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Best Revenue Cycle Management (RCM) Products

Best Revenue Cycle Management (RCM) Products

Optimizing revenue cycle processes equals a $9.5B total opportunity.

Revenue cycle management is integral to creating a financially solvent health system. However, embedded in the current process for managing the healthcare revenue cycle are many time-consuming manual processes that contribute to high administrative costs. Revenue cycle stages of securing prior authorization and financial clearance, improving clinical documentation, assigning proper codes, and managing denied claims require substantial labor resourcing. Doing these tasks manually can result in staff burnout and costly errors throughout a patient's care.

Additionally, today’s market presents many challenges—higher costs and deductibles, decreasing reimbursements, more regulatory complexity, shifting payment models, and increasing consumerism. To deal with these financial pressures, health systems are being forced to innovate.

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Product Grid

Revenue Cycle Management (RCM): Products


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431 products
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HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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Ambience Healthcare’s AI technology for scribing, coding, referrals, and patient summaries has been deployed at health systems such as UCSF Health, St. Luke’s Health System, John Muir Health, and Memorial Hermann Health System. Ambience is the only AI scribing and coding solution designed to support 100+ specialties and subspecialties, and is directly integrated with Epic, Cerner, athenahealth, and other leading EHRs. 

 

By partnering with Ambience, healthcare systems reduce documentation time by an average of 80%, improve clinical documentation integrity, and achieve at least a 5X return on investment with more accurate E&M coding. Ambience is also the only AI solution that provides clinicians with AI-assisted CDI support. Ambience surfaces precise diagnosis codes for clinicians to review based on patient conversations, then structures documentation to support selected codes. 

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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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+50 verified clients
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Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

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product capabilities
Requirements Identification
Form Completion
Forms Library
Documentation Collection
Request Submission
Status Monitoring
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Leading Health System
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Leading Health System
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Patients placed in the wrong bed status with improper documentation results in massive revenue loss and patient dissatisfaction.

Physicians can’t keep up with constantly changing criteria needed to admit patients to the hospital, and hospitals spend tons of money and resources fixing bed status issues retrospectively.

AdmissionCare provides the admitting physician with automated admission criteria - such as MCG - integrated directly into the EHR workflow to help document medical necessity that increases payer reimbursements and reduce denials.

How does it work?

  • Integrate into the clinician's EHR workflow
  • Determine the most appropriate bed status for each patient at admission
  • Synchronize payer criteria with the clinician's documentation
  • Collect revenue for the care provided, while avoiding costly denials
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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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Our pre built and custom revenue cycle management bots run the gamut from Pre-Visit to Accounts Receivable and all that's in between. We've automated processes in Epic, eCW, Cerner and so many more! We offer full automation lifecycle services and support. Check out our Revenue Cycle products: https://www.campteksoftware.com/healthcare-revenue-cycle-management/

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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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Create a unified patient experience across your business with your brand’s look and feel. Solv’s suite of features provides you with everything you need to exceed patients’ expectations the first time they ever interact with your brand, with tools that are proven to increase loyalty, reduce leakage, and accelerate revenue collection. 

Solv provides a digital presence for providers to want to offer convenient, accessible healthcare to their patients, with features including:
- Online self-scheduling
- Digital registration with insurance capture and electronic consent
- Online payment
- Video telemedicine
- Automated waitlist management and optimization
- Secure chat
- Feedback, surveys and reputation management
- New patient acquisition
- Returning patient loyalty portal

Solv offers three solutions to engage patients, increase visit volumes and improve satisfaction.

Solv Patient Experience. provides a streamlined way for patients to schedule a visit and track their spot in line. Through Solv, patients can be sent a message when the clinic is running behind or when asking patients to schedule a follow-up visit. After the patient’s visit, Solv has an automated review collect flow to enhance the clinic’s online presence.

Solv Video Telemed. A patient-friendly virtual care platform, Solv Video Telemed allows patients to start a video visit in seconds. Patients can both schedule a time or request an ASAP visit. Digital registration, consent forms, and payment collection is included through an easy-to-use workflow in a HIPAA compliant and secure platform.

The Solv App for Patients. This mobile app helps patients find and schedule convenient care providers and rebook in 2 taps at their preferred clinics. The app helps practices acquire new patients and increase patient loyalty. More than 6M consumers use the Solv app each month to engage with high quality healthcare providers.

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Leading Health System
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Leading Health System
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Leading Health System
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Leading Health System
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+50 verified clients
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There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

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Leading Health System
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Leading Health System
Health system
Leading Health System
Health system
Leading Health System
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+50 verified clients
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RevSpring closes all the gaps to deliver a patient experience that’s as effortless, personal and connected as the device in their hands.

Engage IQ™ centers on patient understanding to deliver a wholistic experience that is effortless and personal, which optimizes outcomes for patients, members and providers.

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product capabilities
Digital statementing
Statement consolidation
Post-service patient payment
Self-service out-of-pocket estimator
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Leading Health System
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Leading Health System
Health system
Leading Health System
Health system
Leading Health System
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+50 verified clients
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XpertCoding uses advanced AI, NLP, and RPA technologies to automate over 90% of medical coding tasks, processing claims within 24 hours. XpertCoding's AI-powered coding system maintains a 98% accuracy rate and reduces coding costs by over 50%. 

XpertCoding also includes a Business Intelligence suite with a Clinical Documentation Improvement (CDI) Dashboard and a Comprehensive Data Analytics Dashboard, providing essential insights for healthcare leaders and teams to optimize operations.

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key clients
Leading Health System
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Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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AVIA Marketplace offers a product grid that is a comprehensive resource for health care buyers in their research journey. The grid showcases products from leading vendors and ranks them based on compatibility level and market presence. This approach ensures that the products listed are not only relevant to the buyer's needs but also established in the market. With AVIA Marketplace's product grid, health care buyers can make informed decisions and select products that meet their specific requirements.

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