Top Healthcare Revenue Cycle Management Companies
List of Top Healthcare RCM Companies
Revenue Cycle Management (RCM) plays an important role in the healthcare industry. Managing revenue is vital for any business but may not be the primary focus of healthcare providers. However, these providers need revenue to pay for medical supplies, salaries, equipment, and more.
Revenue Cycle Management is how an organization handles the finances and processes associated with different steps of patient care from start to finish. It begins when a patient is first encountered or scheduled for an appointment and continues through the services provided to the billing afterward. Patient scheduling offers the opportunity to gather information vital to the claims process, such as insurance information, to verify eligibility.
The healthcare revenue cycle process includes coding medical services and billing insurance. Making sure that patients have eligible insurance on file can help in determining costs for various treatments. Faster and more accurate claims transmission allows for greater flexibility in arranging patient care.
There are many benefits to efficiently managing your revenue cycle. The overall goal is to increase revenue throughout the various processes by first identifying points of friction and then resolving them.
These problems may include fraud, waste, and abuse such as unnecessary tests and procedures. For some healthcare providers, revenue and finances are not the primary concern. Some may be more focused on patient care. Problems and issues with an RCM process in healthcare can impact various other processes and take time away from patient care or medical training. Making optimum use of such cutting-edge technologies, healthcare organizations today are reducing the number of denied or underpaid claims for practices and cutting back on operational expenses through increased efficiency while placing customer service at the forefront of RCM.
In this Article, Healthcare Tech Outlook Magazine features list List of Top Healthcare RCM Companies.
List of Top Healthcare Revenue Cycle Management Companies
- ABW Medical
- athenahealth
- Axea Solutions
- Curae
- DENmaar
- EMP Claim Solutions
- Enter.health
- Mid Michigan Medical Billing Service, Inc.
- TractManager
- TruBridge
ABW Medical
Company
ABW Medical
Headquarters
San Jose, CA
Management
Mathew Frazer, Founder
Description
ABW Medical is a nationwide, tech-enabled, healthcare services company. ABW supports medical practices using athenahealth solutions by performing the day-to-day or co-sourcing tasks in athenaNet (such as authorizations, working hold buckets, enrollment tasks, unpostables). The enterprise’s mission is to collect more revenue for the medical group, generate more time for providers and staff, and deliver more peace of mind for providers, staff, owners, and patients. Overall, ABW supports over 3,500 providers in 43 states
athenahealth
Company
athenahealth
Headquarters
Watertown, MA
Management
Bob Segert, Chairman & CEO
Description
athenahealth offers revenue cycle management services to the healthcare industry; the company partners with hospitals and ambulatory customers to drive clinical and financial results. The healthcare RCM solutions and services provider understands all the challenges in the RCM landscape, and the need for hospitals to deploy digital solutions to mitigate all of their financial woes quickly. The value proposition it offers is always in sync with its client’s unique business requirements. The delivery of such pristine and clear-cut services allows athenahealth to reduce healthcare costs and extend its solutions at much lower prices
Axea Solutions
Company
Axea Solutions
Headquarters
Cumming, GA
Management
Susan Gatehouse, CEO
Description
Axea Solutions is one of the pioneers in the revenue cycle management realm. It provides solutions and services across various healthcare organizations and clinics. The company stays with its clients throughout the entire journey starting from patient registration, to providing medical services, all the way to claims, processes and payments. Axea Solutions has expertise around coding accuracy, clinical documentation improvement and also claims denial management. The company has a proactive and holistic approach and aims to solve the bigger issue of discontinuity in the flow of revenue, while also maintaining a strong patient financial workflow
Curae
Company
Curae
Headquarters
Atlanta, GA
Management
Rob Ware, VP Client Services
Description
Curae offers a simple and smart patient financing solution to the patients and providers. Working with Curae gives providers the ability to offer patients more flexible payment options. The company serves a broad spectrum of credit profiles, in an effort toserve more patients than other financing providers with the ability to fund credit-challenged customers. By leveraging analytics technology and domain expertise, the company help providers meet patient financial needs with ease. It not only provides non-recourse funding within 48 hours to the providers, it also ultimately increases their revenue as more bills get paid. The company offers a unique patient-friendly financing solution that can reduce days account receivable, bad debt and the cost to collect, all while keeping patients out of collections
DENmaar
Company
DENmaar
Headquarters
Scottsdale, AZ
Management
Chris Husted, President
Description
DENmaar provides medical billing and credentialing services to mental health and substance abuse firms. The company also offers valuable recommendations regarding the best insurers for a specific specialty and get healthcare providers in the insurance firms’ network as quickly as possible. The most differentiating ability of DENmaar is to integrate its cloud-based RCM with P2P patient billing module that offers the most comprehensive methods to send statements and invoices. Moreover, the company handles the claims resolution and denials as a part of its offering to improve provider as well as patient satisfaction
EMP Claim Solutions
Company
EMP Claim Solutions
Headquarters
Lombard, IL
Management
Piyush Kedia, Managing Partner
Description
EMP Claims believes in consistently delivering outstanding services and results to its partner organizations by providing quicker turnaround for the claims.EMP Claims helps organizations of all statures — from large, mid-size to small, and even struggling medical practices — to stay on top of the industry changes and compliance issues. As a trusted partner, EMP Claims helps organizations to register a significant reduction in operational costs, reduced debt collections, as well as dramatic dip in the stress levels of physicians and the staff. You are able to do more with limited staff, thus saving on staff salaries, employee churn, and other related administrative costs
Enter.health
Company
Enter.health
Headquarters
San Francisco, CA
Management
Jordan Kelley, CEO
Description
Enter offers physicians compensated quicker than anyone else on the market by backing upfront and collecting allegations for medical insurance while charging patients after just 24 hours. Enter’s team is made up of state-of-the-art health care and economic technologists with profound understanding and years of expertise. With an annual payment of over $2.5 T from insurance companies and customers to suppliers, it is the biggest market in the US that remains to be antiquated, dull and difficult to therapeutic exercise and patients
Mid Michigan Medical Billing Service, Inc.
Company
Mid Michigan Medical Billing Service, Inc.
Headquarters
Flint, MI
Management
Kunal Kathuria, VP
Description
Mid Michigan Medical Billing Service (MMMBS) takes a unique posture compared to others in the industry as it truly is a full spectrum RCM company, including features of consulting, full credentialing in its pricing platform, coding in all specialties, and aggressive collections of insurance and patient balances. The company’s clients enjoy the entire package in one competitive rate, unlike others who may consider services, such as credentialing, to be an additional cost. MMMBS follows a three-step proven process which starts with a comprehensive consultation and discovery process, customization and tailored services specific to the unique practice needs, and analysis-driven solutions for reimbursement maximization
TractManager
Company
TractManager
Headquarters
Dallas, TX
Management
Allyson Schiff, VP of Enrollment Services and Anna Arutyunyan, VP of Credentialing Services
Description
The leading provider of Strategic Sourcing Applications and Contract Management Software for healthcare, TractManager improves the health of the revenue cycle through an integrated technology platform, and professional services that optimize each credentialing component of the provider lifecycle
TruBridge
Website:
Headquarters:
Mobile, AL
Founded:
2013
Offers three-step program designed to assist organizations with taking control of their denied claims
