RCM Software — Modules Your Own Team Can Run

Why modules rather than a platform

A full platform migration is a project. It has a timeline, a budget, a consultant and a reason to be postponed. Meanwhile the thing actually costing you money — usually eligibility, sometimes authorizations — carries on costing it.

Taking one step at a time means you can judge the result before committing to the next, and stop if it does not work. That is a harder thing for a vendor to sell and an easier thing for a practice to say yes to.

Who this is for

Billing companies carrying the same repeated work across many clients, where a fix applied once pays back many times over.

Practices where one step has outgrown the person handling it — usually the person who also does three other jobs.

Groups that have looked at a full RCM platform, seen the implementation timeline, and decided not this year.

If your whole revenue cycle is one part-time person and it is working, you do not need any of this yet. Say so and we will tell you the same.

Insurance Eligibility Verification Software

Eligibility checked against payer systems in real time instead of by phone or portal. Coverage, plan status, co-pay and deductible are returned before the patient arrives. This is where most practices start, because the effect shows up inside one billing cycle.

Prior Authorization Software

Authorization requirements are identified at the point of order, requests submitted, and status tracked to decision without anyone refreshing a payer portal.

Denial Management Software

Denials are grouped by cause rather than listed by date, so the pattern behind a month of denials is visible and the same denial stops arriving next month.