Name: Clarus RCM
Author: Clarus

Help Desk

Web and Video Conferencing

Customer Support

Innovation Management

PHP Frameworks

Development

Business Intelligence (BI)

Collaboration

Manufacturing Execution

Payment Facilitation

Quality Management

Enterprise

Accounting

Blockchain Payments

Merger and Acquisition

Payment Hubs

Finance and Accounting

Applicant Tracking

Corporate Learning Management

Employer of Record (EOR)

HR Management

Payroll

Talent Intelligence

Talent Management

Workforce Analytics

Workforce Management

Human Resources

AIOps

Bot Mitigation

Cloud Storage

Container Security

Data Center Outsourcing (Canada)

Data Center Power

Data Replication

Endpoint Security

Firewall

Fraud Detection

Graph Database

Infrastructure-as-a-Service

Integration Platform as a Service (iPaaS)

LAN Switches

Mobile Data Security

Network Performance Monitoring

Network Troubleshooting

SQL Server Performance Monitoring

Scale-Out Storage

Secure Access Control

Smart Contracts

Testing Services

Information Technology

A/B Testing

Ad Serving & Retargeting

All-in-One Marketing

Content Management

Email Marketing

Grant Management Software

IP Geolocation

Marketing Attribution

Marketing Automation

Social Media Management

Survey & Forms Building

Translation

Web Analytics

Marketing

Project Management

Task Management

Professional Services

Customer Relationship Management (CRM)

Intelligent Virtual Assistant

Sales Dialer

Sales Training

Sales

Data-Centric Audit Protection (DCAP)

Security

Aviation

Emergency Notification

Fleet Maintenance

Hospital Management

Hotel Management

Retail Analytics

Revenue Cycle Management (RCM)

Shipping

Veterinary

Warranty Management

Vertical-Specific

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Clarus RCM is a revenue cycle management solution designed to streamline financial processes for healthcare organizations. This platform caters to hospitals, medical billing companies, and payers of various sizes. According to the vendor, Clarus RCM offers a range of features and functionalities that are utilized by healthcare providers, medical billing professionals, revenue cycle management professionals, healthcare payers, and hospital administrators.

## Key Features

**Eligibility and Benefits Verification, and Prior Authorization**: According to the vendor, Clarus RCM provides services for verifying patient eligibility and benefits to ensure accurate and up-to-date information about insurance coverage. The system also assists with obtaining prior authorization for specific medical procedures or treatments, simplifying the approval process and reducing administrative burden.

**Patient Scheduling**: Clarus RCM offers functionality for efficient management of appointment bookings in healthcare organizations. The system allows for easy scheduling, rescheduling, and cancellation of appointments, aiming to optimize patient flow, reduce wait times, and enhance patient satisfaction.

**Patient Registration**: Clarus RCM simplifies the patient registration process by capturing and storing essential information such as demographics, insurance details, and medical history. According to the vendor, the system streamlines registration, eliminating manual paperwork and reducing errors, thereby improving data accuracy and operational efficiency.

**Medical Coding**: According to the vendor, Clarus RCM provides accurate and compliant medical coding services performed by certified coders with expertise in outpatient, inpatient, and emergency department coding. The system aims to optimize reimbursement, minimize coding-related denials, and ensure compliance with coding guidelines and regulations.

**Claim Submission & Rejection Management**: Clarus RCM supports timely and accurate submission of claims to insurance providers, aiming to facilitate prompt reimbursement and reduce revenue leakage. The system also manages claim rejections, identifying and resolving issues to minimize denials, improve cash flow, and maximize revenue.

**Payment Posting**: Clarus RCM offers services for accurately recording and reconciling payments received from insurance providers and patients. According to the vendor, the system streamlines the payment posting process, reducing errors, improving financial visibility, and enabling efficient revenue reconciliation.

**Accounts Receivables Management**: According to the vendor, Clarus RCM provides comprehensive management of accounts receivables, including follow-up on unpaid claims, denial management, and appeals. The system aims to help healthcare organizations optimize revenue by efficiently managing outstanding accounts receivables, reducing aging of receivables, and improving cash flow.

**Denial Management**: Clarus RCM assists with denial management, aiming to identify and resolve claim denials to ensure maximum reimbursement. According to the vendor, the system streamlines the denial management process, improving revenue recovery, reducing the number of denied claims, and enhancing revenue cycle performance.

**Credit Balance and Refunds Processing**: Clarus RCM handles processing of credit balances and refunds, aiming to ensure accurate management of overpayments and timely refunds to patients or insurance providers. The system automates the workflow, reducing manual effort, improving accuracy, and enhancing financial transparency.

**Revenue Cycle Analytics**: Clarus RCM offers revenue cycle analytics to provide insights into key performance indicators and financial metrics. According to the vendor, the system generates reports and dashboards, enabling healthcare organizations to monitor and optimize their revenue cycle performance, identify trends, and make data-driven decisions for revenue enhancement.

EHR Bundle

PM Bundle

Full Suite

RXNT

Clarus RCM

Medical Billing software specifically automates invoicing and payment collection. That entails generating invoices for orders, invoicing templates for different kinds of invoices, electronic billing, and facilitating the claims process.

Medical billing software should integrate with accounting software, and also practice management software for a seamless experience. Also, the Health Insurance Portability and Accountability Act (HIPAA) governs payment processes between a patient and their healthcare provider, so medical billing software must be HIPAA compliant.

Medical Billing

Clarus

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Clarus RCM

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What is Clarus RCM?