Choosing Best Revenue Cycle Management Outsourcing Firm

RCM的步骤
利用Gpk电子的洞察力

什么是医疗RCM外包?

Revenue management cycle is important to simplify administration for medical institutions, 特别是对于医院. 外包医疗保健公司, offers all-inclusive healthcare and medical services; starting from a pre-registration to scheduling of appointments, 包括医疗账单和编码.

These outsourcing companies successfully achieve HIPAA compliance 并通过ISO 27001和9001认证, 采用系统化的方法,确保对患者细节的保护,提高客户整体操作的有效性.

An incompetent system ​can have many unpleasant effects and negatively crash multiple types of aspects of a medical organization.

Those companies who have expertise in this domain of revenue management deliver quality and undertake swift reimbursement, 以及有更好的行政程序作为确定的结果.

Revenue Management Cycle Outsourcing Solutions

无论您是医疗服务提供者还是独立医生, a good service provider can enable you with its medical services and required support that will meet your precise healthcare needs.

外包将确保一个更现代化和负担得起的医疗账单程序, which will result in a decrease in the present write-offs, with a speed up revenue generation cycle and help in building an enhanced patient provider relationship.

Gpk电子洞悉你的利益

The RCM services for the medical industry comprise of medical insurance claims processing solutions, 医疗账单和医疗编码, which mainly focus on the required data quality and information accuracy in the healthcare industry.

There are companies which provide advanced and affordable solutions to all the large scaled, medium scaled as well as small scaled global customers.

这些医疗服务提供者 assist in collecting payments on submitted claims; boost the revenue from low paid claims, 并持续跟进保险公司,以加快结算速度. In addition, they support with the medical billing and 编码.

与此同时,他们还提供完整的患者登记和资格验证,从一开始就简化了流程.

RCM Process :

病人登记

The ​service providers assist you in processing your patients' demographic data and information. They take care of all the data entry of the patients' individual and the required insurance details. 他们还核实和确认所需的医疗案例相关信息. 一旦这个过程完成,这些病人的登记就完成了.

申索生成和提交

申索生成和提交

这些companies can handle both electronic claims submissions and the required submission of paper claims. 他们经验丰富的团队组织福利解释(EOBs),并向授权的医疗保险公司提交所需的索赔.

​Medical Coding

Medical Coding

These outsourced companies work in agreement with timely restructured healthcare standards, as well as methodologies generated by CMS, AMA, 医疗保险承包商, federal organizations and medical societies.

​Charge Capture

Charge Capture

These outsourcing service provider companies have different teams to manage and process charges for numerous specialties. Only a good company having far-reaching experience in handling these stuffs should be hired for better results which include:

  • 医疗保险和医疗补助服务
  • 3rd party liability
  • Better managed care
  • 理想的供应商组织
  • Guaranteed insurers
  • 工人的赔偿

​Payment Posting

Payment Posting

These outsourcing service providers make sure swift and precise posting of all the required payments into the billing system. 这些提供者对所有已支付款项进行定期审计,这有助于减少不同类型医疗过程中产生的错误,同时捕获所需信息.

拒绝处理服务

拒绝处理服务

These outsourcing companies can assist in the analysis, correction, 以及重新提交被拒绝的索赔. This procedure includes identifying denials by the utilization of revenue 编码 and the required CPT/HCPCS codes.

一旦完成, the different reasons for the denials are analyzed and a comprehensive denial management report is being made ready. 这个过程有助于有效地管理所有必需的索赔拒绝.

应收账款服务

应收账款服务

这些公司可以帮助您确定需要跟踪的病人帐户,并采取必要的行动来收取未付或欠付的索赔.

​​Solutions for the medical industry additionally include:

医疗行业的收入周期管理解决方案还包括:
  • Detection of the grounds for claims denials
  • 使用CPT和ICD-9编码
  • 权利要求认证的检查
  • A/R Collections
  • 收费入口以及付款张贴
  • 电荷的捕获和编码
  • 后续的保险
  • Management of denial
  • 随访的患者
  • 未决索赔的后续行动
  • 付款和应收款的分析
  • 定期和准确的报告
  • All types of modifications and adjustments
  • 支付的及时性,适用于不同的付款人
  • Payer mix and the maintenance of credit balances
  • Provider enrolment as well as credentialing

改进流程的月度报告

您的收入管理外包合作伙伴也可以支持您准备每月报告,以协助管理所需的现金流和提高盈利能力.

这考虑到与医院收入周期管理服务有关的所有报告,这些报告有助于改进面向医疗的流程.

优化现金流 

An outsourcing service provider with long enough experience, 谁投资了资源和对行业的了解被证明是医疗保健业务增长的完美商业伙伴. You can get assistance in multiple ways by outsourcing medical revenue cycle management services to an outsourcing expert.

收入周期外包的好处  

  • 在不进行任何额外投资的情况下,获得训练有素的专业人员的全部访问权
  • 在负担得起的外包工作费用上节省整体医疗运营成本
  • 利用符合HIPAA的程序来改进收入收集
  • 完全访问24 × 7服务,确保更快速的周转时间
  • Carry out periodic follow-ups to boost payment collections
  • 探索改进业务流程的精炼技术

保障资料的承诺

保障资料的承诺

Outsourcing service providers who have achieved HIPAA compliance and who are ISO 27001 认证更好地保护您的数据. In fulfilment with these standards for data security, they have stringent protocols in place to uphold Protected Health Information (PHI) and other required business related data.

​Precision of Output

Precision of Output

In agreement with iso9001质量管理标准, these service providers strictly follow the finest and best practices for every step of the revenue cycle management procedure. 为顺利开展医疗行业相关工作,配备专业技术人员,并对其进行流程化培训. This makes sure that the outputs produced for your business are precise and conveyed within the precise deadline.

快速周转时间

快速周转时间

This outsourcing service provider companies work with 24x7 operations offering your business with a time zone benefit. Outcomes are delivered to you as per your industry requirement, 这将确保你获得最佳的流程效率这比内部资源提供的更好.

必要的可伸缩性

必要的可伸缩性

这些类型的公司拥有最好的技术人才和方法资源,为外包给他们的医疗项目带来灵活性和定制化. They are equipped to scale up their available resources as per your healthcare related business needs. This will reduce the load of non-core work on your in-house team of medical and administrative human resources, 帮助他们专注于完成任务的关键职责.

区分的好处

区分的好处

您需要为您的所有医疗保健需求找到一个可靠的外包合作伙伴, 其中包括医疗记录索引, 医疗客户服务, medical billing, 与健康状况相关的数据输入, 应收账款管理和医疗保健相关索赔的端到端处理.

Leveraging ​expertise can further assist you with

  • Improvement in the overall collection ratio
  • Raise the required probability of payments
  • 提高所需和涉及的收入

Key Takeaways

稳定的, 通过您的收入管理外包合作伙伴产生的可靠和可预测的结果,将使您的医疗业务从各个方面获得更大的前景,并提高所需的盈利能力.

您必须选择一个忠诚的外包合作伙伴,他可以与您的公司建立长期持久的关系,并提供必要和有效的医疗支持服务.

在选择合适的医疗服务外包合作伙伴时,具有与全球客户合作的广泛经验将是加分项,该合作伙伴可以提供完全的可靠性,并能更好地帮助您在医疗保健行业更成功地工作.

100家以上的医疗保健收入周期管理(RCM)公司名单

收益周期管理对于任何企业的战略都是必不可少的. These processes are only growing in importance in healthcare as every dollar is expected to stretch further than before. Here are 110 companies that provide revenue cycle management solutions specific to the healthcare industry.

outsource your pain

BillingBlues is an end-to-end revenue cycle management solution geared towards your success.

他们有超过10年的医疗账单和编程经验, 一个获奖的软件, that expedites your reimbursements faster, whether you are a multi specialty group or a solo practitioner.


2. 3M健康信息系统 (Salt Lake City)

3M健康信息系统提供许多RCM产品和服务. 该公司的3M门诊收入管理软件旨在降低合规风险,实现门诊报销的最大化. 该公司还为3M APCfinder提供医疗需要验证, which focuses on CMS' Outpatient Prospective Payment System. 该解决方案允许用户在编码点应用医疗需要. 在考虑出售健康信息系统分公司的业务后, 3M公司决定保留这个部门.


3. Accretive Health (芝加哥)

Accretive Health offers revenue cycle management services, physician advisory services and population health solutions. The company's revenue cycle management services portfolio includes creating a distinctive operating partnership model, 调整财务关系,提供适当的技术和数据科学.


4. Acustream (Lafayette, Colo.)

Acustream's proprietary RevBuilder enterprise solution uses client hospital billing and/or professional billing data, facility specific rules (FSR's) and predictive 分析 to find reimbursable "never billed" charges. 不是一个收集工具, RevBuilder会在因各种原因而丢失的数据中发现美元. The business model is 100 percent contingency-based.


5. Adreima (Downers Grove, Ill.)

Adreima has solutions that address the front, middle and backend of the revenue cycle process. The company's services include eligibility, 医疗事前授权审查, 负责描述主, charge capture, 应收账款管理, 临床拒绝和上诉, clinical audit support and post payment recovery.


6. 情景医疗解决方案 (Lombard, Ill.)

情景医疗解决方案是一家医疗计费和实践管理公司. The company offers revenue cycle management and business management solutions to hospitals, 医院的医生, 医生在办公室, behavioral health providers and surgery centers. AdvantEdge's portfolio includes medical 编码 and billing, 收入优化, informatics, compliance and more.


7. 顾问委员会公司 (Washington, D.C.)

顾问委员会公司 is a global research, technology and consulting firm that provide performance improvement services for healthcare and higher education. 该公司的收入周期服务包括拒绝和坏账管理, 文档优化等. 顾问委员会公司 partners with more than 230,000 leaders at 5,200 organizations.


8. AGS Health (New York)

AGS Health提供医疗账单、编码和业务分析服务. 该公司在美国和印度拥有2500多名员工. AGS健康管理大约1美元.每年有10亿的应收账款.


9. Allscripts (芝加哥)

Health IT vendor Allscripts offers an 分析 toolset geared toward revenue cycle challenges. 

The company has a 99 percent net collections rate, 98 percent first pass clean claims rates and a 5 percent average increase in collections. Allscripts收入套件和服务提供预索赔解决方案, claims submission, inbound processing, A/R管理等等.


阿尔瓦雷斯 & 马歇尔是一家全球性的咨询公司,总部不只是在纽约, but also London, 圣保罗和香港. 在众多服务中, the company offers revenue cycle optimization and financial services to the healthcare industry. 总部位于纽约的盖伊·桑松(Guy Sansone)是该公司医疗产业集团的负责人.


11. AmkaiSolutions (New York)

AmkaiSolutions是一家为门诊手术中心提供服务的软件公司, surgical hospital and specialty practice industries. The company offers an EMR, billing software and more. 该公司的产品Amkai Enterprise旨在降低运营成本, enhance 分析 capabilities and improve quality of care.


The company offers IT services, 电子健康档案 and optimization services and its Pyramid HALO RCM services. Anthelio acquired RCM company Pyramid Healthcare Solutions in July 2015 to expand its revenue cycle offerings. 公司的RCM投资组合包括HIM外包和优化, medical 编码, 编码审核和教育, 收益评估和分析, 病人的金融服务, 临床文档的改进, 转录和语音识别, ICD-10支持和更多.


13. athenahealth (Watertown, Mass.).

Athenahealth提供基于云的服务,从电子健康记录和人口健康管理到患者护理协调和收入周期管理. The company's revenue cycle tool is athenaCollector. Each quarter, the company submits approximately 27 million claims, 94%的索赔在第一次提交时就得到了解决.


14. Availity (Jacksonville, Fla.).

可用性服务于医师实践、医院、健康计划和供应商.

 该公司的收入周期解决方案解决了患者访问问题, as well as the full spectrum of revenue cycle functions. 该公司还提供附加模块,从高级索赔编辑和比较分析到自付资格验证和工人补偿.


15. 美银美林 (Charlotte, N.C.)

美银美林 offers a number of healthcare solutions including revenue cycle solutions, 员工福利的集成, profit enhancement, 简化操作等. 除了财务解决方案, 美银美林 offers mergers and acquisitions services and transaction services.


16. BESLER Consulting (Princeton, N.J.)

BESLER has provided financial and operational consulting to the healthcare industry since 1986. 该公司提供转移DRG收益回收和软件解决方案, 编码和遵从性, 再入院分析工具, comprehensive 收入周期评估等.


17. 大胆的医疗解决方案 (Louisville, Ky.)

Bolder医疗保健解决方案有许多收入周期管理服务. The company's Avectus Healthcare Solutions resolves third-party liability claims for the hospital and trauma center market. Bolder的ROI公司为医院提供一整套RCM服务. 该公司的投资组合还包括Bolder麻醉管理公司, Bolder Billing Services and Bolder Outreach Solutions.


18. The Camden Group (El Segundo, Calif.)

卡姆登集团是一家全国性的医疗保健业务咨询公司. 服务包括财务咨询, 临床集成, business planning, 操作改进和更多. 在财务咨询领域, 该公司提供支付合同支持和基于价值的支付模型, 在其他服务.


19. Cardon Outreach (林地、德州)

Cardon Outreach每年管理100亿美元的账户. The company provides eligibility services, 应收账款服务, 残疾解决方案和服务,增加患者自付收入恢复. Cardon also has technology solutions including its integrated proprietary technology platform MPOWER.


20. CareCloud (迈阿密)

CareCloud aims to offer an all-in-one RCM solution, 包括索赔提交, payment posting, Payer随访和患者账单. 除了RCM服务之外, CareCloud提供实践管理, 电子健康档案, patient engagement, mobile app and healthcare 分析 services.


21. 欧洲核子研究中心 (Kansas City, Mo.)

欧洲核子研究中心是世界上最大的上市健康信息技术公司,为世界各地的医疗机构提供领先的解决方案和服务.

 In addition to its core revenue management solutions, 该公司提供计费和编码服务,包括收费处理, A/R follow up, 资格检查, denials management, cash posting, self-pay and early out as well as full 业务办公室的管理 for acute and ambulatory venues.


22. 改变医疗保健(纳什维尔,田纳西州.)

Change Healthcare, formerly Emdeon, 专注于收益周期管理和临床信息交换解决方案. 该公司为供应商、支付者和药房服务提供商提供服务. Emdeon的网络包括340个,000 providers; 1,200 government and private payers; 5,000 hospitals; 105,000 dentists; 60,000家药房和600个摊贩.


23. Citadel外包集团 (亨德森,田纳西州.)

Citadel外包集团是一家外包商务办公金融服务公司. The company's revenue cycle services include billing, claims resolution, denial management, 出入管理, 业务办公室的管理, 中期收入周期咨询, cash posting, 收入周期评估等.


24. 花旗的健康理财(纽约)

Money2 for Health关注的是收入周期中的患者支付流程功能. This service from Citi Group allows patients to pay healthcare bills easily by linking to checking accounts, health savings accounts and flexible spending accounts. The platform was launched in 2013 in partnership with Aetna and Parallon, a subsidiary of HCA.


25. The Claro Group (芝加哥)

The Claro Group, a healthcare consulting firm, has a RCM unit. 该公司的解决方案包括招录、现金收款、应收账款日等. The Claro Group focuses on hospital clients ranging from academic medical centers to community hospitals.


26. Coker Group (Alpharetta, Ga.)

Coker Group, 一家全国性的健康咨询公司, offers a wide range of services from accountable care organization preparation to executive search capabilities.

The firm also offers healthcare-specific revenue cycle support including revenue cycle staffing, pay mix analysis, 国家基准, 流程审查等.


27. 针叶树健康解决方案 (Frisco, Texas)

针叶树, 泰尼特保健的子公司, has more than 13,每年的净收入超过260亿美元. The company, which has 20 service locations through the country, 为医院和卫生系统提供服务, 医生团体及雇主. 针叶树提供收入周期管理服务,如调度, 资格和注册, denials prevention, 病人的金融服务 and revenue cycle operations management to both the hospital and physician markets.


28. Connance (Waltham, Mass.)

Connance is a healthcare predictive 分析 platform. The company's platform aims to eliminate 20 percent to 30 percent of the work associated with revenue cycle management. Services the platform can provide include vendor performance, 自费分割, claims optimization, 收益优化等.


29. Convergent (亚特兰大)

趋同是一种流程外包, 收入周期和应收账款管理公司,在北美有14个地点. 该公司的收入周期管理产品包括病人访问服务, 第三方还款服务, 自付服务和坏帐服务.


30. The Corridor Group (Overland Park, Kan.)

The Corridor Group has served more than 2,000 clients, 包括医院和卫生系统, since 1989. The company offers consulting services, regulatory compliance support, ICD-10 solutions and more. In January, 该公司收购了收入周期管理公司Healthcare management Solutions, 哪些扩展了公司的收入周期管理服务组合.


31. Craneware (亚特兰大)

起重机提供病人访问, 收费捕获和定价, 编码 integrity, 收益回收和留存, professional services and ICD-10 solutions. The company's automated revenue cycle solution was named No. 2015/2016年度最佳KLAS奖:软件和服务. Additionally, the company's Chargemaster Toolkit ranked first in the "revenue cycle — chargemaster management" category.


32. Crowe Horwath (芝加哥)

Crowe Horwath is a public account, consulting and technology firm serving multiple industries. The firm's healthcare division offers finance, revenue cycle, reimbursement, 税, risk and compliance, audit and mergers and acquisitions services. Crow Horwath公司的收入周期管理项目包括信用余额管理, denials management, observations services and outpatient charge capture.


33. 戴尔 (Round Rock, Texas)

戴尔 Healthcare Solutions serves hospitals, health systems, physician practices and health plans. 公司提供业务流程外包,包括收入周期管理. 戴尔可以承担编码工作, 汇款处理, 对客户的应收账款进行跟踪和拒收分析.


34. drchrono (加州山景城.).

drchrono offers a number of services include an 电子健康档案, 医疗账单和一个让患者查看自己健康记录的平台. 

该公司的收入周期解决方案包括Apollo和Apollo+. Apollo允许drchrono 电子健康档案用户从电子健康档案管理帐单, 而Apollo+则为用户提供该公司完全托管的计费服务.


35. Experian Health (Austin, Texas).

益百利是一家专注于数据和分析的全球信息服务公司. 该公司的收入周期服务可以将80%的流程自动化. Its services suite includes patient access, claims, contract management and collections products.


36. FTI Consulting (芝加哥)

FTI咨询服务于包括医疗保健在内的多个行业. The consulting firm's revenue cycle division offers a wide range of services including benchmarking, 现金流绩效改善, 管理式医疗合同, 拒绝管理改进等等.


37. G4 HealthSystems (Tulsa, Okla.)

G4 HealthSystems provides healthcare technology solutions for claims billing and management, 审计上诉和管理, denial management, 工作流程, patient statements, patient estimates, payer tracking, 清算所服务, 资格验证等. 该公司半数以上的客户(51%)是医院. 47%的客户是医生,2%是专业客户. 该公司在过去三年多的时间里保持了100%的客户保留率.


38. GeBBS医疗解决方案 (加州玛丽娜德雷伊(Marina del Rey).)

GeBBS为他提供解决方案, 保险计费服务, patient access solutions and end-to-end RCM solutions. 该公司拥有多个技术平台支持其服务. 

Technology includes the enterprise-wide 编码 solution iCode, 编码 compliance platform iCode Assurance, 业务流程管理工具iP2P和EOB到ERA转换工具iERA.


39. GE Healthcare (英国小查尔方特)

GE Healthcare, 通用电气公司的子公司, 提供广泛的服务,包括收入周期管理. GE医疗保健为全收入周期管理支持提供软件解决方案, billing support, 分析 and more. 该公司的RCM软件系统包括Centricity Business, 中心性组管理, Centricity Practice Solution and Centricity EDI.


40. Greenway Health (Carrolton, Ga.)

绿道为医疗行业提供了广泛的解决方案, 包括收入周期管理. The Greenway suite of RCM solutions includes claims management, 二次索赔申请, 拒绝管理等. The company's clients have a more than 99 percent claims acceptance rate and an average decrease of 31 percent in A/R days.


41. 哈雷咨询集团 (Westerville, Ohio)

哈雷咨询集团 offers consulting services exclusively to the healthcare industry. The group's revenue cycle division offers services including the creation of a revenue cycle management work group, 文档的改进, practice education, transitioning central billing to central processing, establishing accountability standards and more.


42. Harmony Healthcare (Tampa, Fla.)

Harmony provides revenue cycle management staffing, 编码 support, HIM leadership, ICD-10 support, HIM离岸服务等等. 

该公司提供临时、临时到永久和永久的人员配备解决方案. Harmony has worked with a number of healthcare providers including Ascension Healthcare based in St. 路易斯,约翰霍普金斯大学总部设在巴尔的摩,耶鲁-纽黑文(康涅狄格州)医院等.


43. 海斯管理咨询 (Newton Center, Mass.)

海斯管理咨询 focuses on partnering with healthcare organizations to streamline operations, improve revenue cycle management and enhance technology.

该公司的收入周期咨询服务包括评估, 优化和过渡管理.


44. 医疗业务的见解 (Milwaukee)

Healthcare Business Insight's core focuses are revenue cycle, supply chain, cost and quality and information technology. HBI的收入周期学院解决收入周期管理的每个元素. The academy is designed to be a collection of best practice resources to support healthcare revenue cycle leaders.


45. 医疗资源组 (斯波坎谷,洗.)

HRG focuses on providing the healthcare industry a full suite of revenue cycle management services. Services include business office outsourcing, 收入循环部门管理, 咨询和人力资源.


46. 硫化汞 (Lisle, Ill.).

硫化汞拥有广泛的服务,包括索赔福利管理, 医疗成本管理, 收益周期管理等等. 该公司的收入周期产品包括患者访问支持, 病人的金融服务 and health information management, 以及旨在支持各种RCM功能的技术. 硫化汞的价格超过6美元.9 billion in client accounts receivables. The company has processed more than 60 million claims for hospitals, physicians and other clients.


47. 人类的弧 (Cleveland)

人类的弧, founded in 1984, provides hospitals and health plans with revenue cycle services with a focus on eligibility determination and program enrolment. The company offers a number of technology services, 比如它的业务范围的信息管理系统COMPASS或它的iqualified基于网络的工具,这些工具是为医院病人的财务顾问设计的.


48. 休伦咨询集团 (芝加哥)

休伦咨询集团提供特定的医疗收入周期解决方案. 该解决方案旨在每年提供3%至6%的收入增长. Bruce Lemon担任该集团收入周期服务的总经理. 休伦的医疗部门也提供Epic的实施和优化服务.


49. 显示 (Las Vegas).

显示提供账单和收款服务已有20多年的历史. The company days has just 8 percent A/R days more than 90. In addition to its billing and collections offerings, 显示 has consulting, credentialing, financial services and scheduling services.


50. Impact Advisors (Naperville, Ill.).

Impact Advisors is a healthcare consulting firm offering expertise in a broad range of areas, 包括策略性资讯科技规划, 临床优化, meaningful use, 收益周期管理等等. The company's RCM optimization services include patient access, charge services, case management, health information management and 病人的金融服务. 在2015/2016年度最佳KLAS排名中, Impact Advisors was named the Best in KLAS Overall IT Services Firm and the top firm in the IT Advisory Services market segment.


51. Intermedix (佛罗里达州劳德代尔堡.)

Intermedix是一家为医疗保健服务的技术和分析公司, 商界和政府部门. Under the umbrella of its healthcare offerings, the company provides EMS revenue cycle management services. Additionally, the company offers RCM services for hospitalists, anaesthesiologists and primary care providers. Intermedix为12,000多家提供商提供编码和计费服务.


52. Jacobus Consulting (Irvine, Calif.)

Jacobus Consulting bases its revenue cycle management services on the core areas of patient access, case management, 收入的完整性/电荷捕获, 健康信息管理和业务办公室绩效改善. 该咨询集团还提供收入周期领导角色的临时领导.


53. KeyBank (Cleveland)

KeyBank's healthcare solutions are utilized by more than 10,000 healthcare organizations. 

该银行的kepatient POS系统旨在简化收集工作, reduce bad debt, decrease days in accounts receivable and more. KeyBank还提供支付管理解决方案设计,以跟踪财务业绩和全面改善收入周期管理流程.


54. 卡夫卫生保健咨询 (Nashville, Tenn.)

卡夫卫生保健咨询, a part of KraftCPAs, includes reimbursement and operations insight, 编码和遵从性 support and advisory services. 在这些类别中,该咨询公司的目标是收入周期管理, 编码和文档, ICD-10 preparation, 支付不足的补偿和更多.


55. Leidos (Reston, Va.)

Leidos focuses on national security, engineering and health. The company employs 19,000 people worldwide. Leidos Health的收入周期解决方案旨在评估和优化. 该公司专注于患者访问、收入诚信和患者金融服务. 莱多斯健康也以临时领导的形式提供支持, initiative support and project management.


56. McKesson (San Francisco).

McKesson为医疗保健提供商提供收入周期管理优化服务, 以及一些产品. 该公司的服务组合包括访问管理改进, 医疗消费的支持, 现金收款加速和付款人绩效改善. McKesson's revenue cycle management product portfolio includes solutions for medical billing and revenue cycle management, the McKesson Performance Analytics system, McKesson智能编码和Paragon医院信息系统.


57. MedAssets (Alpharetta, Ga.).

MedAssets的解决方案旨在降低医疗成本, 提高效率, aligning clinical delivery and improving revenue performance. 该公司的收入周期管理解决方案旨在降低大约10%的总成本,并增加高达5%的净收入. MedAssets为所有RCM流程提供收益绩效改进咨询, 以及ICD-10准备服务. In January, Pamplona Capital finalized its $2.75 billion acquisition of MedAssets, the largest health IT M&2015年开始的一项交易.


58. MedAssist医疗解决方案 (Louisville, Ky.)

MedAssist是一家专注于收入周期解决方案的患者参与公司. 该公司为700多家医院和卫生系统提供服务. 

MedAssist的收入周期解决方案包括几种患者访问技术, 比如一个有耐心的账单估算员, 还有几项商务办公服务, 比如拒绝管理和跟踪.


59. MedeAnalytics (Emeryville, Calif.)

MedeAnalytics的服务是为医疗保健提供商和健康计划量身定制的. 该公司的收入周期产品旨在加速现金流, 限制坏账和拒绝贷款, 自动化工作流集合, 评估服务线路的盈利能力并优化月度储备. MedeAnalytics also offers ICD-10 and patient access solutions.


60. MedHelp (Baltimore)

MedHelp offers several revenue cycle management services including professional fee billing, physician billing and credentialing services. 

该公司专门处理紧急部门的MCO拒绝上诉. Additionally, the company developed an internal scrubbing program that allows for expanded medical 编码 review and scrubbing.


61. MediRevv (Coralville, Iowa).

MediRevv specializes in helping hospitals, health systems, academic medical centers and physician groups improve their cash flow and grow their revenue. Gpk电子提供自付和保险的扩展业务办公服务, 编码 and denials management services and more. 该公司的客户包括位于弗吉尼亚州里士满的Bon Secours健康系统公司., and Dignity Health, based in San Francisco.


62. 我公司 (Westwood, Mass.).

Health IT vendor 我公司's revenue cycle management solution offers automated claim tracking, denial management, 集成电荷捕获和更多. 该解决方案提供了对集中和分散计费的支持. 我公司的RCM产品旨在提供医院和办公室之间的整合,并整合所有的收入周期功能.


63. MedSynergies(欧文,德克萨斯州).

MedSynergies, 去年被Optum收购, 为医疗保健提供商提供财务和运营方面的了解和支持. 该公司的产品MSIGHT帮助供应商简化从预约到病人出院的收入循环流程.


64. 子午线医疗管理 (Windsor, Conn.).

子午线医疗管理 services more than 40,000 healthcare providers each year and processes more than $5 billion in revenue for medical practices. The company was acquired by GE Healthcare in 2005, but re-established as a private entity. 该公司在许多不同的平台上提供医疗账单服务, such as Allscripts, eClinicalWorks, GE Centricity, NextGen EPM和VertexDr. Additionally, 子午线医疗管理 will operate on the Epic platform for its academic medical center clients. 


65. MiraMed全球服务 (Lombard, Ill.).

MiraMed began as a small practice management company in 1979 and grew into a large-scale healthcare business process outsourcing provider. 

The company offers hospitals and physicians patient services, billing services and reimbursement solutions, as well as practice management and consulting options.


66. 国家医疗计费服务 (Grover, Mo.).

NMBS is a revenue cycle outsourcing company catering specifically to the ambulatory surgery center market. The company offers a full suite of revenue cycle solutions including complete outsourcing, 编码, 编码 and billing audits and 管理式医疗合同.


67. Navicure (Duluth, Ga.).

Navicure's portfolio includes cloud-based healthcare claims management and patient payment solutions. 该公司有几个为特定RCM功能量身定制的产品线. Naviure ClaimFlow包括资格验证的解决方案, 编码, claims management, 汇款管理 and denials and appeals management. 该公司所有的解决方案都由其3-Ring客户服务支持, which guarantees a service representative will answer each client call in three rings or less.


68. Navigant Cymetrix (Irvine, Calif.).

Navigant Cymetrix, a fully-owned subsidiary of Navigant Consulting, was formed this year by the consolidation of Alleviant, Cymetrix和传统RCM业务. Navigant Cymetrix provides comprehensive RCM services, consulting services, 资格及财务咨询, self-pay services, 临床文档的完整性, 编码支持和审核, payment processing, 应收账款管理等.


69. NaviNet (波士顿).

NaviNet is a healthcare communications network designed to facilitate payer and provider collaboration. 

NaviNet拥有40多个健康计划合作伙伴和42万名活跃用户. NaviNet的收入周期资源主要用于确定患者的自付费用. 该组织的支付估算器(Payment Estimator)允许提供商验证其资格,并准确估计患者的经济责任.


70. Nearterm (休斯顿).

短期提供临时管理, 医疗保健高管搜索功能, project staffing and revenue cycle consulting. 

The company's core RCM offering is Nearterm 360°. The solution incorporates health information management, consulting, permanent executive search and temporary staffing.


71. NextGen Healthcare (Horsham, Penn.).

NextGen Healthcare offers ambulatory solutions, 人口健康管理, 互操作性解决方案, 咨询解决方案, 收益周期管理等等. 

The company's revenue cycle division offers consulting and outsourcing for physician billing, 集合和索赔. NextGen Healthcare's revenue cycle management services are driven by technology and proprietary solutions.


72. 北欧 (Madison, Wis.).

北欧是一家提供实施解决方案的医疗保健咨询公司, 优化工具和Epic服务. 在众多的咨询选择中,该公司提供RCM服务. 该公司专注于创造收入循环效率,以最大限度地获取费用, 减少A/R天数, improve staff productivity and streamline the entire process.


73. NueMD (Marietta, Ga.).

NueMD offers a cloud-based platform that offers healthcare providers practice management services, 电子病历和医疗账单服务. 

NuedMD的医疗账单软件和电子健康档案一起工作,以减少未偿索赔, 提供定制的转发和更多. The company's practice management services aim to reduce patient cancellations and boost claims acceptance.


74. Ontario Systems (Muncie, Ind.).

安大略系统公司是一家专注于医疗保健行业的软件和服务公司. The company's product Artiva Healthcare is designed to enhance providers' patient accounting system. The company also offers Revenue Performance Optimization, a portfolio of consulting services.


75. 360年为联合健康集团 (Eden Prairie, Minn.)

360年为联合健康集团 is a patient-focused revenue cycle management service provider for hospitals and physicians. Services include revenue cycle management consulting, 医疗IT和系统, 医疗编码和文档, 索赔和赔偿, 拒绝管理和恢复, financial compliance, ICD-10和更多.


76. Parallon (Franklin, Tenn.)

Parallon提供收益周期管理洞察力和定制解决方案.

The company, which employs 14,500 plus people, is partnered with more than 700 facilities and 6,000年医师实践. Parallon offers full-service revenue cycle outsourcing, consulting, payment compliance, collections, physician billing, 扩展商务办公室服务 and more.


77. Patientco (亚特兰大).

Patientco直接关注涉及患者的收入周期部分. 该公司提供基于云的服务, 在线平台,使整个病人付款过程自动化. 该系统的设计使80%的病人支付任务自动化, including payment reconciliation and automatically posting files to health information and practice management systems.


78. 医生组管理 (Lyndhurst, N.J.).

PGM, founded in 1981, offers physician billing services, facility billing services and EMR solutions. The company offers billing solutions specifically tailored to a number of different specialties including allergy and immunology, anesthesiology, 心脏病学, chiropractic, dermatology, emergency medicine, gastroenterology, mental health, 肾脏学, 肿瘤学, orthopedics, pain management, 初级护理和泌尿科.


79. PNC Healthcare (芝加哥).

PNC Healthcare, PNC银行的一个部门, 为医疗保健提供商提供大量的收入周期管理资源. PNC Healthcare's products range from claims submission services and electronic remittance to a patient estimator and denial challenger.


80. nThrive (Wayne, Pa.).

Precyse's solutions include health information management; medical 编码 and computer assisted 编码, 临床文档的改进, 医学转录, ICD-10教育等等. That company's services have been used by more than 4,000 healthcare facilities and providers across the country.


81. 棱镜医疗合作伙伴 (芝加哥)

Prism提供金融, 为医院提供改善运营和临床表现的服务, health systems and academic medical centers.

The company's revenue cycle solutions hone in on identifying any inefficiencies and boosting net revenues. Prism的解决方案包括注册, 保险验证, 金融咨询, charge capture, 编码, collections, 管理式医疗合同, 临床记录等.


82. 普华永道 (New York)

普华永道, a large business intelligence consulting firm, has consulting services for a wide range of areas, such as strategy, operations, risk and finance. 普华永道的收入周期服务是通过其财务管理部门提供的.

Its core offering is its Virtual Business Office, 作为客户医师业务办公室的延伸. VBO提供第三方应收账款老化修复, 保险验证, 声称卷管理, 客户服务支持等等.


83. Quadax (米高度,俄亥俄州)

Quadax has revenue cycle solutions customized for hospitals, physician practices, 供应商和实验室. The company's line of solutions aims to increase cash flow, maximize productivity and reduce paper processing dependency. Quadax specializes in electronic transaction management, 急诊科业务服务和实验室收入周期管理.


84. Quorum卫生资源 (Brentwood, Tenn.).

QHR, founded in 1977, offers a number of brands including QHR Management Services, QHR咨询服务, Quorum Purchasing Advantage and The QHR Learning Institute. The company's revenue cycle solution focuses on providing cash flow solutions from 编码 and billing to patient access and customer service.


85. Recondo Technology (格林伍德村,科罗拉多州.).

Recondo Technology aims to connect providers, 基于云的收入周期管理解决方案的患者和付款人. Recondo的患者访问服务包括综合付款人授权, 准确的病人评估, 分析-driven denial avoidance and more. 该公司的业务组合包括自动化索赔工作流, claims status data, denial management, 索赔提交及更多.


86. 摄政收入周期管理 (Westchester, Ill.)

Regent RCM is an independent division of ambulatory surgery center management and development company Regent Surgical Health. 

The company offers billers and collectors with an average of more than 17 years of revenue cycle management each. 该公司提供一系列自动化服务,包括保险核查, 电子索赔处理, electronic payer payments and patient remittance posting, 数字化存储合同, outsourced patient statement generation and report formatting.


87. RelayHealth (Emeryville, Calif.).

RelayHealth, owned by McKesson, offers 分析-driven revenue cycle management solutions. The company's products include RelayAnalytics Acuity, RelayAnalytics Pulse and RelayAnalytics Spectrum. The Acuity product focuses on providing data to support decisions in areas ranging from ICD-10 compliance to reimbursement. The Pulse product helps create meaningful benchmarks. Spectrum产品是一款iPad应用程序,旨在允许移动设备访问数据.


88. RSM US LLP (芝加哥)

RSM美国公司为包括医疗保健在内的多个行业提供咨询服务. 该公司的收入周期服务套件包括研究和管理报告, supporting 分析, 绩效指标汇总, executive presentations to leadership and more.


89. re|solution (Louisville, Colo.)

Re |解决方案提供全方位的收入周期流程服务. Services include a revenue improvement program, cash acceleration, 应收账款减少的天数, interim staffing, business office insourcing and 编码和遵从性 services.


90. RevClaims (Jackson, Miss.).

RevClaims focuses on injury claims billing. The company partners with providers to increase claims recovery related to workers' compensation, automobile accidents and catastrophic injuries. 该公司与医院、卫生系统和创伤中心合作.


91. RevenueXL (Cupterino, Calif.).

RevenueXL is a healthcare solutions and EMR company focused on small- to mid-sized practices. The company not only provides EMR and 电子健康档案 solutions, 还有医学转录, 编码遵从性和文档索引. RevenueXL的医疗账单组合还包括账单软件选项, billing services, 编码 services, insurance follow up and denial management.


92. RevSpring (Wixom, Mich.).

RevSpring focuses on customized revenue cycle solutions. The company offers business process outsourcing. RevSpring应用数据分析, 以病人为中心的沟通和更多的改善供应商的收入循环过程.


93. Rycan (Minneapolis).

Rycan是一家医疗收入周期软件公司,最近被Healthland收购. 瑞肯的解决方案解决了包括患者责任在内的收入周期问题, 资格认证, claim submission, 汇款管理, denial management, contract management, 报告和数据挖掘等等.


94. SCI Solutions (Campbell, Calif.).

SCI Solutions为550多家医院提供业务流程软件, imaging centers, physician practices and post-acute care providers. SCI Solutions offers the Provider Network Manager that is designed to boost outpatient volumes, 推荐和收入. The company also offers a scheduling platform and client performance optimization services.


95. SourceMed (Birmingham, AL).

SourceMed解决方案捕捉, 交换和分析数据,使门诊机构能够优化收入, increase operational efficiency and improve compliance. 公司的集成软件, 分析, 收入周期管理和专业服务已被超过35家公司使用,超过6万名医疗保健专业人员,500个门诊手术中心, 全国专科医院和康复治疗诊所. 

SourceMed认证编码员团队, 收费员和收费员确保索赔持续进行,以便客户更快地实现盈利,并符合不断变化的法规. Actionable data, pulled directly from SourceMed billing software, highlights revenue cycle trends and identifies immediate opportunities to strengthen financial and operational outcomes.


96. 专业计费解决方案 (Lakewood, Colorado)

专业计费解决方案, 是ASC管理公司PINNACLE III的全资子公司, provides 编码, claims submission, 门诊手术中心的拒绝管理和病人财务服务. 

该公司的团队包括认证的专业编码器,经验丰富的账单 & 收集专业人员和百分之百在美国. The company performs “forensic collections” on new client accounts with existing A/R to capture proper reimbursement for old claims. ASCs making the switch to 专业计费解决方案 have realized increases in net revenue per case of at least 10 percent.


97. The SSI Group (Mobile, Ala.)

SSI专注于索赔管理技术和电子数据交换平台. 该公司的财务业绩服务选项包括拒绝管理, audit management, contract management, 分析和SSI Medibis. Medibis是为门诊手术中心市场设计的解决方案. SSI's claims management service portfolio includes billing, claims status and the 欧洲核子研究中心 HIS Solution.


98. 对称的收入解决方案 (Fort Meyers, Fla.)

SyMetric Revenue Solutions提供多样化的服务套件,从收入周期管理和医生实践管理到实时报告和基于价值的医疗. 该公司的收入周期选项包括紧急部门编码和计费, 住院医生编码和计费, 紧急护理编码和开票, 文档的改进, 审计, 集合和更多.


99. 道明银行 (Toronto, Ontario)

道明银行的医疗保健和非营利性银行集团提供流动性解决方案和融资解决方案,以及收入周期管理. TD Healthcare Remittance Management offers a comprehensive solution for healthcare revenue cycle management processes.


100. 白石集团 (Knoxville, Tenn.)

跟踪是一种通信管理解决方案,旨在支持调度, 协调和报销职能. 该系统提供收入保护, 增强沟通, compliance support and operational performance enhancement.


101. TransUnion (芝加哥).

TransUnion为包括医疗保健在内的多个行业提供解决方案. 该公司的收入周期解决方案服务于医院和医生实践. TransUnion的收入周期管理服务和技术专注于患者访问, 报销及数据泄露.


102. Transworld Systems (Santa Rosa, Calif.).

Transworld Systems' revenue cycle solution MDeverywhere aims to streamline hospital and physician practice revenue cycle management processes. The MDeverywhere system includes practice management software, a claim expert, 合同专家和业务服务. The system decreases denials up to 90 percent.


103. 川本尼奇 (Mobile, Ala.).

川本尼奇 is a business and IT services consulting company focused on rural and community hospitals. 公司的收入周期管理服务包括应收账款管理, 私人支付集合, insurance follow-up, contract management, statement processing, 在线账单支付和医疗编码.


104. 统一收集局 (Toledo, Ohio).

UCB, founded in 1959, provides revenue cycle services to more than 400 healthcare providers. 联合银行的收入周期解决方案包括预注册服务, 资格的援助, presumptive charity, pay 分析, self-pay collections, insurance follow-up and bad debt recovery.


105. VisiQuate (Santa Rosa, Calif.).

VisQuate offers a number of products including an enterprise performance management platform, 可视化操作系统, 业务分析引擎, 知识分布引擎, business rules management and data integration studio. In 2014, VisiQuate partnered with Ovation Revenue Cycle Services to offer its healthcare clients a combination of revenue cycle software and services.


106. VitalWare (Yakima, Wash.).

VitalWare提供基于云技术的RCM服务和工具, 在不断变化和受监管的行业中识别并简化挑战. The company offers best in class documentation, 编码, billing and 审计 services for a powerful user experience. VitalWare的产品包括VitalCDI, iDocuMint, VitalCoder, VitalCDM, VitalCharges和VitalAuditor.


107. VHC (lisle的露台,病了.).

Vaughn Holland Consulting focuses on revenue cycle consulting. The firm's services include revenue recovery, 医疗保险缴付不足, software solutions, 健康信息管理解决方案, 收入周期咨询等.


108. Xtend Healthcare (亨德森,田纳西州.).

Xtend Healthcare focuses on financial performance improvement. The company aims to improve revenue cycle functions, 提供员工扩展和IT资产,并专注于底线改进. 该公司的收入周期管理解决方案包括现场加速回收, 扩展商务办公室服务, automated follow-up, consultation, HIM consulting, 编码 services, ICD-10教育和自费服务.


109. ZirMed (Louisville, Ky.).

ZirMed, founded in 1999, 提供服务超过8个,000 healthcare organizations and nearly 300,000 providers. The company's key service offerings are patient access, charge integrity claims and accounts receivable management, 成本和利用, population risk management and patient engagement.


110. Zotec Partners (Carmel, Ind.).

Zotec是一家专注于麻醉学的专业公司, emergency medicine, 病理学和放射学. 该公司的医疗计费服务包括定制计费协议, contract variance, integrated imaging, a patient portal, 自动上诉等.


Created in 2011, Access Healthcare leverages best practices for revenue cycle management to help healthcare systems and billing companies reach their goals. 

Access helps organizations drive sustainable excellence by using a three-step operating model that involves creating a best practice process, 应用正确的技术,招聘和留住正确的人才. Access has experience in all hospital and physician billing platforms and is legally compliant in all 50 U.S. 州.


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