SocialRCM | Digital Healthcare Technologies | Newark CA | Health Roads

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Reimagining RCM for the AI Age

It’s never been easier to generate, validate, and automate claims that maximize revenue.

SocialRCM eliminates manual processes that slow down reimbursement and burden your staff.

SocialRCM

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Increase Collection Rates

Improve your reimbursement rates with automated claim submission and denial management.

Clean claim rate

Reduce Administrative Costs

Minimize manual processes and paperwork through automation and streamlined workflows.

Cost reduction

Accelerate Cash Flow

Speed up payments with faster claim submission and proactive follow-up processes.

Faster payments

Ensure Regulatory Compliance

Stay up-to-date with changing healthcare regulations and payer requirements.

Compliance rate

Gain Actionable Insights

Leverage analytics to make data-driven decisions and identify revenue opportunities.

ROI increase

Reduce Denial Rates

Track and minimize clinical, technical and administrative denials to improve first-pass resolution rates.

Initial denial rate

Bronze

Includes:

Claims Processing Excellence

Streamlined Claims Processing
Accelerate your revenue cycle with automated submission workflows
Intelligent Error Detection
Catch and fix errors before submission, reducing rejection rates
Automatic Claims Submission
Save time and resources with automated submission processes
Automated Resubmission
Streamline the process of resubmitting corrected claims

Essential Reporting

Downloadable Reconciliation Files
Export and analyze your billing data on demand

Suite of Standard RCM Reports

Access fundamental performance metrics to track your practice's financial health

Basic Claims Management

Basic Business Rules Engine
Tailor claim processing to industry standards
Custom Integration with one Managed Care Plan (MCP)Seamlessly connect with your contracted MCP

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Silver

Includes everything in Bronze, plus:

Enhanced Claims Management

Extended Business Rules Engine
Tailor claim processing to your specific organizational needs and requirements
Custom Integration with all Managed Care Plans
Seamlessly connect with multiple payor organizations

Advanced Analytics

Interactive Dashboards
Monitor real-time claims status and key RCM metrics at a glance
Basic Revenue Gap Analysis
Identify common missed billing opportunities to increase collections

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Gold

Includes everything in Silver, plus:

Revenue Optimization Suite

Advanced Revenue Gap Analysis
Comprehensive review that captures all missed billing opportunities
Concierge Reports & Optimization
Personalized guidance from our RCM experts to maximize your revenue

Denial Management System

AI Review of Rejection Files
Artificial intelligence analyzes rejections and recommends specific corrections
Appeals & Denial Resolution
Expert handling of complex denial cases to maximize collections

Premium Analytics

Advanced Analytics & InsightsEnhanced reporting with industry benchmarking and executive-level insights
Custom Report Building
Create tailored reports specific to your organization's unique needs

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Request Demo

Ready to transform your revenue cycle?

Schedule a personalized demo* and see how SocialRCM™ can help your organization optimize revenue and reduce administrative burden.

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