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, patented technology, workforce education and healthcare wherewithal encourages client engagement. Our automation is unparalleled, identifying where revenue leakage is occurring to improve financial performance. Our system works with your idiosyncratic processes to reduce hand-offs, errors, misses, black-holes, responses and increase throughput, accuracy and liquidation. Shakira even writes your clinical appeals, sends them and follows up! 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. When working with RCM Healthcare Solutions, be ready for healthier patients, a happier community and wealthier providers.
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, patented technology, workforce education and healthcare wherewithal encourages client engagement. Our automation is unparalleled, identifying where revenue leakage is occurring to improve financial performance. Our system works with your idiosyncratic processes to reduce hand-offs, errors, misses, black-holes, responses and increase throughput, accuracy and liquidation. Shakira even writes your clinical appeals, sends them and follows up! 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. When working with RCM Healthcare Solutions, be ready for healthier patients, a happier community and wealthier providers.
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
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