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why RMS?|FAQs:
What services or products does
RMS provide to the healthcare market?
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ASP-based all-payer single connection
of practice-to-payers for paper and electronic remittances. |
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Paper EOB collection, conversion, storage, and
analysis tools. |
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HIPAA compliant ASC X12N 835 transactions from
EOBs and paper/electronic ERAs. |
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Web-based archive of claims, ERAs, and EOBs. |
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Secondary billing tools that expedite payment
on secondary claims. |
How
does RMS provide value to healthcare providers?
RMS’s core business is providing significant,
measurable value to healthcare providers. Some of our
valuable features include:
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Providers experience enhanced reimbursements,
significant reductions in accounts receivable days,
and improved free cash flow. |
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Providers use RMS tools to electronically and
quickly locate, analyze, report on, and print payment
information from integrated ERA and imaged EOB archived
data. |
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RMS providers expedite secondary billing, freeing
practice resources for more critical tasks. |
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RMS providers electronically reconcile payment
to remittance to claim. |
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RMS can replace manual remittance processes with
its electronic solutions in a few short weeks. RMS
will not rush implementation, but ensure that each
customers experience is unique, exceeds expectations,
and achieves significant and long-lasting productivity
gains and cost reductions. |
Why would a health plan want
to do business with RMS?
Many customers wonder why health plans are willing to
work with RMS. Here’s the answer:
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Phone calls from providers relating
to remittance payment balancing are reduced, freeing
health plan resources for more critical tasks. |
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Increased ERA deliverables for health plan customers
eliminate costly paper trails for health plans. |
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RMS, through its banking relationships, can work
with payers to send RMS-partner banks. |
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EFT/ACH payments that can be matched to ERA/EOBs
for electronic delivery to providers. |
What customer services are provided
as part of implementation?
Full implementation services and the use of an RMS project
manager. We also provide:
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Workflow analysis and productivity
tools. |
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Training of provider’s workforce on prioritization
of remittance exceptions |
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RMS monitors connectivity to payers and clearinghouses
24/7. |
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RMS provides telephone and e-mail support 24/7. |
What additional services will RMS offer its clients
in the future?
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Electronic Coordination of Benefits
& Contract Management. |
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Revenue Cycle Business Analysis & Claim Valuation/Pre-funding. |
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Integration of remittance solution with certified
Electronic Health Record systems. |
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Facilitation of use of debit/credit cards for
real-time eligibility confirmation, and point of
sale adjudication and payment. |
What differentiates the RMS
solutions from others in the market?
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RMS provides comprehensive, scalable
solutions that have a positive financial impact
on our customers. We are a national leader in medical
remittance management and our team includes many
of the nations leading experts in the field. At
RMS we make a difference! |
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