iRCM | Intelligent Revenue Cycle Management Services

Overview

Revolutionizing Revenue Cycles with Intelligent Revenue Cycle Management Services

The healthcare sector is a massive, complicated maze of systems, processes, and people. It is challenging to understand how all these moving parts fit together or how they impact each other. Our iRCM (Intelligent Revenue Cycle Management) solutions serve as the guiding light in this complex healthcare landscape, simplifying the intricate web of processes. Powered by generative AI, NLP, and RPA, our Intelligent Revenue Cycle Management services eradicate the complexities of the healthcare sector with unparalleled accuracy and efficiency. Our partnership with AWS, Azure, UI Path, Automation Anywhere and Salesforce Einstein further strengthens our capabilities.

EDI Files Processing for Claims and Payments

R Systems Experts Transforming Revenue Cycles

Medical Supply & Bio-medical Repair Management

Our team comprises certified architects with extensive experience in automating revenue cycle management processes. With our iRCM and the expertise of our industry professionals in Artificial Intelligence, Machine Learning, and Data Science, we empower healthcare systems to drive success and fuel growth in the ever-evolving healthcare landscape. With their specialized knowledge and expertise, our healthcare domain experts are adept at designing and implementing robust automation solutions tailored to the specific needs of our clients.

Our Unparalleled Specialities

We understand the specific problems and complexities of the anesthesia billing and coding process, and our iRCM solutions are designed to expedite it while enhancing its every element. We are proud to have implemented our iRCM solution for a leading anesthesia provider operating across 200+ locations in 42 states, supporting over 2000 clinicians with monthly charges exceeding $600 million. Our solution reduced the coding error rate to below 4%, resulting in a claim rejection rate of less than 1%.

Implementing iRCM, we streamline billing, coding, and reimbursement processes for urgent care service providers. Continuing our partnership, we have implemented end-to-end iRCM solutions for a top 20 Urgent Care group provider in Atlanta, GA, handling $300M payments yearly and auditing 150K charts for CDI and Provider Education. Our mobile app streamlined provider feedback and education, raising revenue and coding compliance to 95%.

Clinics can rely on accurate outpatient E&M coding and optimized revenue cycle management with R Systems’ integrated approach. R Systems’ innovative and automated iRCM solution revolutionizes revenue cycle management for over 150 clinics in Washington state. They have achieved outstanding results by managing a patient base of 500,000 and processing 1.5 million claims yearly. The clean claim submission percentage rose from 82% to 94%, resulting in shorter revenue cycles and fewer claim denials. Furthermore, the payment posting TAT has decreased to less than 24 hours, allowing our clients to receive timely payments while maintaining a healthy cash flow.

Operations Reporting for Value-Based Care