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Top 10 RCM Consulting/Service Companies - 2020
The RCM sector, which has been in a transition phase since the last decade, is at the cusp of reaching its evolution milestone now. Especially with the rise in the out-of-pocket costs of patients and bad debt write-offs within medical practices, organizations are increasingly investing in RCM technology to enhance their offerings to the consumers.
On the other hand, physicians are increasingly consolidating into larger physician groups, hospitals, and health systems to achieve economies of scale, build enhanced healthcare experience, and provide access to better care. They are also investing in wearable technology to facilitate continuous monitoring, combined with an increased application of analytics to enable the total well-being of the patients.
Following the suit, connected healthcare technologies are also playing a critical role in reducing costs, enhancing spend transparency, and offering greater access to healthcare. Today, the main objective of RCM-centered technologies is to facilitate seamless access to care when patients need it and enabling them to pay for the cost of healthcare. We are also witnessing a shift to cloud-based revenue cycle platforms. While numerous players are focusing on speciality niches of RCM, several providers are increasing their investment in analytics to enhance the overall RCM space. Considering all such trends in the marketplace, it is imperative to invest in the latest RCM technologies.
To assist healthcare organizations in the task of finding accomplished RCM solution providers and consulting/service companies, we have compiled this issue of Healthcare Tech Outlook. It is elaborately crafted to assist you in fostering productive partnerships and improving performance.
In this edition, we have listed the top 10 RCM solution providers and top 10 RCM consulting/service companies to highlight those making significant contributions to the healthcare sector. This edition also blends through thought leadership articles from subject-matter experts and CXOs. We hope this issue of Healthcare Tech Outlook helps you build the partnership you and your organization need to foster a healthcare realm driven by robust and efficient RCM technology.
We present to you Healthcare Tech Outlook’s Top 10 RCM Consulting/Service Companies - 2020.”
Nominate a Company
Usually, the qualified subscribers of our magazine nominate companies with whom they have collaborated and experienced exceptional results to be in this list. Did a company you recently worked with give you stellar results and ROI? Did it turn out to be one you would wholeheartedly recommend to peers? Or do you know of such an outstanding company through your network? Please fill in the details below and nominate them to be featured here.
Top RCM Consulting/Service Companies
Anovora provides analytics as a service (AaaS) and provides clinical researchers and medical professionals with comprehensive cloud-based technologies for real-time data analyses ... read full profile
Health Revenue 360 offers end-to-end RCM services, including medical billing and coding, credentialing and contracting, denial management, medical record auditing, and healthcare practice management, to help its clients thrive financially. Whether the client is a telemedicine practice only or a traditional healthcare provider, Health Revenue 360, LLC’s services, along with a practice’s existing electronic health record (EHR) and medical billing software or its cutting-edge electronic health record (EHR) and medical billing software, cater to its clients’ every RCM needs. At the core of this diversified expertise is the company’s personnel, with 30+ years of combined experience in the front office, clinical ability, and practice management, creating a perfect ecosystem for its clients to increase and sustain their revenue. These proficiencies are the linchpin of Health Revenue 360, LLC’s success ... read full profile
Focused on revenue cycle management and collection of old Accounts Receivable (A/R), MedXPrime Revenue Recovery (mr2) has recently introduced 12 new enhanced services to focus on increasing revenue and easing their clients’ administrative burden at no additional cost. There’s more to mr2’s commitment level to its clients than just A/R recovery and improved billing. mr2 has recently introduced 12 new enhanced services to focus on increasing revenue and easing their clients’ administrative burden at no additional cost. Typically, these are services that other billing companies charge for ... read full profile
Veridical RCM is a full-service revenue cycle management company specialized in complex or less understood areas of healthcare.Partnerships are tailored to the needs to the client and include services such as helping with billing compliance, optimizing revenue capture, accounts receivable audits, and hospital contract negotiations. The company brings three decades of rich experience in operational and revenue arenas for these specialties, and also has team members with clinical backgrounds to aid in this process. Veridical RCM is also uniquely positioned to help providers obtain the highest reimbursements on out-of-network bills by employing its rich expertise, should they happen to not participate in various plans ... read full profile
Integrity Health Partners Group
Integrity Health Partners Group is a medical billing and revenue cycle management company. IHPG supports health systems with aged AR and reporting problems via a dedicated crew of account executives that is available 24/7. The company’s group of professionals work very hard and improve communication between patients and their insurance carriers. In doing so, the company ensures that all parties are financially in-check and aligned to a specific region’s usual, customary, and reasonable (UCR) amounts. The account executives conduct negotiations with insurers on behalf of the patient and guarantee a fair payment for medical services
JTS Health Partners
JTS Health Partners (JTS) is a national healthcare management consulting and professional services firm. The company’s consulting portfolio consists of enterprise advisory planning, clinical optimization, financial, health information management, information technology, revenue cycle management with extended business office capabilities, as well as operational performance improvement initiatives for hospitals and physicians. Other professional services include staff augmentation for the acute and physician settings
MedData
MedData is a leading provider of technology-enabled revenue cycle management services designed to engage patients, empower hospitals and health systems, and improve financial outcomes throughout the entire healthcare continuum. For four decades, MedData has proudly partnered with care providers at thousands of facilities nationwide to serve millions of patients on-site, in the field, and from our regional offices across the U.S. Our core services include Eligibility & Disability, Injury Accounts (Workers' Comp and Liability), Out-of-State Eligibility, Patient Responsibility/Early Out, Denials Management, and Veterans Administration
Mid Michigan Medical Billing Service
Mid Michigan Medical Billing Service, Inc. is a full spectrum revenue cycle management company offering Medical Billing, Medical Transcription, Records Management, and Consultation services. Eighteen years of experience has led to relationships with 3rd party payers, medical clinics large and small, and has allowed MMMBS to grow into a one-of-a-kind billing service with dedicated account managers that work by the motto “Big Enough to Serve You, Small Enough to Know You.” You’ll want to choose MMMBS, Inc. as an efficient business partner allowing us to handle all your unwanted office headaches and leaving you and your time to spend with patients
Shearwater Health
Shearwater Health (formerly known as HCCA Health Connections) is the expert at providing global healthcare solutions for their partners that improve their service deliveries while lowering costs of operations. The company utilizes their unique Global Healthcare Solutions Model to provide onsite clinical solutions in the U.S. while also delivering remote clinical and administrative services at scale, known as clinical process outsourcing (CPO). With a concentrated focus on the healthcare market, Shearwater combines their clinical expertise and business acumen to assist their clients in delivering better outcomes and care
Synergy Billing
Synergy Billing helps Federally Qualified Health Centers to maximize revenue and improve business processes. The partners of Synergy Billing have extensive experience managing and operating community health centers (FQHC’s) and have an intimate understanding of the billing challenges that community health centers face. Drawing on prior experience in FQHC administration and private sector medical billing, the founders of Synergy Billing developed a service offering tailored to the unique requirements of Federally Qualified Health Centers. Synergy Billing has a dedicated teams of billing experts that understand the unique requirements of billing in the community health center environment and are held to the industry’s highest standards for accuracy, compliance, and efficiency
