Platform Under Development - Demo Version

Billing & Revenue Cycle Management

Maximize Your Revenue Cycle

Complete revenue cycle management solution that improves collections, reduces denials, and accelerates cash flow. From patient registration to final payment, streamline every step of the billing process.

Revenue Dashboard

This Month
$847K
Total Collections
+18% vs last month
32
Days in A/R
-5 days improved
Clean Claims Rate
First-pass acceptance
94.2%
Collection Rate
Total collections vs charges
87.5%
Denial Rate
Initial claim denials
4.8%
Avg Payment Time
Submission to payment
18 days

Complete Revenue Cycle Solution

End-to-end billing and revenue cycle management integrated with clinical workflows

Intelligent Charge Capture

Automatic charge capture from clinical documentation, procedures, and orders. Real-time charge posting with edit checking and duplicate prevention. Integration with CDM (Charge Description Master) for accurate pricing. Mobile charge capture for bedside procedures.

Advanced Claims Management

Automated claims generation with built-in scrubbing for CMS-1500, UB-04, and electronic claims. Real-time eligibility verification, pre-authorization tracking, and medical necessity checking. Batch claim submission to clearinghouses with status tracking.

Denial Management & Appeals

Comprehensive denial tracking with root cause analysis and trending reports. Automated denial workflows with task assignment and follow-up reminders. Appeals management with documentation templates and submission tracking. Reduce denial rates with proactive prevention.

Payment Processing & Posting

Integrated payment processing for credit cards, ACH, and payment plans. Automated ERA/835 posting with variance resolution. Patient statement generation with customizable templates. Payment portal integration for online bill pay and autopay setup.

Revenue Cycle Analytics

Real-time dashboards for A/R aging, collection rates, days in A/R, and denial rates. Payer performance analysis and contract modeling. Key performance indicators (KPIs) tracking with trend analysis. Customizable reports for finance and operations teams.

Patient Financial Management

Patient responsibility estimation at time of service with insurance verification. Financial counseling tools and charity care screening. Payment plan setup and automated recurring billing. Patient financing options and third-party billing integration.

Coding & Compliance

ICD-10, CPT, and HCPCS code lookup with built-in encoders. DRG and APR-DRG grouping with reimbursement estimation. Medical necessity checking against LCD/NCD policies. Compliance auditing with NCCI edits and bundling rules.

Insurance & Clearinghouse Integration

Direct connections to major payers and clearinghouses (Change Healthcare, Waystar, Availity). Real-time eligibility checks and benefit verification. Electronic attachments and prior authorization submissions. Automated claim status inquiries and ERA retrieval.

Proven Financial Results

Healthcare organizations using Median RCM see significant revenue improvements

+25%

Increase Collections

Automated claims submission, denial management, and patient collections increase overall collection rate significantly.

35 Days

Reduce A/R Days

Faster claim submission, automated follow-up, and efficient payment posting reduce days in accounts receivable.

65%

Lower Denial Rate

Real-time eligibility checks, coding assistance, and claim scrubbing reduce claim denials and rejections.

+30%

Improve Cash Flow

Faster reimbursement, reduced denials, and better patient collections improve overall cash flow and revenue predictability.

Full Revenue Cycle Coverage

Manage every step from patient registration through final payment

Patient Access

  • Insurance verification
  • Benefit estimation
  • Pre-authorization
  • Financial counseling

Charge Capture

  • Automatic posting
  • Mobile capture
  • Procedure linking
  • Charge reconciliation

Claims & Billing

  • Electronic claims
  • Claim scrubbing
  • Batch submission
  • Status tracking

Collections & AR

  • Payment posting
  • Denial workflows
  • Patient statements
  • Follow-up queues

Intelligent Revenue Cycle Automation

AI and automation reduce manual work and accelerate reimbursement

Automated Charge Capture
AI extracts charges from clinical documentation, procedures, and orders with 99%+ accuracy, eliminating missed charges
Smart Claim Scrubbing
Pre-submission validation checks for errors, NCCI edits, medical necessity, and payer-specific requirements
Predictive Denial Prevention
Machine learning identifies high-risk claims and suggests corrections before submission to prevent denials
Automated ERA Posting
Electronic remittance advice automatically posted with variance resolution and denial routing for follow-up
Intelligent Work Queues
AI prioritizes accounts by revenue potential, aging, and payer response patterns to maximize staff efficiency

Real-Time Analytics

Monitor revenue cycle performance with live dashboards

Key Performance Indicators
  • • Days in A/R and aging analysis
  • • Clean claim rate and denial rate
  • • Collection rate and cash flow
  • • Net collection percentage
Payer Performance
  • • Reimbursement by payer and CPT
  • • Average payment turnaround time
  • • Denial patterns and trends
  • • Contract variance analysis
Staff Productivity
  • • Claims processed per FTE
  • • Average days to bill
  • • Collections per collector
  • • Work queue aging and completion

Compliance & Security Built-In

Stay compliant with healthcare regulations and protect sensitive financial data

HIPAA Compliance

  • End-to-end encryption
  • Complete audit trails
  • Role-based access control
  • SOC 2 Type II certified

Coding Compliance

  • NCCI edit checking
  • Medical necessity validation
  • LCD/NCD compliance
  • Modifier validation

PCI Compliance

  • PCI DSS Level 1 certified
  • Tokenized card storage
  • Secure payment processing
  • Fraud detection tools

Ready to Improve Your Revenue Cycle?

See how Median RCM can increase collections, reduce denials, and accelerate cash flow. Start your free trial today.

No credit card required • Full RCM access • 30-day trial