RCM Intelligence

See payer, payment, and performance trends to make data-based financial decisions

Built by RCM experts for RCM experts

RCM Intelligence provides financial leaders end-to-end visibility across their revenue cycle with powerful dashboards to help achieve 95% of claims payments in less than 20 days1.

Predictive analytics dashboards

Performance management dashboards create at-a-glance views of how well your revenue cycle is operating, while scorecard dashboards deliver high-level data reports and the ability to get claim-specific information if needed. Together, the various views enable continuous workflow improvements at every step of the revenue cycle, empowering decision-makers to act faster with more information.

Benefits of RCM Intelligence

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Improve first-pass yield

Continuous monitoring of the quality and performance of your organization’s claims processing and First Pass Resolution Rate (FPRR).

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Operationalize RCM data

Pair claims data, remittance data, and workflow data to understand the real-time health of your revenue cycle.

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Make better-informed decisions

Easily discover, predict, visualize, model, and manage valuable revenue cycle data all in one application and take action to correct areas of concern.

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Identify risk

Quickly pinpoint the root cause of low performance areas armed with the necessary data to take swift corrective action.

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EASE All-Payer integration

Works in conjunction with Inovalon’s all-payer clearinghouse to provide proactive insights alongside best-in-class claims management workflows.

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“The dashboards are very interactive, making it easy to drill down to get to the information you need from a denials standpoint. Whether it’s denials, edits, or overall performance, the tools have helped spot trends and make decisions that keep us moving forward. They developed a great reporting system.”

- Curt Glaunert - Vice President of Revenue Cycle - ProHealth Care

Curt Glaunert - Vice President of Revenue Cycle - ProHealth Care

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Organizations we support

For CFOs, COOs, or any other healthcare financial leaders, RCM Intelligence provides access to the performance data needed to improve cash flow.

Hospitals & health systems

Uncomplicate billing processes with detailed claims and remittance data to drive desired payment outcomes.

Skilled nursing facilities & home health

Manage complex claims and lower days in A/R with better visibility into revenue cycle delays and denials – and ways to proactively address them.

Provider organizations

Simplify RCM reporting and stay on top of potential revenue leakage with real-time performance data.