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Transform Your Practice with AI-Powered RCM Solutions
eClinicalWorks® (eCW) is one of the few vendors in the healthcare IT industry that offers clients a choice of Revenue Cycle Management (RCM) solutions — a self-service Practice Management model in which you handle your own billing — or an RCM Service model in which eCW provides a complete end-to-end solution for your practice.
Either way, with RCM from eCW, you enjoy industry-leading quality, outstanding customer support, and a 98% or higher first-pass acceptance rate. All this is complemented by the comprehensive support of artificial intelligence (AI) to improve your claims process and take your billing to the next level.
Agentic AI Revenue Cycle Management
Maximize Revenue and Efficiency — Autonomously
Traditional RCM relies on human oversight and manual workflows, leading to inefficiencies, revenue loss, and excessive denials. Agentic AI for RCM uses autonomous agents to reduce administrative burdens, accelerate cash flow, and minimize errors throughout your operations.
AI Agents Handle the Heavy Lifting
Appeals: Includes all documents required by insurance payers, including payer-specific forms and cover letters. Packets are generated with a single click, saving time and effort.
Coding: Ensures E&M and CPT coding is precise. Progress Notes are analyzed for code recommendations.
Eligibility Insights: Interprets ANSI 271 data to provide precise, visit-specific benefits using smart mapping for optimal accuracy.
Billing: Responds to natural language questions about claims, payments, account lookups, refunds, or alert dashboards, eliminating manual searches.
AI Workflow: Automates creation of workflow, registration, and claim edit rules from natural language inputs and analyzes CPT codes to generate and suggest rules to minimize denials.
Learning Engine: As the agent learns from payer rejections, it edits claims to improve acceptance rates.
Patient Collections: Automates and speeds collections by using AI to field patients’ calls and accept payments electronically.
EOB to ERA: Creates automation from paper, generating ERAs when there are no options from the payer and reducing the manual posting of EOBs.
Two Ways of Approaching Revenue Cycle Management
Revenue Cycle Management Technology
RCM Technology includes all back-office integration to provide our clients an edge in the RCM space. Some features include providing patient eligibility and deductible information, bots to help scrub and submit claims, receiving and posting electronic remittances, and denials and appeals management technology.
Alerts Dashboard
Prioritize claims to avoid missing payer timely filing windows.
Work Queue Dashboards
Larger, CBO-centric practices can allocate inventory, and process claims for AR management.
Performance Evaluation Tools
Monitor your financial health using the eCW RCM Dashboard, Provider Analytics, and practice KPIs.
Revenue Cycle Management Service
Leave RCM to a Trusted Healthcare IT Partner
Our experts use the RCM technology to its fullest potential, creating a preventive approach to managing denials and rejections. Unlike other billing services, we work your appeals at all levels, let you decide on write-offs, and keep you fully informed of your practice’s financial health through real-time dashboards and on-demand reporting.
- Real-time patient insurance eligibility
- Visibility dashboards to monitor practice performance
- Claim processing, review, scrubbing, and follow-up
- Insurance & patient payments go directly to your practice
- Denials & appeals management
- Manage workers’ compensation and other liability claims
- Manage the preliminary steps necessary to send accounts to collections
- Daily, monthly, and year-to-date statements and reports
Why Go with eClinicalWorks RCM
Maximize Healthcare Practice Visibility
- Comprehensive tools for reporting and analytics
- Easily monitor Key Performance Indicators (KPIs)
- Get real-time claim status updates
Improve Communication
- Use our RCM console for collections, refunds, and claims alerts
- Have a dedicated account manager to aid you in every step of your financial journey
- Send out electronic satisfaction surveys
Customer Success Story
Spectrum Family Medicine
See how they used the eClinicalWorks Revenue Cycle Management solution to help sustain their financial performance.