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Maintaining Timely, Accurate Payment Posting for Multiple PM Systems Physician Practice Groups put significant training, IT resources and investment into their Practice Management (PM) Systems. These applications include billing processes and reporting tools that are critical to the financial health and cash management of an organization. Since significant investment has

Revenue Cycle Outsourcing (RCO) Services for Complex Business Environments…  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 organization. Clearinghouse services go beyond just claim submission and remediation. Their services can also include eligibility and

Streamlined Workflows for Improved Processing Speed and Data Accuracy… Automating the Capture and Routing of All Payments and Correspondence 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

Automated Posting and Reconciliation, Matched to Bank Deposits… In today’s healthcare business office, complexities associated with numerous payment sources, along with robotic denials and adjustments by payors, can lead to delays in reimbursement and loss of revenue. Challenges with multiple payment streams and billing/coding errors ultimately reduce profits for provider

Strategies for Helping to Prevent and Manage Denials… ReMedics Denial Management business process automation and worklist solutions quickly isolate claim denials and defects. Denied claims are automatically captured, organized, and routed to the appropriate staff, facilitating timely and effective follow-up with third-party payors. Our extensive data validation processes also help

Exception Processing for Today’s Revenue Cycle… From remittance processing and data validation through bank reconciliation, ReMedics works to improve our client’s data quality and cash flow by detecting and correcting errors prior to posting. When claims do deviate from the norm and require human intervention, ReMedics creates exception-based worklists, designed

Reconciliation and Audit Controls for Autonomous Practice Groups… According to an article published by Chief Healthcare Executive® in 2024, corporate entities acquired 5,300 physician practices in 2022 and 2023. The percentage of corporate-owned practices rose 11% in those two years, while hospital-owned practices rose 7.3%. In many cases, these acquisitions

What’s Your Revenue Cycle Goals for 2025? Let’s Talk About Denial Prevention  With the Right Data Validation Tools and Business Intelligence (BI) Technology, You Can Prevent Many of Your Denials Claim errors that lead to denials can have a significant impact on your revenue cycle by delaying or reducing payments

Revenue Cycle Services for Multi-Specialty Physician Practice Groups Designed to Support Growing Organizations For many Multi-Specialty Groups, having more than one Practice Management (PM) system isn’t that unusual. This is especially true for groups that have grown through mergers and acquisitions. In some cases, certain specialties may require unique features

Reducing Errors with Data Validation  Healthcare claims and other billing documents contain a substantial amount of patient, provider and payor information that can originate from different sources and HIT applications — which then leave room for error. Common issues include duplicate entries, incorrect coding and incomplete data. Any inaccuracies in

Maintaining Your Autonomy with Joining or Forming an MSO With the formation of a Management Services Organization (MSO), efficiently processing and posting remittances for multiple practice management (PM) systems, clearinghouses and bank lockboxes can be challenge. This is especially true if all the groups are reporting to a single Tax

Outsourced RCM Services Designed to Grow with Your Business Mergers and acquisitions that include the use of multiple billing systems can bring a significant amount of manual work to reconcile, distribute and report on all payments being posted or re-worked. As organizations grow by adding dozens or more business units

Maintaining Cash Flow when Migrating Practice Management (PM) Systems While staffing shortages continue to create a variety of revenue cycle obstacles and cash flow interruptions, there are also a considerable number of groups in the process of researching and selecting a new Practice Management (PM) system. If you’re currently in

Practical Solutions for Improving Accounts Receivables (A/R) Creating More Efficient A/R Processes Implementing A/R workflow improvements can have a significant impact on staff efficiency and cash flow. It’s important to first mention, however, the need for to capture and utilize all patient, government and third-party insurance payment information. Second, is

Managing Revenue Cycle Processes for Multiple Clearinghouses to a Centralized Single Receiver Our client’s Clearinghouses and Banks play a key 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

Strategies for Revenue Cycle Outsourcing in a Co-Shared Business Model For many healthcare provider organizations, staffing shortages continue to create a variety of cash flow obstacles. In researching different outsourcing options, solutions will range from a specific area of need to a substantial portion of your business office. In most

Supporting Multiple Divisions, PM Systems & Clearinghouses – to a Single Receiver Maintaining Current Practice Management IT Investments Physician Practice Groups and Management Services Organizations (MSOs) put significant resources and investment into their Practice Management (PM) Systems. These core business applications include billing processes and reporting tools that are vital

Revenue Cycle Outsourcing: Integrated with Existing PM Systems ReMedics delivers fully integrated revenue cycle solutions and services that help to lower operational costs, increase staff productivity and optimize ROI. Our outsourced services, integrated with existing Practice Management (PM) Systems, modernizes the business office by eliminating manual processes associated with payment

Efficiently Repairing Exception-Based Claim Errors Claim errors and missing information in patient billing can cost your organization valuable time and lost revenue. Identifying errors that cause delays in posting payments and getting them efficiently corrected is vital to financial performance. With ReMedics exception-based worklisting tools, we use over 300 customized

Optimizing Existing Infrastructure with Physician Practice Group M&A Transactions With 338,899 currently active physician group practices in the U.S., as reported by Definitive Healthcare¹, it’s inevitable that a large number of mergers and acquisitions will continue to occur for them to remain competitive and to expand their services. For many

Providing the Tools to Maximize Staff Resources, Manage Denials and Increase Cash Collections  Denials are a line of business for the insurance companies, so you need experts and/or expertly designed technology allowing you to impact actual denials as quickly and efficiently as possible — while keeping overhead at a minimum.

Extended Business Office Services  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 options. Identifying the right vendor, however, for your specific needs is critical to making the transition (to outsourcing) as efficient and

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

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

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

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

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

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.

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

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