Best Revenue Cycle Management (RCM) Products

Tools that enable patient to access, understand and complete payment for healthcare services.

Analytics tools that describe, forecast, and report on revenue cycle management issues, including coding, billings and collections.

Solutions to track, analyze and manage the revenue from patients and payers throughout the healthcare financial process.

Tools that help streamline and automate prior authorizations for providers at the point of care.

Broader Revenue Cycle Management Tools that have a Patient Financial Experience Interface

• Claims Submission and Processing: Software that automates the submission of claims to insurers and tracks their status.

• Denial Management: Tools that identify, analyze, and appeal denied claims to ensure maximum reimbursement.

• Revenue Integrity and Compliance: Solutions that ensure claims are compliant with regulations and accurately reflect services provided.

Online tools for consumers to view prices for providers, procedures and services.

Software that identifies relevant medical codes based on healthcare records and clinical documentation.

• Revenue Cycle Analytics: Platforms that provide insights into financial performance, including KPIs such as days in accounts receivable (A/R) and denial rates.

• Financial Reporting and Dashboards: Tools that offer customizable reports and dashboards to track revenue cycle metrics and identify areas for improvement.

Software that streamlines privileging workflows, expediting regular tasks such as verifications, expirations, and document requests.

Platforms that offer electronic transmission of information between the prescriber and PBM/payer to enable real-time approval for medication at the point of care.