eClinicalWorks provides two RCM solutions: a self-service Practice Management model and a full-service RCM Service model. The self-service model allows practices to manage their own billing using integrated tools for patient eligibility verification, claims scrubbing, and denials management. The RCM Service model offers an end-to-end solution where eClinicalWorks handles the entire billing process, including claims submission, follow-up, and appeals. Both models aim to achieve a first-pass acceptance rate of 98% or higher, ensuring timely reimbursements and improved financial health for practices.

Features:

• Patient Eligibility Verification: Real-time insurance eligibility checks to prevent claim denials.
• Claims Scrubbing and Submission: Automated tools to review and submit claims accurately.
• Denials and Appeals Management: Proactive handling of denied claims and management of appeals.
• Performance Dashboards: Comprehensive reporting tools to monitor financial health and Key Performance Indicators (KPIs).
• Dedicated Account Management: Personalized support to assist practices in optimizing revenue cycles.