company charges a competitive range of 3% to 6% of a medical practice's monthly collections, making it a cost-effective solution compared to other RCM. MedicsRCM's medical billing for small practices and technologies are built around a sophisticated in-house rules engine and application configuration tools. These features help to define and build complex rules and conditions, as well as navigate challenging business process flows. This ensures that MedicsRCM's RCM are customizable and tailored to each client's specific needs. While MedicsRCM's medical practice billing software is low-priced, it can be challenging to navigate without proper training. However, despite this, the software is still an excellent choice for larger practices due to its low cost and high financial performance to accounts receivable (FPAR). In summary, MedicsRCM provides clients with a competitive and value-driven RCM solution. Their advanced rules engine and configuration tools ensure that clients receive a customized solution that addresses their unique needs. While their medical practice billing software may require proper training to navigate, their overall low cost and high FPAR make MedicsRCM an attractive option for larger practices.
Key Features
HIPAA Compliance
Templates
Charting / Document management
Top Pros and Cons
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Patient Demographics
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Lab Integration
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Reporting and Analytics
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Employee Management
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Absence of a test environment
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Not meant for behavioral health
Customer Ratings
Ease-of-use
3.7
Customer Support
3.1
Value For money
3.4
Functionality
3.6
Disclaimer
The content presented on CureMD is intended solely for educational purposes. It should be noted that your financial circumstances are distinctive, and therefore, the products and services reviewed by us may not be appropriate for your particular situation. We do not provide financial advice, nor do we offer any advisory or brokerage services. Furthermore, we do not suggest or recommend that individuals purchase or sell specific stocks or securities. It is important to bear in mind that the performance information provided may have undergone changes subsequent to its publication, and past results do not guarantee future outcomes.
Achieve Financial Success with Our Advanced RCM Solution
Boost RCM and Staff Efficiency with CureMD
CureMD is a revenue cycle management company that helps medical practices maximize reimbursements, deliver actionable insights into the financial health of your practice, and provide world-class service.
We customize our RCM to meet your unique needs, with the right workflows and support to help practices achieve desirable financial outcomes.
The Team of CureMD's experienced, knowledgeable RCM experts are 24/7 available to assist you in your organization's transition to value-based reimbursements or the integration of recently acquired physicians groups.
Claims Management
CureMD's Revenue Cycle Management automates claims submission, tracks status, and identifies errors to reduce claim denials and improve collections.
Patient Billing and Collections
With our solution provides clear statements, online payment options, and payment plans to improve collections and enhance the patient experience.
Revenue Analytics and Reporting
Our solution provides real-time dashboards and detailed reports to track performance metrics and generate actionable insights for data-driven decision-making.
Say Goodbye to Revenue Cycle Challenges with Our Innovative Management Solutions
Use clinical info to drive financial outcomes within a clinically driven revenue cycle. Streamline revenue cycle management and help enhance patient access to care. Learn how.
Get your free demo
Highly flexible & affordable billing experience with unprecedented financial transparency.
Key Considerations for Doctors When Selecting an RCM Company
Switching or signing up with a new Revenue Cycle Management (RCM) company is a significant decision for healthcare providers, and careful consideration is crucial to ensure a seamless transition and optimized revenue management. Here are key factors that doctors and healthcare practices should look for when evaluating RCM companies:
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Reputation and Experience:
Research the RCM company's reputation in the healthcare industry. Look for well-established companies with a proven track record of success in RCM services.
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Industry Specialization:
Ensure that the RCM company has experience working with healthcare providers in your specific specialty. Specialty-specific knowledge is vital for accurate coding and billing.
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Compliance and Regulations:
Verify that the RCM company is knowledgeable about healthcare regulations, such as HIPAA and Medicare billing rules. Compliance is critical to avoid legal issues and penalties.
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Technology and Software:
Assess the RCM company's technology infrastructure. Modern, efficient software and electronic health record (EHR) integration are essential for streamlining billing processes.
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Data Security:
Inquire about data security measures to protect patient information. Encryption, access controls, and HIPAA compliance are non-negotiable in RCM.
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Transparency:
Look for an RCM company that provides transparent reporting and real-time access to financial data. You should be able to monitor your revenue cycle's progress.
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Billing Accuracy:
Accuracy in coding and billing is paramount. Ask about the RCM company's quality control processes to prevent errors and claim denials.
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Denial Management:
Inquire about the RCM company's approach to denial management. A proactive strategy to reduce and resolve denials is crucial for revenue optimization.
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Revenue Recovery:
Assess the company's ability to identify and recover lost revenue. Effective follow-up on unpaid claims is essential.
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Patient Billing and Support:
Ensure that the RCM company has a patient-friendly billing process and can provide patient support for billing inquiries.
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Cost Structure:
Understand the RCM company's pricing structure. It's important to evaluate whether their fees align with your budget and revenue expectations.
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References and Case Studies:
Request references from current clients or ask for case studies demonstrating successful revenue improvement for practices similar to yours.
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Scalability:
Consider whether the RCM company can accommodate your practice's growth. They should be able to scale their services as your practice expands.
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Onboarding and Training:
Assess the onboarding process and the training provided to your staff on RCM procedures and software usage.
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Customer Support:
Inquire about the availability and responsiveness of customer support. You'll want prompt assistance if issues or questions arise.
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Contract Terms:
Carefully review the contract terms, including termination clauses and service level agreements (SLAs).
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Performance Metrics:
Define key performance indicators (KPIs) and establish benchmarks with the RCM company to monitor and measure their performance.
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Communication:
Effective communication is crucial. Ensure there is a clear channel for communication and reporting between your practice and the RCM company.
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Patient Feedback:
Solicit feedback from patients who have interacted with the RCM company's billing and support services to gauge patient satisfaction.
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Redundancy and Disaster Recovery:
Inquire about backup and disaster recovery plans to ensure business continuity in case of unexpected events.
Why CureMD Stands Out as Your RCM Partner
SIMPLIFY SCHEDULING
Seamless Revenue Cycle Management Integration
At CureMD, our Revenue Cycle Management (RCM) solution seamlessly integrates with your practice's existing workflows, making the transition smooth and efficient.
- Efficient Workflow Integration: Our RCM solution is designed to complement your existing systems, reducing disruption and ensuring minimal learning curve for your staff.
- Streamlined Revenue Processes: With CureMD, you can streamline your revenue cycle processes, from charge capture to claims submission, leading to improved efficiency.
- EHR Integration: We offer seamless integration with our Electronic Health Records (EHR) system, ensuring a comprehensive approach to patient care and billing.
SECURE TIME TRACKING
Data-Driven Revenue Optimization
CureMD's RCM leverages data analytics and reporting to optimize your revenue cycle, providing you with actionable insights to enhance your financial health.
- Advanced Analytics: Our RCM system offers advanced analytics that help you identify revenue opportunities, track performance, and make informed decisions.
- Real-Time Reporting: Access real-time financial reports, claims status, and denials data, empowering you to take immediate corrective actions and boost revenue.
- Customized Dashboards: Customize your RCM dashboard to focus on the metrics and KPIs that matter most to your practice, ensuring a tailored approach to revenue optimization.
IMPROVE STAFF EXPERIENCE
Compliance and Security Assurance
CureMD's RCM is built with a commitment to data security and regulatory compliance, safeguarding your patient information and ensuring adherence to industry standards.
- HIPAA Compliance: We prioritize HIPAA compliance, ensuring that your patient data remains secure and that you meet all regulatory requirements.
- Data Encryption: All data in our RCM system is encrypted to protect sensitive patient information from unauthorized access.
- Regular Audits: We conduct regular security audits and maintain stringent access controls to provide you with peace of mind regarding data security and compliance.
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