About Us | RCM Healthcare Solutions

About Us

Our Mission

RCM Healthcare Solutions exists to remove administrative barriers that stand between patients and care.

Through innovative technology, intelligent automation, and seamless revenue cycle solutions, we empower healthcare organizations to spend less time navigating complexity and more time focusing on what matters most: delivering exceptional patient care. We are committed to creating efficiencies that reduce administrative burden, strengthen financial performance, and ensure healthcare resources are directed toward improving patient outcomes.

Our Vision

To transform healthcare by making every interaction more efficient, every process more connected, and every decision more patient-centered.

We envision a future where technology eliminates unnecessary administrative work, allowing providers, staff, and healthcare organizations to dedicate more time, attention, and resources to caring for patients and improving the health of their communities.

Our Core Values

The principles behind every solution we build and every client we serve.

Patients First

Every solution we build and every decision we make is guided by one fundamental question:

“Does this improve the patient experience or enable better care?”

Innovation with Purpose

We harness technology, automation, and data not for complexity’s sake, but to solve real healthcare challenges and create meaningful impact.

Care Through Efficiency

Reducing administrative burden is not just an operational goal. It is a commitment to freeing healthcare professionals to focus on healing, compassion, and patient engagement.

Partnership and Trust

We build lasting relationships with providers, payers, and healthcare organizations through transparency, accountability, and shared success.

Excellence in Execution

We deliver dependable, secure, and scalable solutions that help healthcare organizations improve performance while maintaining the highest standards of quality.

Stewardship of Healthcare Resources

Every dollar and every hour saved through efficiency can be redirected toward patient care, clinical innovation, and healthier communities.

Continuous Improvement

Healthcare never stands still, and neither do we. We relentlessly seek better ways to simplify processes, improve outcomes, and create value for our clients and the patients they serve.

Michael Zwetschkenbaum: President/CFO

Mr. Zwetschkenbaum co-founded RCM Healthcare Solutions, LLC in 2015 where he serves as President and CFO. His portfolio of companies includes a healthcare consulting firm, a billing company, a telehealth platform, home monitoring, and software development. He has over 20 years of Healthcare and Health System experience, with prior roles as Chief Financial Officer for some of the largest Healthcare companies in the world; including Steward Healthcare, St. Vincentʼs Healthcare, Community Health Systems and Health Management Associates. His experience is in single and multi-campus systems ranging from 1,000 to 8,000 beds, with net revenues up to $12 billion. Mr. Zwetschkenbaum also served in key finance positions with Arthur Andersen, Omnicare, and several policy-shaping round tables. Mr. Zwetschkenbaum has a BS, BA, CPA, and CGMA; graduating from the University of Binghamton and Florida Atlantic University. Over the past decade, Mr. Zwetschkenbaum has been intimately involved in helping design, document, and implement strategic programs to improve health system efficiency and quality, providing greater access to care while producing higher operating margins. He has served on several not-for-profit and community boards and is a father to 3 beautiful children in St. Johns Florida.

Chris Capone: President/CIO

Christopher Capone is a co-founder of RCM Healthcare Solutions and directs
software application development, database, and systems design. He has an
extensive history of heading up major IT projects for companies in diverse
industries, including casino gaming, insurance, law firms, labor unions, and
medical/hospital. His background in IT encompasses a number of disciplines –
IBM AS400 systems utilizing DB2/400 and RPG programming, and Windows
desktop and server applications utilizing SQL Server, MySQL, and C programming.
Recent projects have yielded significant experience with live video streaming,
multicast routing, mobile application development, content delivery networks, and
deployment of Amazon AWS-based applications. Since 1994, Mr. Capone has
served as an independent consultant, contract programmer, and most recently, as
Chief Technology Officer for a successful startup.

Rick Patterson: President/COO

Rick Patterson is the Chief Operating Officer, Co-President and one of the Co-Founders of RCM Healthcare Solutions. Prior to RCM Healthcare Solutions, Rick worked as an Independent Consultant and with several established organizations as a Healthcare Consultant, Interim Director of both Patient Financial Services and Patient Access. Rick has over 30 years in the Healthcare industry in progressive roles starting out in Collections and progressing to Director. He has experience in many size organizations from rural facilities to large Healthcare systems with multiple facilities as well as clinics. He is a graduate of Florida State University with a Degree in Management.

Targeted Common Denial Issues That MCM Can Currently Mitigate

1. Coding Issues

• Medical Necessity-Additional Documentation Requested

Many payors require medical records before a claim will be adjudicated, including medical history, previous physical reports, consults from other physicians, reports from previous services received and operative reports to determine the medical necessity of the services performed. Medicare states that it will not cover services that ‘are not reasonable and necessary for the diagnosis or treatment of an illness or injury or to improve the functioning of a malformed body member’. Many other payers follow Medicare’s guidelines in determining Medical Necessity.

• Upcoding

Refers to intentionally using a higher paying CPT code to bill a health insurance payer to receive a higher reimbursement for a higher paying service than what was performed. This is illegal and considered a fraudulent practice.

• Unbundling

The practice of billing separately for components of a group of services that are normally included in the services performed to increase profits when the un-bundled services reimbursement totals more than the special reimbursement rates.

• Coding does not have enough specificity

With the onset of ICD-10 coding, each diagnosis must be coded to the highest level for the code used. ICD-10 allows for greater detail by describing primary and subsequent encounters, external causes of injury, preventive health, and socioeconomic, and lifestyle-related issues and has the capacity to accommodate evolving technology and supports exchange of health data.

2. Claims Issues

• Prior Authorization Incorrect or Missing

Many services require the obtaining of an authorization prior to certain services being performed. These are often payer specific and though not aguarantee of payment they are essential for payment to be considered. A strong prior authorization department and process is one of the most important in the entire revenue cycle department.

• Services not covered or coverage terminated

With the ease that persons can change their coverage, it is critical to verify eligibility each time a patient presents for services. Coverages for services vary from payer to payer and verification of maximum benefits for services such as behavioral health and physical therapy need to be verified to assure their caps have not been exceeded.

• Missing Information

Any missing information can result in a claims denial. The most common include date of accident, date of onset of illness, occurrence codes and medical emergency date.

• Duplicate Billing

Often the result of human error resulting from resubmitting a claim rather then filing it as a corrected or cancelled claim will eliminate these denials.

• Not Filing Timely

If a proper claim is filed but not within the prescribed timely filing window provided by the payer, a denial may result. Often these are not appealable so having a firm grasp on all contracted payers timely filing limits is essential in preventing these types of denials. Understanding what is required to submit when filing supporting documentation needed for claims adjudication, is critical to appealing a claim and appealing it timely.

• Inaccurate Patient Identifier Information