Revenue Cycle Rules

Revenue Cycle Rules is a software solution created to automate and streamline the revenue cycle management process for healthcare organizations. It caters to healthcare organizations of all sizes, including small clinics, large hospitals, and healthcare systems. According to the vendor, Revenue Cycle Rules is utilized by healthcare providers, revenue cycle management professionals, medical coders, billing and coding departments, and healthcare administrators to ensure accurate and timely claims submission.

Key Features

Automated Charge Verification: Revenue Cycle Rules automates charge verification by comparing charges against industry standard and client-specific rules. It promptly reviews each charge for coding completeness and accuracy after it leaves the electronic medical record (EMR) system, potentially reducing the need for manual intervention.

Custom Rule Creation: Users of Revenue Cycle Rules can create custom rules tailored to their specific needs and requirements. This feature enables the identification of critical areas where custom rules can be applied to potentially correct routine billing errors, improving overall efficiency in revenue cycle management.

Data Cleaning: Revenue Cycle Rules assists in cleaning data at the start of the revenue cycle process. It identifies and corrects inaccurate or incomplete data upfront, potentially minimizing the need for time-consuming manual reviews and saving valuable hours of work.

Integration with Existing Systems: Revenue Cycle Rules seamlessly integrates with the existing systems used by healthcare organizations. It operates at the front end of the revenue cycle process, reviewing charges immediately after they exit the EMR system. This integration ensures a smooth workflow without disruption to existing systems and processes.

Automated Error Correction: Revenue Cycle Rules automatically corrects 50% of the billing issues identified during charge verification. By automating error correction, it reduces the necessity for manual intervention, accelerating the billing and coding process while improving accuracy and efficiency.

User-Friendly Interface: Revenue Cycle Rules offers a user-friendly task management and charge edit interface. Designed by revenue cycle experts for revenue cycle experts, this interface simplifies the resolution of routine billing problems, allowing billing staff to focus on more critical issues.