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Perks of RCM Software Development in Healthcare

Minimize Operational Cost

Healthcare revenue cycle software shifts the focus of labor-intensive paperwork to automated tasks, which leads to lower staff hirings; ultimately reducing operational costs.

Maximize Billing Accuracy

With medical coding systems, like CPT, ICD-10, and HCPCS, revenue cycle software eliminates prone-to-error billing activities and augments ROI opportunities.

Advance Patient Experience

RCM software in healthcare provides a 360-degree view of financial info and patient bills, fostering trust in your healthcare entity, whether it be a hospital, pharmacy, or clinic.

Ensure Regulatory Compliance

Get rid of legal penalties with RCM software, designed and built by our engineers to be fully compliant with regulatory requirements, incorporating secure data-handling practices.

Refine Claim Scrubbing

Revenue cycle management software automates information verification, clinical documentation, and optimal submissions, thereby reducing claim denials and increasing reimbursements.

Accelerate Decision-making

By integrating automation into the finance and operations of your healthcare system, you can enhance the decision-making process based on real-time data insights.

Our Revenue Cycle Management Software Development Services

Eligibility Verification

We develop hospital revenue cycle management software that automates the verification of pre-authorizations, insurance coverage, and claim submissions, stabilizing patients’ financial processes.

Patient Management

We empower your healthcare organization with hospital revenue cycle management software development that includes patient profile creation, intelligent appointment scheduling, and streamlined communication between patients and doctors.

Medical Billing

From transparent financial workflows to claims management to timely invoicing and follow-ups to unpaid payments, our healthcare engineers integrate revenue cycle management software with your existing billing software.

Medical Coding

At PureLogics, our team builds custom medical RCM solutions that align with ICD-10 and CPT coding to simplify superbill management, including Superbills, by optimizing the tagging of medical procedures and diagnoses.

RCM Reporting

Our data engineers integrate strong data analytics into your healthcare revenue cycle software, enabling you to access data from clinical repositories, PHRs, HISs, and PMSs to make informed decisions faster by analyzing the performance of your healthcare systems.

RCM Integrations

Within your RCM software, we do EHRs, clearinghouses, multiple payment gateways, HIPAA-compliant electronic transfers, payers, or any other third-party integrations and data migrations to accelerate your medical performance.

EPC Certification

CAQH CORE Certification

EPCS Certification

FHIR Compliance

MIPS/MACRA Compliance

PCI DSS Compliance

HIPAA Compliance

NCPDP Certification

HITECH Compliance

SOC 2 Compliance

Drummond Certification

NCQA Certification

HL7 Standards Compliance

ONC Health IT Certification

SureScripts Certification

Top Technologies That We Utilize

  • Backend
  • Frontend
  • Databases
  • Cloud & DevOps

Node.js

django

Flask

Java

.NET Core

PHP

ReactJS

Angular

Vue.js

Flutter

Swift

Google-Cloud-Platform

Microsoft-Azure

Docker

GitLab

Jenkins

Kubernetes

Terraform

Frequently Asked Questions

How can RCM software benefit my healthcare practice?

Check some of the main benefits of the RCM software for the healthcare practice:

  • Minimized Operational Cost
  • Maximized Billing Accuracy
  • Advanced Patient Experience
  • Ensured Regulatory Compliance
  • Refined Claim Scrubbing
  • Accelerated Decision-making
Can RCM software integrate with my existing EHR system?

Yes. Our healthcare professionals can integrate revenue cycle management software with your existing EHR system after analyzing gaps and compatibility. Through this integration, you’ll experience uninterrupted data flow between clinical and financial operations, accuracy in medical billing, and optimized claim processing.

What kind of support and training is provided when implementing RCM software?

Before RCM software implementation, we provide the essential training, including:

  • Comprehensive User Training
  • System-Specific Training
  • Revenue Cycle Processes
  • Compliance and Regulatory Training
  • Ongoing Support Services
Can RCM software assist in automating prior authorizations and eligibility verification?

The healthcare RCM software that we develop assists in automating prior authorization and eligibility verifications in different ways:

Authorization:

  • Payers’ authorization requests
  • Real-time request tracking
  • Auto alerts for missing documents/follow-ups

Verification:

  • Patients’ insurance verification
  • Copays and deductibles cross-checking
  • Patient plan status verifications
Is RCM software suitable for practices of all sizes and specialties?

Yes, our healthcare engineers develop the best revenue cycle management software, which is suitable for practices of all sizes. Whether you’re a healthcare enterprise or a small clinic, you can easily scale your RCM software, allowing for seamless integration with your current workflows to manage billing and automate tasks.

Schedule your free 30 minutes call with one of our experts today.

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