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MS Revenue & RCM Automation

Healthcare Automation

Revenue Cycle Management:

Simplify and modernize claims processes by leveraging intelligent business automation with MS Revenue & RCM Automation. Reduce errors and make adjudication processes hands-free.

Explore the following use cases:

  • Multi-Channel Intake
  • Member & Provider Info Edits
  • Member Eligibility Validations
  • Medical Necessity Validations
  • Review Case Determination
  • Claim Processing Audit
  • Claims Adjudication
  • Claim Payment Adjustments
  • High Dollar Claims Audits
  • Post-Authorization Case Review
  • Denial Management

    • Provider Management:

    Effortlessly manage and utilise provider data to improve experiences for providers and members with MS Revenue & RCM Automation.

    Explore automation in the following areas:

  • Provider Request Document Checklist      
  • Roster Data Formatting & Mapping      
  • Update Provider Data      
  • Provider Data Correction - NPI, PHIN, PIN    
  • Provider Correspondence & Notifications      
  • Sanctions Validation      
  • Provider Taxonomy Management      
  • NPI, Education & Address Validation & Verification      
  • Provider Contract Setup      
  • Payment Reconciliation 

    • Contact Center:

    Improve the provider-patient relationship by reducing paperwork and information transactions with MS Revenue & RCM Automation.

    Explore automation in the following areas:

  • Regulatory & Compliance Reporting P&L Reporting
  • Charge Capture, Documentation & Coding Audits
  • HEDIS Reporting
  • Indexing & Routing Documentation
  • Care Coordination
  • Patient Communications
  • Population Health Management
  • Disease Tracking & Trending

    • Healthcare Providers:

    Achieve a perfect score for every interaction in your call centre with MS Revenue & RCM Automation by providing accurate information in response to inquiries. Use automation for:

    Use automation for:

  • Account Inquiries & Benefit Look-Up
  • Claims Status Request
  • Insurance Verification
  • Plan 360 View & Care Coordination
  • Pre-Certification & Authorization Status Check
  • Previous Call History Summary
  • Address Validation & Changes
  • Member Demographics Updates
  • Coordination of Benefits (COB) Inquiries
  • Claim Billing Inquiry

    • Patient Access:

    Speed up the process of moving patients into care swiftly with MS Revenue & RCM Automation in the following areas:

  • Patient Onboarding
  • Scheduling
  • Insurance Verification & Eligibility Document Intake
  • Referrals Management
  • Point-of-Service Collections
  • Financial Clearance & Planning Initiation
  • Appointment Reminders
  • Outreach
  • Pre-Certification & Prior Authorization Submissions

    • Care Delivery:

    Personalize care and accelerate healing with MS Revenue & RCM Automation by automating tasks and data management in the following areas:

  • Charge Capture & Coding
  • Documentation
  • Lab & Radiology Reports Triaging
  • Check-In
  • Check-Out
  • Lab Order Entry
  • Diagnosis, X-Ray & Radiology Order Entry
  • Medication Management
  • Phone Triage & Follow-Up Calls
  • Remote Visits & Monitoring