Revenue Cycle Management
A Revenue Cycle Management (RCM) Built for Compliance
Experience Care’s RCM software helps long-term care providers streamline their revenue cycle management processes. We provide all the tools you need to create customized workflows for your organization.
Our RCM system connects with our electronic health records (EHR) and billing systems. This means your team can integrate data more efficiently without losing focus on what matters most: caring for residents.
“NetSolutions is much faster on closing our billing month. It used to take three hours, now it takes less than one. It’s remarkable how much faster it processes claims and calculates charges.”
Amy Erdely
Director of Information Technology
Saint Marys Home of Erie
Simplify Your Workflows, Maximize Your Reimbursements & Optimize Your Cash Flow
Take the complexity out of managing your revenue management process. Our RCM is conveniently integrated with our long-term care financial solutions. It streamlines the RCM process so you can submit full and timely reimbursements. The result? Optimized cash flow with just a few simple clicks.
Experience Care’s RCM will save you hours or even days every month by gathering the financial resources you need to care for your residents.
The Ultimate Configuration
Long-term care isn’t a one-size-fits-all industry. And your revenue cycle management software shouldn’t be either. That’s why we’ve tailored our financial solutions to work around your business.
Here’s what our RCM system can do for you:
- Automated contract adjustment rules: Stop tedious contract changes by setting your facility’s rules to adjust contracts automatically.
- Adjust data-sensitive setup: Set up your data for your ancillary items as needed. Start organizing your cost, price, and markup with an HCPC/CPT code lookup.
- Organize user-defined billing cycles: You can arrange your billing cycles according to payor. Or, if you prefer, you can set them up according to the time frame you need, such as weekly, bi-weekly, or early bills.
Better Billing
Managing vast quantities of data can get tricky. Our RCM solution helps your staff store, index, access, and retrieve imported electronic documents to the resident’s financial and clinical records—all within a few minutes.
- Coordination of benefits: Manage adjustments to supplemental billing claims.
- Create electronic bills for multiple payor types with the same bill specs.
- Work in several billing periods simultaneously: Now you can calculate charges and produce bills and reports for the next billing period, all without closing the current period.
- Process charges retroactively: Our RCM process charges a payor for a resident to readjust charges for each selected period. This means your facility will be paid the right amount, at the right time.
- Charge for both an apartment and a bed: Our RCM allows CCRCs and ALFs to charge for both in the same time span. This will save your team a lot of unnecessary paperwork.
- Bill for reserved beds. Get paid for every reservation.
Learn more about Experience Care’s Electronic Eligibility Message 270/271 features
Claims & Collections
Do you want to verify eligibility and identify hidden coverages within minutes? Or maybe you want to reduce time-intensive tasks that lead to revenue loss. We’ve found the solution to your problems.
Experience Care’s financial solutions automate and expedite payments electronically by confirming resident eligibility. It is compatible with payors, including Medicare, Medicaid, and commercial insurance.
This powerful system also offers seamless patient data integration from your EHR with your financial management solution. Moving data has never been easier, quicker, or more convenient.
- Faster payments: Create your claims in a standardized format. This is a foolproof way to prevent insurance payors from delaying or rejecting your claims.
- Advanced Collections Modules: Track the current status of—or actions taken on—receivables and create collection letters.
- Medicare Part B Therapy Cap Compatible: This includes billing with modifiers and tracking the cap by the resident, reports on therapy used, and when the cap is exceeded.
- Medicare No-Pay and Benefits Exhaust bills: These can be generated by the system in accordance with CMS rules.
Robust Reporting
Gone are the days of combing through spreadsheets and paperwork to track down the data you need. Your number of options for reporting just went way up.
- Over 100 On-Demand Reports: See your Monthly Census, Resident Ledger, and Retro Adjustments with the click of a mouse.
- Custom Reports: Combine specific clinical and billing data points to get information in one easy-to-view format.
- Track Ancillary Fees: Do your numbers not add up sometimes? Now, you can automatically track fees for inventory and reporting.
- Detailed Data Collection: Compile data on resident claims and events, including leaves and discharges.
Resident Funds & Profiles
Save time and control your census with a single portal for resident management. Our medical billing solution gives you the flexibility to manage multiple fund options. You can also track and report resident information quickly and easily.
- Eliminate duplicate data entries by integrating with Accounts Receivable.
- Track resident trust funds to save time and reduce the chance of errors.
- Allocate interest during bank reconciliation.
- Conduct survey and audit reports.
- Prepare reports, surveys, and audits.
Looking for more financial management tools?
Check out our General Financials system or contact us for more information.