MedicsRCM

MedicsRCM, offered by Advanced Data Systems (ADS), is a revenue cycle management (RCM) solution that aims to assist healthcare providers in enhancing their insurance billing and patient collections. According to the vendor, this solution combines people, process, and technology to drive revenue cycle improvements and maximize reimbursements. MedicsRCM is said to be suitable for healthcare facilities of all sizes, including small practices, mid-sized clinics, and large hospitals. It is used by various professions and industries, such as medical practices, hospitals, clinics, specialty practices, and ambulatory surgery centers.

Key Features

Efficient Claim Processing: MedicsRCM offers daily claim processing services, with the vendor claiming to handle the submission of over 30,000 claims on a daily basis. The solution aims to ensure clean claim submission, reducing denials and improving the accuracy and timeliness of payment posting. It also includes denial resubmission capabilities, which the vendor says allows for quick resubmission of denied claims to maximize reimbursements.

Patient Engagement: According to the vendor, MedicsRCM aims to engage patients to maximize collections by proactively reaching out to them regarding open balances and payment options. The solution provides immediate statements to patients and offers online payment options, making it convenient for patients to settle their bills. Additionally, patients can contact MedicsRCM directly with any statement questions, which the vendor claims alleviates the burden on healthcare providers' staff.

Appeals Management: MedicsRCM is said to handle appeals on behalf of healthcare providers, ensuring that denied claims are properly addressed and resubmitted. The solution aims to streamline the appeals process, reducing the time and effort required to handle denied claims and increasing the chances of successful appeal, according to the vendor.

Scalable RCM Services: According to the vendor, MedicsRCM leverages proprietary technologies to deliver fully scalable RCM services to healthcare providers. The solution is claimed to be able to connect with any third-party electronic health record (EHR), hospital, or practice management (PM) system. It is said to work with all commercial and government payers, ensuring compatibility and flexibility for healthcare providers.

Experienced Team: MedicsRCM boasts a team of US-based billing, collections, and patient call center professionals with over 40 years of experience in revenue cycle management (RCM) and billing, according to the vendor. The team is claimed to handle various aspects of RCM, including daily claim processing, denial resubmissions, and patient engagement.

Comprehensive Reporting: According to the vendor, MedicsRCM provides comprehensive reporting based on the Medical Group Management Association (MGMA) financial standards. Healthcare providers are said to receive key industry metrics and process improvement strategies to enhance their revenue cycle. The solution is claimed to offer benchmarking metrics, key performance indicator (KPI) metrics, and best practices for billing.

Security and Compliance: MedicsRCM is said to prioritize security and ensures HIPAA compliance to protect patient information. The vendor claims that the solution guarantees 99.9% uptime and follows SOC-1 and SOC-2 standards for data security and privacy. It is also reported to have disaster recovery measures in place to ensure business continuity in case of unforeseen events.

Integration Capabilities: According to the vendor, MedicsRCM can seamlessly integrate with any third-party EHR, hospital, or PM system, allowing for smooth data flow and interoperability. The solution is claimed to support integration with various systems to streamline the revenue cycle management process.