Healthcare Extended Business Services

Outsourced Solutions for Accelerating Cash Flow

Applying Technology + Systems Integration to Extended Business Office Solutions  For healthcare providers who are experiencing staffing shortages and/or bottlenecks in various stages of their revenue cycle, it may be worth investigating Extended Business Office (EBO) options. Identifying the right vendor, however, for your specific needs is critical to making the transition (to outsourcing) as

ReMedics Revenue Cycle BPO Services

Healthcare Revenue Cycle BPO

Healthcare Revenue Cycle BPO Are you looking to outsource some or all of your revenue cycle processes? With a unique blend of services + workflow automation technology, ReMedics provides fully outsourced BPO services across all healthcare delivery networks, including: Physician Groups; Hospitals; MSOs; DSOs; and Eye Care Networks. From Lockbox Payment Processing to Bank Reconciliation

ReMedics EDI Parsing and Segmenting Services

Parsing and Segmenting Co-Mingled Remittances

EDI Parsing and Segmenting Services For Health Systems and Physician Practice Groups needing to post payments for different divisions, locations or business units through separate billing systems, ReMedics specializes in working with remittances containing multiple Tax ID/EINs and NPIs in a multi-submitter, single receiver business environment. With the use of workflow automation and AI, powered

Core Principles of Cash Management

The Core Principles of Cash Management  

ReMedics Core Principles of Cash Management   Many of today’s automated solutions still generate a significant percentage of payment exceptions and defects. ReMedics specializes in revenue cycle optimization and the prevention of reimbursement delays with the use of AI, Robotics Process Automation (RPA) and Enterprise Content Management (ECM). With these technologies, ReMedics ensures that correct

ReMedics Revenue Cycle Outsourcing (RCO)

ReMedics Revenue Cycle Outsourcing (RCO) Services and Technology

Revenue Cycle Outsourcing: Pursuing Cash Flow Stability, Scalability and Workflow Efficiency  Many of today’s physician practice groups and hospitals face numerous revenue cycle issues, including lower reimbursement rates, inconsistent cash flow, staffing challenges, and time-consuming claim denial processes. It’s been estimated that hospitals lose $68 billion each year due to billing errors alone. The challenges

Using Analytics for Denial Management

Our Executive Team Talks About Using Analytics to Prevent Claim Errors

ReMedics Talks – Part Two of a Series  Subject: Using Automated Data Validation Processes and Analytics to Prevent Claim Errors and to Identify the Root Cause of Recurring Denials Claim denials greatly impact the revenue cycle by delaying or reducing payments from payors to providers. And while denials can cause a significant amount of revenue

Robert Zimmerman President of ReMedics

Our Executive Team Talks About Group Consolidation and Workflow Automation

ReMedics Talks – Part One of a Series  Subject: Practice Group Consolidation and Our Use of Technology for Multi-System Remittance Processing In this two-minute video, the ReMedics management team talks about practice group consolidation and multi-system remittance processing with the use of robotics process automation. For rapidly expanding Physician Practice Groups, we are uniquely positioned

medical billing and collections outsourced services

ReMedics Announces Comprehensive Collection Services

ReMedics Announces Comprehensive Collection Services  New Service Line Available to Healthcare Provider Clients We’re excited to announce that ReMedics is starting a new co-shared service line that will provide comprehensive collection solutions to our clients. As part of its services, ReMedics will be providing its clients with dynamic reporting options to quickly review details on

MSO Multi-System Remittance Processing

Remittance Outsourcing for Management Services Organizations

Remittance Outsourcing for Management Services Organizations (MSOs) to a Single Receiver With physician practice group consolidation, efficiently processing and posting remittances for multiple practice management (PM) systems, clearinghouses and bank lockboxes can become significantly complex. This is especially true if all the groups are reporting to a single Tax ID and the clearinghouse ERAs are

Automated Data Capture

Automated Electronic and Paper Data Capture

Automating Data Capture Processes for Electronic and Paper Payments Virtual Posting Workflows Integrated to Existing PM Systems In order to streamline remittance processing work with minimal errors, ReMedics enhances the data capture of all payments to include adjustments, zero pays and comments. Integrated to any major Practice Management (PM) System (or multiple systems) and a

Advanced OCR/ICR for Data Conversion

Advanced OCR/ICR Solutions for Automated Data Extraction & Conversion Utilizing OCR/ICR with Extensive Rules-based, Machine Learning Techniques With a sizable number of insurance payers still sending paper documents to healthcare providers, ReMedics helps our clients to convert their paper EOBs to ANSI standard 835 electronic files. One of the many technology tools that ReMedics uses

Challenges with Physician Practice Group M&A

Common Challenges with Physician Practice Group Mergers & Acquisitions Strategies for Success For practice groups planning a merger or acquisition, there are numerous challenges that can delay the process. Maintaining current Practice Management (PM) systems, deciding on how funds will get distributed and staffing decisions are just a few examples. ReMedics specializes in correcting many

Delivering a Tailored Combination of Services & Technology

Tailored Solutions for Optimizing Reimbursement and Cash Flow Improving Financial Performance – Integrated with Existing EMR/PM Systems Healthcare organizations lose millions each year in net revenue due to complicated reimbursement methodologies, regulatory issues, increasing patient payment responsibility, and growth in self pay or uninsured patients. Reallocating resources to improve financial performance however, can be daunting

Eliminating Paper Documents for Post-Encounter Billing Processes

Capturing Your Paper EOB’s and Correspondence Document Capture, Indexing & Retrieval With the ReMedics Document Management Portal, accounting personnel can quickly search and retrieve EOB and correspondence files by Patient Last Name, Check Number, Invoice Date, Paid Amount and many other “wildcard” options to easily identify any missing information needed for posting. By providing staff

Provider Level Adjustments (PLB)

Provider Level Adjustments (PLBs) in a Multi-Practice Group Environment

Identifying and Re-Associating PLBs The following is an excerpt from our client support newsletter called “A Closer Look”, which provides helpful information in dealing with common payment processing, denial/defect and reconciliation issues. This particular article looked into the complexities associated with Provider Level Balance Adjustments (aka PLBs). If you would like to know more about

Robotics Process Automation for Healthcare

Minimizing Human Intervention with Robotics Process Automation (RPA)

Using RPA in Revenue Cycle Applications Can RPA improve your revenue cycle? The quick answer is definitely yes, with the right technology and experienced systems integration partner.  A subset of Artificial Intelligence (AI), ReMedics uses Robotics Process Automation (RPA) in our Operations Group to create streamlined workflows where the need for human intervention is minimized

ReMedics EOB Infographic

OCR Data Extraction: Converting Paper EOBs to 835 ERAs

Converting EOBs to 835 Electronic Remittance Advices Optical Character Recognition (OCR) in its simplest form is the process whereby a paper document is scanned and the image is captured for processing data into a specific application, such as paper-based EOBs. The text is extracted from an image and converted into machine readable data (as 835

Denial Prevention

Denial Prevention and Increased Staff Efficiency

Denial Prevention and Increased Staff Efficiency Benjamin Franklin is credited with having coined the phrase, “An ounce of prevention is worth a pound of cure.” It’s as relevant today as it was in 1736, especially when it comes to healthcare payor denials. In a recent survey* reported by Becker’s Healthcare, over 500 Chief Financial Officers

Correspondence Document Management Made Easy

Correspondence Document Management

Correspondence Management and Workflow Efficiency For healthcare provider organizations, unstructured content exists in a wide variety of file types and sources of information. Being able to quickly retrieve lockbox correspondence, indexed to the patient, can play a critical role in how fast your claims get paid, delayed or denied due to missing or inaccurate data. 

Supporting Multi-Submitter Clearinghouse Accounts

Maintaining Your Clearinghouse & Banking Relationships  Our client’s Clearinghouses and Banks play an important role in how medical claims are submitted and how insurance payors provide reimbursement back to the physician group. Clearinghouse services go beyond just claim submission and remediation. Their services can also include eligibility and benefits checking, referral authorization, and claims status

Revenue Cycle Management Workflow Automation

Workflow Automation and Revenue Cycle Management

Improving the Revenue Cycle with Workflow Automation Solutions for Departmental or System-Wide Needs As providers and health systems attempt to make improvements in their revenue cycle, not everyone experiences the exact same problems where the need for a solution becomes a priority. From patient registration through bank reconciliation, there are numerous areas in patient finance

post-merger systems integration

Streamlining Post-Merger Integrations

Streamlining Post-Merger Integrations When merging two or more practice groups together, there’s a considerable amount of work to be done in negotiating agreements and in working through all of the organizational details. Some may say, however, that after the papers are signed, the real work is just getting started. When it comes to the revenue

ReMedics RCM Outsourcing Services

Augmenting Your Billing Staff

Augment Your Billing Staff with Outsourced Payment Processing For many physician groups, medical clinics and MSOs, staffing shortages in the business office have contributed to a variety of cash flow obstacles. A/R backlog continues to affect cash management as the volume of unpaid claims and denial rates remain a constant challenge. In a recent article

Robotics Process Automation Data Scrubbing

Data Verification and Robotic Process Automation (RPA)

Data Verification with Robotic Process Automation (RPA) and Machine Learning  Healthcare claims and other billing documents contain a substantial amount of patient, provider and payor information that can originate from different HIT applications — which then leave room for error. Common issues include duplicate entries, incorrect coding and misspellings. Other errors include incorrect spacing, transposed

multi-vendor aggregated data

Integrated Solutions for Aggregated Environments

Managing Cash Flow in a Multi-Vendor Environment  For larger practice groups and MSOs, the complexities of a multi-vendor environment can often inhibit efficiency and adversely affect cash flow. This is especially true for organizations with business units using a variety of EMR/Practice Management (PM) Systems and Clearinghouses to capture charges, process claims and receive payor

physician group merger

Case Study | Merging Practice Groups with Multiple PM Systems

Case Study Preview: A Collaboration of ENT Practice Groups  A new case study published by ReMedics features a collaboration of four ENT Physician Groups that treat over 20,000 patients a year. They currently have over a dozen combined locations, providing comprehensive medical and surgical care. The individual practice groups desired to maintain their business autonomy,

Parsing EDI payment transactions for reconciliation

Case Study | Parsing EDI Payments for Distribution

Case Study Preview: Automated Parsing of EDI Transactions A new case study published by ReMedics features a podiatry practice group with over 100 board certified podiatrists and a network of approximately 80 office locations. The client was receiving EDI transaction payments for multiple business units/divisions within a single ERA file from their Clearinghouse. Further complicating

Single Cash Management Platform

Exploring the Benefits of a Single Cash Management Platform

Combining BPO Services with a Single Cash Management Solution  While many Physician Practice Groups currently use a Business Process Outsourcing (BPO) vendor, they may not have ever investigated the potential benefits of using of a combined BPO Services + Single Cash Management Solution. Let’s take a look at why this type of outsourced service may

Practice Group Mergers

Maintaining Bank Relationships with a Practice Group Merger

How to Keep Your Banking and Clearinghouse Relationships with a Practice Group Merger  Banks provide several key services in the revenue cycle, starting with being the recipient of funds as well as EOBs and correspondence via lockbox services. Clearinghouses are are integral to healthcare providers in order for them to forward claim information and receiving

ReMedics workflow automation

Modernizing RCM with Automated Workflow Processes

Modernizing Revenue Cycle Management with Automated Workflow Processes   In order to modernize the revenue cycle for your organization, manual efforts associated with payment capture, check matching, document indexing, remark code translation, posting and bank reconciliation need to be minimized. If automated workflow seems out-of-reach for your organization, then finding an experienced, cost-effective outsourcing partner should

Managing Healthcare Financial Data

Creating Payment Processing Efficiency

Keys to Managing Healthcare Claims and Payment Information   Depending on your type of business and reporting requirements, efficiently managing high volumes of information from disparate systems can often require manually aggregating the data. With ReMedics specializing in the processing of healthcare insurance payments, and with creating operational efficiencies, our focus is on three specific

McGuireWoods Healthcare Conference

McGuireWoods 15th Annual Healthcare Finance and Growth Conference

ReMedics Sponsoring 15th Annual Healthcare Finance and Growth Conference   ReMedics is excited to announce our sponsorship of McGuireWoods 15th Annual Healthcare Finance and Growth Conference. The conference takes place on September 15th at the The Ritz-Carlton at 201 East Trade Street in Charlotte, North Carolina.  Robert Zimmerman, ReMedics President and COO, to be a

Denial avoidance and denial management.

Preventing and Managing Denials

Preventing and Managing Denials More Efficiently   It’s no secret that claim denials can greatly affect the revenue cycle and profit loss. While appeals can be time-consuming and costly, it’s better than receiving no reimbursement at all. However, learning from past claim errors to avoid future denials with permanent revenue cycle improvements is the ideal solution

Automated EDI Splitting

Segmenting EDI for Payment Processing

Keep Cash Moving with Automated EDI Splitting For healthcare providers with multiple business units needing to split large, co-mingled EDI payments, the task can be time-consuming and prone to errors. This delays payments, adds more work downstream, and ultimately affects cash flow. With many of ReMedics clients, a proprietary EDI Splitter application is utilized to

cash flow and physician practice group acquisitions

Maintaining Cash Flow with Practice Aggregation

Growth Strategies with Physician Practice Group Aggregation   Expanding a practice or MSO through Practice Group Aggregation can present a variety of revenue management obstacles that need to be planned for. One of the more challenging adjustments is when the newly acquired group is required to change its Practice Management (PM) system. This major disruption to

Connecting Healthcare Systems

Building a Bridge to Connected Healthcare

Unifying Disparate Systems for Streamlining Operational Efficiency ReMedics technology-driven partnerships enable us to deliver tailored revenue cycle services designed to increase payment processing efficiency, cash flow and profitability — for multiple divisions and business units using different Practice Management (PM) Systems and Clearinghouses. Their technology enables us to deliver sustainable financial results for Physician Practice

EOB Check Matching

Check Matching Automation and Posting Accuracy

EOB Check Matching Technology and Payment Processing Efficiency   Processing Physician Practice Group payments from multiple PM Systems and Clearinghouses to a single Tax ID/EIN requires a high degree of data accuracy and verification. The distribution of funds for separate divisions (or business units) also adds complexity to the work for MSOs and DSOs. To accomplish

Power BI Analytics

Analytical Insights for a 360-Degree View of Your Business

Using Power BI Analytics to Increase Revenue   By utilizing analytical solutions with Microsoft’s Power BI, ReMedics provides our Practice Group clients with data visualization tools that help them to make informed revenue cycle decisions. By identifying and addressing negative trends and inconsistencies in key RCM areas, these reporting tools can help to develop process and

Proactive Follow Up in the Revenue Cycle

Automating and Improving Collection and Follow-Up Activities   Revenue improvements can take place by making incremental changes in many different RCM areas — from Patient Registration and Remittance Processing, all the way through to Collections. In this article, we focus on automating and improving collection and follow up activities. With patient liabilities continuing to rise, it’s

Denial Management Trends and Analysis

Identifying Hidden Trends in Your Posting Data

Analyzing Trends for Permanent Revenue Cycle Improvements   Having an accurate view of your daily billing and posting data is just one step in effectively managing revenue cycle improvement processes. Looking at historical and current data over a longer period of time, however, can help to identify hidden trends where revenue and/or cash flow could be

Treasury Reconciliation

Segmenting Bank Deposits by Business Unit

Segmenting Practice Group Bank Deposits by Business Unit For many of our clients, having the ability to segment bank deposits by business unit saves them a considerable amount of time and effort in managing their funds distribution. With ReMedics Treasury Reconciliation Services, bank deposits are segmented, balanced and reconciled daily for divisional and corporate-wide groups.

Systems Migration Strategies

Physician Practice Group Practice Management (PM) Systems Migration

Connecting Core Business Systems to a Single Cash Management Platform  One of the major challenges of a Practice Group merger or acquisition is with the introduction of a new Practice Management System and Billing Application to an expanded group of physicians and their support staff. Significant IT time and costs go into data migration, training

Claim Denials

Isolating Claim Defects and Denials

Isolating Claim Defects and Preventing Denials with Automated Process Improvements  Errors and defects in medical claims are inevitable. A small percentage of them will eventually turn into a denial. How you handle defects and exceptions, however, can lead to significant dollars being delayed, or lost entirely, due to the additional work being required to collect

Exception Worklists

Exception-Based Work Queues for Improved Efficiency

Automated Exception-Based Work Queues Improve Customer Service, A/R Collections, Denials and Appeals Management  ReMedics utilizes workflow automation technology to automate the creation of exception-based work queues, significantly improving staff efficiency for common Customer Service and A/R functions. These exception worklists and work queues are auto-generated to improve specific areas of need, such as: appeals; denial

revenue cycle reporting analytics

Revenue Cycle Reporting & Analytics

Unlock Your Revenue Potential with Detailed Reporting, Scorecards & Data Analysis One of the many benefits of using ReMedics for your outsourced remittance processing, data validation and bank reconciliation needs, is the detailed reporting that we provide to your management team. ReMedics Reporting & Analytics solutions help you to visualize and analyze revenue cycle data

Converting Paper EOBs to 835 Normalized Data

Utilizing Advanced OCR Technology for Converting Paper-Based EOBs One of the many technologies used by ReMedics to automate payment processing for our healthcare clients is Optical Character Recognition. Utilizing OCR technology, text is extracted from an image, such as paper-based EOBs, and converted into machine readable data. The problem with processing paper EOBs is they

Revenue Cycle Business Process Outsourcing

Physician Group Business Process Outsourcing

BPO: An Alternative to Inefficient, Time Consuming Tasks ReMedics delivers fully integrated revenue cycle solutions and services that help to lower operational costs, increase staff productivity and optimize ROI. Our outsourced remittance and payment processing services eliminates paper and modernizes the payment cycle by eliminating manual work tasks associated with payment posting, check matching, document

Steps to Improve the Revenue Cycle

Six Steps toward Revenue Cycle Improvements

Taking Control of Your Business Office Unstructured content plagues practically every healthcare organization. It’s the data that resides outside your organization’s core systems and processes. For patient care, it’s the patient information that exists outside your EMR. In patient finance, it’s the data outside your billing and financial systems. And in accounting, it lives beyond