Revenue Cycle Management

RCM Cloud: The Web-Based, End-to-End Revenue Cycle Management Solution

Overview


RCM Cloud fully leverages superior technical architecture by embedding key functions, such as Contract Management and an enterprise-wide master patient index (MPI), resulting in a comprehensive solution set.

On the administrative side, RCM Cloud® and associated services are delivered via the powerful, proven and secure Microsoft Azure® cloud platform. RCM Cloud® modules include Scheduling, Registration, Medical Records, Billing, Claims, A/R Follow-Up, Payment Posting, and Bad Debt, enabling hospitals and behavioral healthcare providers to truly transform their revenue cycles.

Thanks to the Collector Work Schedule tool, we have not only decreased our overall AR days, but have improved our ability to support the mission and values of the organization... We place the patient at the center of our design and decisions.

Linda Hocker, Director, Business Office and Registration

Oklahoma Heart Hospital

The RCM Cloud financial management system is 5010 ready and enables healthcare providers to complete key financial objectives:

  • Streamline the entire patient access process from scheduling to registration to discharge to billing
  • Accelerate accounts receivable payment collections
  • Perform real-time payer eligibility checks during scheduling and/or registration
  • Integrate payer rules and enforce financial accountability
  • Achieve a true Digital Financial Record (DFR)
  • Reduce billing delays and denials
  • Significantly improve clean claims rates
  • Eliminate dependencies on and the associated costs of third party “bolt-ons”
  • Get real-time information when and where it is needed
  • Accurately measure organizational productivity and performance via Business Intelligence

A Complete Solution for Hospital Administration


Functionally, RCM Cloud is an all-inclusive suite of patient access (enterprise scheduling, patient registration, eligibility checking), patient accounting (universal billing, collections and payments, contract management), claims management, and informatics solutions. RCM Cloud can replace any existing HIS and add-on applications and includes the following applications:

Application


Enterprise Scheduling

The Enterprise Scheduling module features a unique drag-n-drop user interface and functions as the coordinator for patients and resources to promote effective and timely scheduling of services and procedures across the enterprise. All necessary information is shared throughout multiple locations and departments, including clinics, ancillary locations and other caregiver facilities.

Application


Patient Registration

Patient Registration addresses the needs of acute care, ambulatory, emergency, specialized, rehabilitation and all related health care facilities. The system provides complete on-line, real-time ED registration, outpatient registration; and inpatient admitting, discharge, and transfer (ADT). The Master Patient Index (MPI) is a component of Insight Patient Registration and is accessible by all the applications in the Insight application suite.

Application


Medical Record Abstraction

Abstraction determines the final status of a patient’s encounter based on evidentiary support within the medical record. Abstracting includes assigning and validating diagnosis and treatment codes in order to confirm the accuracy of the record and achieve optimum claims submission and reimbursement results.

Application


Patient Accounting

Patient Accounting provides a sophisticated, comprehensive accounting and collections system that is uniquely engineered to maintain accurate control of all financial data while allowing the flexibility to streamline user tasks. Billing information is integrated within collection processes for timely and accurate account management.

Application


Collections and Payments

The Collections and Payments module provides a host of tightly integrated collections and payments management capabilities, including patient interim billings, an on-line tickler file system for collectors, user-defined actions and collection steps, an online audit trail, capture and sorting of collector activities for reporting productivity and other valuable support functions.

Application


Informatics

The Informatics application features a full array of leading edge business intelligence executive dashboards, dynamic work lists and reports that enable key decision makers at hospitals and other healthcare organizations to easily and effectively analyze and act upon crucial patient service and financial data. Insight Informatics allows users to seamlessly collect and view key statistical and trending data to make the business decisions necessary to ensure continued success.

Application


Microsoft Dynamics® GP

As needed, Microsoft Dynamics® GP suite can be bundled to provide financial management, human resources, and payroll solutions. It is a fully integrated business management solution that can significantly improve the financial and business processes of healthcare organizations.

Additional Benefits


Improve Cash Collections

Optimize Staff Productivity.

Reduce Bolt-on Applications.

Combine Medsphere Solutions

When you bundle with the other Medsphere solutions, not only do you get a one-stop partner to help you succeed, but your organization becomes even more efficient with completely integrated solutions. From hospitals to physician practices, Medsphere can be your go-to resource for all your Health IT needs.

Product

CareVue

Service

HIT Consulting

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