BPO Services and Technology for RCM

Streamlined Exception Processing for Today’s Revenue Cycle

Streamlined Exception Processing for Today’s Revenue Cycle From remittance processing and data validation through bank reconciliation, ReMedics works to automate our clients’ revenue cycle with minimal human intervention. By applying Robotics Processing Automation (RPA) and Machine Learning (ML) technology to our Business Process Outsourcing (BPO) Services, we also improve their data quality and cash flow

Denial Avoidance and Prevention

Taking a Proactive Approach to Preventing Denials

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 from health insurance payors. In

Data Scrubbing

Improving Data Quality in Your Revenue Cycle

Reducing Errors and Denials with RPA & 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 incomplete data. Any inaccuracies in the processing of

Providing RCM Support for Multiple Clearinghouses

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 also include eligibility and benefits

Single Cash Management Solutions

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 to the financial health of

Preventing Actual Denials in Healthcare

Managing Actual Denials as Quickly and Efficiently as Possible

Providing the Tools to Maximize Staff Resources, Decrease Denials and Increase Cash Collections  Healthcare Revenue Cycle Management (RCM) is one of the most complex, ever changing dynamic industries in the USA. 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

Preventing Denials in 2025

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

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