Revenue Cycle Management

Billing Services and Consulting

Netsmart Revenue Cycle Management (RCM) is a comprehensive billing service that helps human services and integrated care organizations reduce costs, predict revenue streams and improve the bottom line. The Netsmart RCM Consulting team documents processes then helps providers implement best practice workflows to improve cash flow and enhance profitability.

Assessment of revenue cycle

  • Comprehensive review of current revenue cycle practices
  • Determine opportunities to improve productivity, claims/cash management and accounts receivable
  • Develop a scorecard to identify and correct variances from best practices

Business office and claims management

  • Uses organization’s existing CareRecord™ or electronic health record (EHR)
  • Provider credentialing with payers
  • Verification of client insurance eligibility
  • Claims scrubbing/editing and submission
  • Remittance and cash posting, and accounts receivable management
  • Establishment of key performance indicators (KPIs) to track trends
  • Client statements and collection letters on delinquent accounts