RCM Healthcare Solutions Achieves Patent Status on New Medical Claims Management Agentic AI Software Proactive AI – Shakira
RCM Healthcare Solutions is committed to achieving lasting, measurable and sustainable results in the mitigation of claim issues for the healthcare industry. The mission is clear, level the playing field for Providers and Patients, creating healthier communities. Our cutting-edge technology, education, training and healthcare wherewithal encourages client engagement via education, identifying where revenue leakage is occurring to improve financial performance. The automation works with your idiosyncratic processes to reduce hand-offs, errors, misses, black-holes, responses and increase throughput, accuracy and liquidation. Improved financial performance for a Doctor, Hospital or Ancillary Provider indicates that the resources being put into the community’s health comes back adequately enough from the payers to sustain the healthy community.
RCM Healthcare Solutions Achieves Patent Status on Medical Claims Management Agentic AI Software Proactive AI – Shakira
RCM Healthcare Solutions is committed to achieving lasting, measurable and sustainable results in the mitigation of claim issues for the healthcare industry. The mission is clear, level the playing field for Providers and Patients, creating healthier communities. Our cutting-edge technology, education, training and healthcare wherewithal encourages client engagement via education, identifying where revenue leakage is occurring to improve financial performance. The automation works with your idiosyncratic processes to reduce hand-offs, errors, misses, black-holes, responses and increase throughput, accuracy and liquidation. Improved financial performance for a Doctor, Hospital or Ancillary Provider indicates that the resources being put into the community’s health returns from the payers to sustain the healthy community.
Why us?
See how our end-to-end solutions can help you improve, clinical,
financial, and engagement outcomes
Day one revenue streams
With our pre-programmed rules engine for common denials already built, MCM will be able to identify and correct these denials right out of the box on day one of the engagement, providing immediate cash!
Shakira - Agentic AI
Autonomous Appeal intelligence: When a denial does occur, our AI instantly generates a payer-specific appeal, citing laws, regulations, guidelines, the supporting clinical documentation and policy language needed to trigger a reversal.
Cloud hosted
We are on Amazon Web Service, so you can access the program from a multitude of devices!
Secure
Feel safe and secure as your data is protected with our SOC 2 Type 1 & Type 2 Certifications
Automated process with work queues
MCM tracks and trends your data and claims. Any issue MCM identifies that Proactive AI cannot handle, MCM creates work queues to the responsible party indicated and provides them needed information so a corrected claim can be submitted or denial may be liquidated.
Fully compatible EDI data and FHIR/API ready
MCM ingests data from EDI files as well as your supporting data. We integrate seamlessly with all EHRs, including EPIC, ORACLE, MEDITECH, ALLSCRIPTS, NEXTGEN, ECW, ATHENA and being fully integrated with Microsoft Office can provide back your data in whatever format you require
Join Our Virtual Experience Into the Future of Medical Claims Management!
RCMHCS is here to provide cutting edge technology. Let us show you how we can improve your revenue by alleviating your medical claim issues.
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