We build custom healthcare revenue cycle management software to meet the unique business processes of your practice and deliver efficient solutions that improve cash flow and increase ROI.
Get AdviceRevenue cycle management involves various steps and tasks required to generate revenue from the healthcare services providers deliver to patients. These include scheduling appointments, insurance eligibility verification, collecting co-pays and deductibles, coding and submitting claims, denial management, posting payments, and managing accounts receivable.
Revenue cycle management includes the entire process of medical billing and collecting revenue from healthcare payers. By adopting efficient practice management software with custom healthcare payment solutions, you will optimize healthcare operations. This includes reduced errors, delays, and inefficiencies, with real-time data and insights that can help you monitor and improve financial performance.
As a custom healthcare revenue cycle software development company, we build solutions that provide comprehensive benefits for medical institutions, improving their profitability, quality of services, and other operations.
Integrating all the aspects of your revenue cycle management into one system can eliminate inconsistency that can lead to errors, rework, and lost revenue. It reduces fragmentation, improves data consistency, and enhances the overall management of financial information, ensuring that nothing falls through the cracks.
By automating and streamlining your revenue cycle management processes, you can improve your operational efficiency and productivity. Staff will work more effectively when you reduce administrative burdens and allow them to focus on more critical tasks.
One of the primary functions of hospital revenue cycle solutions is to enhance the accuracy and completeness of claims submissions. By providing tools for error checking, coding validation, and thorough clinical documentation improvement, RCM systems help reduce claim denials. Better denial management means faster reimbursement and less time spent on resubmissions and appeals.
RCM systems offer real-time data and analytics. It helps healthcare organizations to have more accurate revenue cycle forecasting. This capability is crucial for financial planning, budgeting, and decision-making, helping organizations anticipate and address financial challenges and opportunities.
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Get a ConsultationCustomized healthcare revenue cycle management solutions ensure compliance with regulations like HIPAA, optimize efficiency, and enhance patient billing experience. In a complex and costly healthcare landscape, hospital RCM services are essential for maintaining financial stability and quality patient care in all niches.
Such revenue management solutions in healthcare are tailored to unique dentistry needs, such as dental procedure coding, insurance claims for common dental services, and secure payment processing.
A custom RCM services solution helps streamline billing for procedures like cleanings, fillings, and extractions, ensuring efficient claim and denial management and accurate payments. It’s equipped to handle insurance eligibility checks and facilitate direct patient payments for medical services.
Additionally, by providing user-friendly patient statements and invoices specific to dental treatments and your practice, you improve transparency in billing for patients within the dental domain.
These revenue cycle management solutions for healthcare focus on managing financial processes related to mental health and addiction services. Such software streamlines billing and claims processing for therapies, counseling, and addiction treatments.
The system ensures compliance with insurance regulations for behavioral health services, handles patient statements and invoicing tailored to this domain, and supports various payment methods.
Customized medical coding and claim management are designed to address the specifics of this niche, allowing for efficient reimbursement and patient billing.
Revenue Cycle Management software can optimize the financial processes for various ambulatory services such as primary care, urgent care, and outpatient surgeries. The system focuses on efficient patient registration, insurance verification, claims management, and streamlined billing, tailored to ambulatory care procedures.
It usually supports different payment methods, including co-pays and self-pay options. The system should ensure claims are accurately generated with specific medical coding, and it generates clear patient statements and invoices for transparent billing.
Integration with Electronic Health Records (EHR) is central to this niche, enabling synchronization of clinical and financial data.
The RCM system gathers patients’ insurance and payment information in advance to facilitate billing associated with elective surgeries and treatments, such as cosmetic procedures and elective surgeries.
Ideally, the Revenue Cycle Management system should support payment options, including insurance claims, upfront payments, and payment plans. Its comprehensive data analytics and reporting offer insights into financial performance, and the system ensures compliance with healthcare regulations, including HIPAA.
Most custom RCM solutions have patient registration, billing, and claims processing to ensure efficient payment collection. Thus, there is no need to overpay for extra functionality of off-the-shelf revenue cycle management solutions that a healthcare provider doesn’t need.
The ideal revenue cycle system will support various payment methods specific to your practice, from insurance claims to co-pays and self-pay options, tailored to the niche and size of the practice. The whole idea of custom revenue cycle software is to make the future platform adaptable to specific domain requirements, enhancing financial stability.
Recognizing the unique needs of healthcare organizations, we design solutions that align with your revenue cycle management and ensures revenue integrity.
We build solutions for healthcare organizations that can enable you to monitor the health status and vital signs of your patients remotely using wearable devices, sensors, mobile apps, and cloud platforms. Now, you can upgrade your healthcare practice and, at the same time, ensure the revenue integrity of the new offerings.
Learn moreOur custom practice management solution improve clinical workflow management, documentation, scheduling, billing, reporting, patient engagement and more by developing a custom solution that meets your unique business processes.
Learn moreWe can deliver a complex practice management system that include video conferencing, messaging, chatbots, artificial intelligence, and more for healthcare providers. It will integrate with your existing systems to offer top medical services to your patients. For your business, it also incorporates faster eligibility verification and claims management.
Learn moreGet a user-friendly and responsive interface for your patients and staff members to access your services online. By leveraging the latest web technologies and frameworks, we ensure the high performance and security of your web app.
Learn moreEnhance the usability and accessibility of your software solutions with intuitive and logical user experience. Get all the benefits from our user research, prototyping, testing, and evaluation methods to ensure optimal user feedback and engagement.
Learn moreProvide a convenient and portable way for your patients and staff members to access your services on their smartphones or tablets. Take advantage of the native features and functionalities of mobile devices to improve your service delivery.
Learn moreCustomize After-Visit Summaries And Reply to Patient Messages Sooner With Custom Revenue Cycle Software
Contact UsThis model involves paying for the actual time and resources used to build your solution. It would be the best option for projects with evolving or unclear requirements since it offers the flexibility to accommodate new features.
If your project’s scope, requirements and deliverables are well-defined, our development team will provide a fixed price for the entire project. This cooperation model is suitable for well-understood, stable projects with minimal expected changes.
The development process is divided into smaller, manageable phases with specific goals and timelines. Iterative planning is ideal for complex and dynamic projects where requirements may evolve. If you want to start as soon as possible, our team will create an estimated price based on the milestones.
PROJECT SUCCESS
A healthcare client hired Empeek to develop a remote patient monitoring (RPM) system that collects health data from patients’ homes using cellular and wi-fi-enabled devices (including blood pressure monitors, scales, and glucose meters) and securely transmits it to healthcare providers. The custom solution was developed in multiple phases to replace an existing off-the-shelf system that had limited functionality, and it enabled physicians to make faster patient care decisions while reducing ER visits and hospital readmissions.
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PROJECT SUCCESS
We’ve built a HIPAA-compliant EHR system and Patient Portal for them with advanced telemedicine, billing, and reporting & analytics modules.
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Yes, we will integrate your custom healthcare RCM software with your existing health systems or any other software you use. The level and complexity of integration will depend on the specific needs of your healthcare organization and the capabilities of your chosen RCM and HIS/EHR systems.
While there is no fixed average cost, a ballpark estimate for a mid-sized RCM solution, which is not highly customized, can range from $200,000 to $500,000 or more. However, there are a number of factors that influence the cost of developing a healthcare revenue cycle management solution such as the scope, complexity, features, functionality, integration requirements of your project.
It’s essential to work with experienced RCM solution providers to obtain accurate cost estimates based on the specific requirements and objectives of your healthcare organization.
A rough estimate for a typical RCM solution would range from 9 to 18 months. The complexity of the RCM solution, the number of features, integration requirements, and customization will significantly influence the timeline. Smaller or less complex RCM solutions may be completed in a shorter period, while large, highly customized systems for large healthcare organizations may require more time.
