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

The RCM Cloud® “software as a service” (SaaS) model strives to replace resource-intensive medical billing processes with digital solutions that reduce manual processes and optimize workflow thru automation. This approach significantly improves operational efficiency and further allows the business to expand service delivery capacity with only minor increases in administrative staff. Leverage your investment in technology to grow and sustain your business as opposed to increasing the headcount necessary to expand.

On the administrative side, RCM Cloud® and associated services are delivered via the powerful, proven and secure Medsphere Cloud Services platform. RCM Cloud® modules include Patient/Resource Scheduling, Enterprise Registration, in-stream Payer Eligibility Checking, Contract Management, Medical Records, Billing, Claims, Payer and Self-pay Collections, POS Payment Posting and Bad Debt which enable all types of healthcare entities to truly transform their revenue cycles.

The RCM Cloud® 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 &/or registration
• Integrate payer rules & enforce financial accountability
• Reduce billing delays & denials
• Significantly improve clean claims rates
• Eliminate dependencies & the associated costs of third-party “bolt-ons”
• Get real-time information when & where it is needed
• Accurately measure organizational productivity & performance via dynamic scorecards
• Leverage RCM Cloud® Dashboards that empower you to quickly improve performance across all aspects of your revenue cycle

Features

• Claims Management: Automates submission, tracking, and denial resolution for faster payments.
• Patient Billing & Payments: Simplifies statements and offers multiple payment options for patients.
• Compliance Monitoring: Ensures adherence to regulatory standards and payer requirements.
• Analytics & Reporting: Provides insights into revenue trends, aging reports, and performance metrics.
• Integration with EHR: Seamlessly connects with clinical systems for accurate data flow.