The Revenue Cycle Management (RCM)category encompasses solutions designed to optimize the financial processes of healthcare organizations, from patient intake to final payment collection. Claims Managementensures timely submission and tracking of insurance claims to avoid payment delays. Medical Codingtools support accurate translation of clinical documentation into billing codes, ensuring compliance and proper reimbursement. Eligibility Checkingverifies patient insurance coverage before services are rendered, reducing denials and financial risks.

Claims Clearinghouseplatforms facilitate the secure exchange of claims between providers and payers, streamlining the submission and adjudication process. Patient Billing and Collectionssolutions enhance the patient financial experience by offering transparent billing and flexible payment options. Prior Authorizationtools automate the approval process for treatments, accelerating access to care and reducing administrative workloads. Clinical Documentation Integrity (CDI)ensures that medical records accurately reflect patient care, improving coding accuracy and reimbursement outcomes. Patient Price Estimationtools provide upfront cost transparency, empowering patients to make informed financial decisions. Revenue Intelligenceplatforms leverage analytics to identify trends, optimize revenue capture, and improve financial performance across the entire revenue cycle.