Revenue Cycle Management

Why eClinicalWorks RCM?

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eClinicalWorks changed the game in the EMR industry and now we’re doing it again in the billing industry with Revenue Cycle Management.

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Visibility

  • Validate us:  Robust report tools and dynamic dashboards
  • Collection of 2.9% after you get paid
  • Your money is your money (checks come to you)

National Rule Engine

  • Process claims based on defined filter criteria and rules
  • eClinicalWorks Rules Engine
  • CodeCorrect Rules, Clearinghouse, and Insurance
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The RCM Console provides you with the ability to filter claims which enhances visibility into your practice.

eClinicalWorks Billing Experts for maximum payment

  • Payer & State Incentive
  • Healthcare business analytics predictive financial analytics
  • Reimbursement evaluation
  • RCM canned reports package

By leveraging technology and efficient processes and workflows, eClinicalWorks is redefining the status quo of the medical billing industry by offering billing services at 2.9% of monthly collected revenue – compared to some external billing services charging from 5% to as much as 12% off your bottom line. In-office billing can be a burden on some practices, straining time, money and resources. eClinicalWorks Revenue Cycle Management (RCM) Services provides an alternative by allowing our staff of expert billers to handle back-office operations directly through the eClinicalWorks application, securely and accurately. Dashboards provide authorized users with transparency into the process and visibility into your practice’s financial performance in real time.

Integrated Cloud-based solution

  • 99.9% uptime, Disaster Recovery solution,
    easy access, etc.
  • Cost and efficiency

 

Quick Accounts Receivable

  • 98% first-pass acceptance – industry is
    between 70-90%
  • Real-time claim adjudication
  • Built-in claim automation
  • CodeCorrect
  • Six levels of clearinghouse integration
  • Centralized work queue

RCM Services and Highlights

  • Communication to practice via RCM Console (new)
  • eClinicalWorks Lock Box solution (new)
  • RCM Dashboard within eClinicalWorks (new)
  • Real time patient insurance eligibility Processing of primary, secondary, and tertiary claims
  • Claim review and scrubbing
  • Updating DB rules
  • Claim follow-up through payer acceptance
  • Denial and underpayment management
  • All payments and adjustments done directly within eClinicalWorks Out of office billing encounters (nursing home visits and hospital
  • Appeals at all levels
  • Out of office billing encounters (nursing home visits and hospital visits)
  • Insurance/Patient payments go back directly to the practice
  • Create self-pay e-statements and submit to mailing service
  • Manage worker’s compensation and other liability claims including auto PIP claims
  • Manage the preparatory steps necessary to send accounts to collections
  • Daily/monthly/YTD financial statements – RCM reports

Pricing Options

eClinicalWorks has a variety of pricing options to fit your specific needs.

> See your Options