RCM360
Medical Billing Optimization
RCM360’s Billing Optimization services combine operational expertise with data-driven analysis and targeted automation to improve revenue cycle performance. With RCM360, identify root causes, reduce errors, and sustain measurable improvements.
Health centers, medical practice, and specialty care groups across the nation turn to RCM360 to help take advantage of all their EHR functionality.
With RCM360, optimize medical billing to maximize collections, align with strict regulatory requirements, and boost business profitability.
How We Optimize Billing Performance
- Data-led assessments to identify bottlenecks and revenue leakage
- Workflow and process optimization across charge capture, coding, and follow-up
- Identification of targeted automation opportunities
- KPI definition and dashboards to sustain gains over time
Consulting & Advisory Services
Every ambulatory care facility can benefit from better RCM processes, cleaner claims data, and stronger system alignment. RCM360’s consulting team works directly within your eClinicalWorks or NextGen environment to uncover billing performance gaps and implement lasting improvements.
Defined RCM-Focused Consulting Engagements
- Insurance Eligibility & Benefits Verification
Evaluate payer eligibility workflows, clean up payer lists, and automate eligibility verification to reduce front-end errors and registration delays - Denials Evaluation & Management
Identify denial root causes, quantify financial impact, and implement claim-rule and edit-library optimizations that prevent recurrence - Patient Engagement Optimization
Improve communication, scheduling, reminders, and portal adoption to reduce no-shows and accelerate patient payments - Case Management Review
Streamline case tracking, authorizations, and follow-ups to minimize missed billing opportunities in multi-visit care environments - Chart Audit / Charge Capture Process Optimization
Review provider documentation, coding accuracy, and charge creation workflows to ensure every encounter translates into compliant, timely revenue - Patient Collections Review
Analyze statement workflows, payment portal setup, and third-party integrations to boost self-pay collections and reduce statement costs - Payer A/R Analysis
Drill into aged A/R by payer, denial category, and claim status to expose bottlenecks and prioritize high-impact recovery actions - Reporting / Analytics Assistance
Design or refine dashboards and reports in eCW, NextGen, or Power BI to deliver real-time visibility into financial and operational KPIs - eCW / NextGen PM & RCM Optimization
Assess and re-configure core system components- Templates, rules engines, billing queues, and scheduler setups to align technology with best-practice RCM processes
Optional Follow-Up Service
RCM/PM Optimization Remediation – hands-on implementation of your assessment recommendations,
led by our technical and process experts to ensure measurable improvement
Whether you outsource your billing or keep it in-house, RCM360’s consulting engagements give your team the insight and tools to perform at a higher level with measurable ROI.
Tackle common healthcare revenue cycle challenges related to medical billing
Staff Turnover
It’s difficult to constantly transfer training and knowledge from staff member to staff member. It can take years of experience to truly master the practice management system.
Inefficient, Manual Processes
Staff tend to follow manual processes that are more familiar to them, which takes more time and is less efficient. Our experts deploy the many tools to improve your processes through automation.
Complex EHR System Settings
Staff members don’t know the use or challenges of the settings in the system. Some of these settings can decrease denials almost immediately. Our team of experts will work side-by-side with your team to develop the best strategies for setting rules and edits to reduce denials.
Limited Reporting Skill
The reporting process can be complex. Setting a strategy for reporting and interpreting reports on a regular basis is a specialized skill. Let RCM360 evaluate your system, set up automated features, manage your denials, monitor completion of notes and develop custom EBO reports to manage your revenue cycle and provide relevant data.
Time-Consuming New Features
As systems evolve and enhancements are made, it can be difficult to stay current with new features. Our staff are required to stay up-to-date with the latest functionality.
Issues with Clearinghouses
Healthcare organizations need help resolving issues with clearinghouses. Clearinghouse rejections can be time-consuming and costly to resolve. Our billing staff works with support technicians to address issues efficiently.
Let RCM360’s Billing Experts Get You on Track
RCM360 has more than 100 years of combined experience in medical billing and processing claims. Utilizing analytics and dashboards that provide actionable insights, we partner with you to help navigate the complexities of medical billing with customized solutions that meet your needs. Let’s get started by conducting a free A/R Analysis.
Free A/R Analysis
RCM360 has created a custom analysis for your application based on many years of experience in developing new workflows and processes to help you improve collections.
It’s provided at no-cost and does not require a contract. We will provide the following:
Opportunity Data Report
A snapshot of your account over the last two years. The Opportunity Data Report shows average charges, average payments, adjustments, claim counts, and more. It RCM360 to get an overall view of the current situation and make informed decisions on how to improve.
Opportunity Dashboard Report
The Dashboard Report provides details of your workflow process. It includes daily payment average, net collection rate, percentage of A/R over 120 days, days in A/R and unlocked notes. It allows us to uncover red flags so we can provide a plan to address key issues.
Claim Activity Report
This report is a custom report designed by RCM360. Within this report, we look at the last claim activity and the last time claims were touched; meaning a submission, payment on the claim, a denial on the claim, or a note on the claim.
RCM360: A Unique Approach Designed for Your Healthcare Facility
When you work with RCM360, you will be assigned an account manager and a team of experienced billers who begin by learning all there is to know about your current billing system. We work with you to identify issues with claim submissions and develop a strategy to solve problems before claims age out. Our team is dedicated to becoming an extension of your team; working together to meet the unique needs of your healthcare facility.
Our clients enjoy total transparency as we work side-by-side within your system, so you can see everything we do. You can leverage our expertise while maintaining complete control over the complex process of A/R and improving your overall cash flow. Partnering with RCM360 also means you will have access to a team of certified trainers, support, and data experts to help you optimize your investment.
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