Revenue Cycle Management
Effective use of IT is a key in transforming today's revenue-cycle processes.
In many organizations, traditional revenue-cycle processes are supported by a separate system that runs proprietary applications. Thus, patient access, denial management, charge capture, clinical integration, documentation and coding, billing, and cash collection processes communicate poorly with each other.
IT needs to transform today's revenue-cycle processes from business support functions to champions of the bottom line. Today's technology should serve to make patient's financial and eligibility information accessible (with appropriate permissions) to care providers, consumer information seekers, suppliers, financial institutions, payers, and collection agencies.
Services
- RCM automation
emids develops and tests RCM process automation application and utilities for various providers and RCM companies - Application management
for RCM applications aligned to following functions:- Patient registration and scheduling
- Charge capture and coding
- Claims submission
- Denial and A/R management
- Reporting and analysis
- Payment posting
- Data management
Data migration, integrations, and extraction, transformation, and loading for RCM process data. emids has proven experience in managing huge clinical and administrative data repositories - QA and testing
emids' offering on QA & Testing provides a comprehensive suite of tools and test cases for healthcare RCM application and data testing - BPO
emids specializes in BPO services for RCM processes
Solutions
- Interoperabilty
emids' service offering on interoperability enables RCM companies and providers to establish seamless communication with internal Clinical Practices, other Administrative Functions and Business Associates (TPA and CH) - Mobility
emids' mobility solution enables RCM companies and providers to provide end customers to have readily available information in their mobile devices. We have a solution set for integration with iPad, iPhone, Blackberry, and Android Smart Phones - HIPAA 5010 transition and business testing
emids provides HIPAA 4010 to 5010 transition and business testing solution to RCM companies and providers. The solution is classified into: impact assessment services, remediation planning and implementation, and HIPAA 5010 testing services which includes independent testing and validation. emids HIPAA business testing framework can help entities in different areas including gateways testing, claim systems testing, trading partners testing and validation edits - ICD-10 transition
emids' ICD-10 transition solution can assist RCM companies and providers to adapt new coding standards. emids' streamlined transition solution include: consulting and impact assessment services, remediation, planning and assessment, and ICD 10 testing services
Benefits
- RCM subject matter experts and business analysts ensures thorough requirement gathering and testing
- Readymade use cases, templates and test cases for
- HIPAA 5010 and ICD 10, enables quicker compliance
- Mobility capability building, accelerates development
- Seamless integration, ensures interoperability
- Knowledge and process driven BPO operations for the healthcare industry ensures quicker turnaround with higher quality
Case studies
- ETL and BI services for claims data analysis for a leading RCM organization
- Build, test, and operate an automated erroneous claims detection system for a US top-3 insurance processor
- QA automation for a revenue cycle management company
- DBA support to a large claims processing system for a leading cost management services company
- Built HIPAA 5010 capability into SaaS based EHR system for a renowned ISV
- CCHIT® 2011 comprehensive ambulatory EHR Gap analysis for a renowned healthcare ISV
- Development partner to a leading EMR vendor
- QA automation for a revenue cycle management company
- Development of Automated Data Extraction layer from multiple sources for a market leader in RCM services