Revenue Cycle Management that Supports Your Financial Foundation and Future

The Netsmart RCM portfolio consists of AI (augmented intelligence) and automation for the following functions: provider enrollment*, benefits coordination*, coding*, claims management, collections and denials management.

AlphaCollector is the Netsmart collection automation tool that helps reduce accounts receivable (AR) and creates consistency in the collections process. AlphaCollector takes guessing out of the collections process by placing the right claims in front of collectors at the right time. Claim auto statusing within AlphaCollector has helped community-based care organizations save thousands of hours, reduce AR and bad debt write offs and drive revenue cycle efficiency.  

Benny, our revenue cycle agent, is part of the AlphaCollector tool and guides staff through denials management workflows. Benny works from decision tree logic and uses suggested best practices to guide back-office staff through denial instances. You can think of him as a digital collections sidekick.  

RevConnect is the Netsmart claims management tool that includes automation for eligibility verification and clearinghouse workflows. By using automation to simplify pre-service activities such as eligibility, back-office staff can get one step closer to strengthening their first pass pay rate. A customized payment portal is also available via RevConnect.

*Functionality under development. Netsmart does not warrant when or if functionality will be available.

No – Netsmart revenue cycle solutions are EHR-agnostic. You do not have to have a Netsmart electronic health record to use our collections automation or claims management solutions.

Netsmart offers multiple options for reducing accounts receivable and facilitating revenue cycle management efficiency.   

AlphaCollector™, the Netsmart collection automation tool, leverages robotic processing automation to optimize the revenue cycle and aims to enhance overall efficiency in accounts receivable management. AlphaCollector delivers prioritized worklists to collectors and streamlines follow-up activities. The auto status functionality within AlphaCollector checks the status of claims so collectors don’t have to. This functionality has been proven to deliver major time savings in the accounts receivable management process. The AlphaCollector collection automation tool also helps organizations reduce accounts receivable and bad debt write-offs. AlphaCollector drives documentation consistency through canned notes, which prompt collectors to document the information their organization requires. This consistency in documentation ultimately creates transparency in the accounts receivable process. Finally, advanced analytics within AlphaCollector provides transparency to managers and paints a clear picture of where the focus should be placed in the accounts receivable management process.

The Netsmart RCM services team also provides accounts receivable assistance through an AR management project. The RCM services team is composed of revenue cycle operations experts with decades of experience. Our revenue cycle operations experts are well equipped to help decrease your accounts receivable, identify root causes of denials and create revenue cycle management efficiency.

A full or partial billing outsource is available through the Netsmart RCM services team. Netsmart can provide RCM services for a variety of functions in the revenue cycle including support for pre-service activities such as eligibility, prior authorizations and provider enrollment. Additionally coding services and back-office billing services like accounts receivable management and cash posting are available. Utilization management services and post-acute care transition services are also available and can mitigate surprises in the revenue cycle. The Netsmart revenue cycle team is skilled in optimizing processes and enhancing financial performance by providing dedicated support for healthcare revenue cycle teams. 

Automation + AI (augmented intelligence) should also be considered to support your workforce. Automation powers an efficient revenue cycle and lays the foundation for organizations to carry out their mission. When collections, denials management, prior authorizations, eligibility verification and claims management workflows are automated, financial leaders and teams can use their time to focus on strategic goals that will help set their organizations up for continued financial stability.

Netsmart is helping many human services, post-acute care and public sector organizations optimize their financial workflows and improve revenue cycle management efficiency.  

Below is a small sample of organizations using AlphaCollector, the Netsmart collection automation tool, to help decrease accounts receivable and support collector efficiency.  

• https://www.ntst.com/resources-and-insights/success-stories/crosswinds  
• https://www.ntst.com/resources-and-insights/success-stories/amedisys 
• https://www.ntst.com/resources-and-insights/success-stories/red-rock-bhs-success-story  
• https://www.ntst.com/resources-and-insights/success-stories/bayada-client-spotlight  
• https://www.ntst.com/resources-and-insights/success-stories/integral-care-client-spotlight 

Below is a small sample of organizations using Netsmart RCM services to strategically address top billing and administrative priorities. 

• https://www.ntst.com/resources-and-insights/success-stories/north-country
• https://www.ntst.com/resources-and-insights/success-stories/volunteers-of-america-mid-states
• https://www.ntst.com/resources-and-insights/success-stories/national-youth-advocate-program
• https://www.ntst.com/resources-and-insights/success-stories/santa-clara-county-client-spotlight
• https://www.ntst.com/resources-and-insights/success-stories/families-first-essex-county

Below is a small sample of organizations using RevConnect, the Netsmart claims management tool, to help them create a safeguard for clean claims and timely reimbursement.  

• https://www.ntst.com/resources-and-insights/success-stories/arisa-health
• https://www.ntst.com/resources-and-insights/success-stories/acadia-healthcare
• https://www.ntst.com/resources-and-insights/success-stories/chd-rcm-services-and-revconnect-success-story