System Overview

The RCM includes 10 sections, each crafted to simplify every stage of the revenue cycle. Scroll down to explore these sections and their processes to see how they might fit into the scope of your workflow.

Dashboards

The Dashboards section provides Managing Organizations with a brief overview of their monthly, quarterly, and yearly health, visualized with both numbers and graphs. To learn more about dashboards, click here.

Work Center

The Work Center is centralized to address individual items within the revenue cycle. These items include Eligibility Checks, VOBs, Utilization Reviews, Claims, and Payments. To learn more about the Work Center, click here.

Record Center

Items that have been worked in the Work Center will then move to the Record Center for future reference. This includes items like Corrected Claims, Claim Submission Batches, and Remits. To learn more about the Record Center, click here.

Management Center

The Management Center comprises two distinct parts: the Organization Dashboard and Claim Rules. 

• The Organization Dashboard provides a pulse check on pending items in the Work Center that need attention. 
• The Claim Rules section is where claim rules are configured and managed. Both areas can only be accessed by a Managing Organization Admin.
  

Patients

The Patients section is a directory for creating and managing patient profiles at the organization level. To learn more about the Patients section, click here.

Attendance

The Attendance Calendar is where treatments, also known as services, are recorded before being transmitted to the Work Center for conversion into claims. To learn more about the Attendance Calendar, click here.

Reporting

The Reporting section provides multiple types of reports at both the Organization and Managing Organization level. This section provides five categories of reports: Accounting, Billing, Attendance, Utilization Review, and Configuration. To learn more about reporting in the RCM, click here.

Practice Admin

The Practice Admin houses the configuration information needed to bill commercial claims. In this section, claim components such as services, billing profiles, and rates are set at both the practice and facility levels. To learn more about the Practice Admin, click here.

Organization Admin

The bulk of configurations made in the Organization Admin are for organizations with the Patient Billing module. In addition to Patient Billing settings, this section also manages the Period Close feature. To learn more about the Organization Admin, click here.

Managing Organization Admin

The RCM section provides Managing Organization Admins a place to configure and manage the workflows associated with claims management. To learn more about the Managing Organization Admin, click here.