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RCIM™ Software helps health care providers maximize reimbursement and
reduce compliance risk by collecting and analyzing data at every step of the
Revenue Cycle process. It ensures that the information throughout the Revenue
cycle is complete, accurate, and in compliance with the industry regulations.
RCIM processes information from
your existing
Healthcare systems, by any vendor, in any format,
and works in the background tying together other
Healthcare systems. RCIM uses
user-defined rule-based software which applies the
Healthcare Industry Rules, Regulations, and
Statistics, as well as specific practices developed
by each customer to all steps in Revenue Cycle
Management. These rules identify exceptions and
discrepancies in the processed data, and initiate
automatic or manual corrective actions. .
RCIM uses rule-based software for automatic
Validation, Reconciliation, Consolidation, and
Transformation of medical information from disparate
sources
Processes information from existing Healthcare systems, by any vendor, in any format
Applies user-defined rules to the processed data
Finds exceptions within each data source or discrepancies between data sources
Takes corrective actions based on the processing results
Produces files and reports combining information from multiple sources
Works in the background tying together all other Healthcare Information systems
At the core of RCIM is an easy-to-use Rule Engine which executes Rule Procedures in Java Virtual Machine:
Rule Procedures use simple Graphic Interface and English-like syntax and can be maintained by non-technical people.
Can read data in most of the popular formats (files, reports, databases, HL7 messages, other).
Work in the background in batch mode, triggered by other processes or scheduled. No direct user interactions required
Complexity of processing is hidden from the user. User supplies the business rules, not data processing logic
Operate on the information read from the processed files, or on previously stored information.
Keep complete audit log of all results and changes
PSS Technology can be applied on different levels, individually or collectively, to
Reference data files used in creation of charges (e.g. CDM)
Individual charges
Patient Statements
Insurance Claims
Payments and Denials
Inventories
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RCIM™ is user defined rule-based software for validation,
reconciliation, consolidation, and transformation of medical and
business data from all Revenue Cycle sources.
Reads data in any format, from any application, on any platform without
need for special interfaces
Applies user-defined rules to the processed data to detect discrepancies
and inconsistencies
Creates output files, input files, cross-application reports, and audit
logs based on the processed data.
Takes user-defined automatic or manual corrective actions based on the
processing results
Triggers other applications, or can be scheduled or triggered by other
applications
Works in the background, automatically interacting with other systems,
tying together all systems involved in the Revenue Cycle
Quick implementation cycle combined with the low cost of ownership
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