CloudMedic
Revenue Cycle Management

Maximize Revenue with AI-Powered RCM

Reduce denials by 40%, accelerate cash flow by 35%, and automate 90% of your revenue cycle with our intelligent RCM platform built specifically for complex DME billing workflows.

See RCM Demo View Features

Proven Revenue Cycle Results

Our AI-powered RCM delivers measurable improvements to your bottom line

40%
Reduction in denials
$125,000 additional revenue
35%
Faster cash collection
28 days to 18 days DSO
90%
Automated processing
Staff focus on exceptions
15%
Increase in net revenue
$240,000 annual impact

End-to-End Revenue Cycle Automation

Complete revenue cycle management from authorization to final payment

1
Authorization
Automated prior auth tracking and submission
  • •Payer-specific workflows
  • •Automated submissions
  • •Expiration tracking
  • •Appeals management
2
Claim Creation
AI validates claims before submission
  • •Pre-submission validation
  • •Coding optimization
  • •Documentation checks
  • •Payer rule compliance
3
Submission
Electronic submission with real-time tracking
  • •EDI integration
  • •Real-time tracking
  • •Batch processing
  • •Error handling
4
Follow-up
Intelligent denial management and appeals
  • •Automated follow-up
  • •Denial categorization
  • •Appeal generation
  • •Workflow routing
5
Payment
Automated posting and reconciliation
  • •Auto payment posting
  • •Remittance processing
  • •Account reconciliation
  • •Reporting

Intelligent RCM Features

AI-powered capabilities that transform your revenue cycle operations

Pre-Submission Denial Prevention
AI analyzes claims before submission to identify and fix potential denial reasons using payer-specific rules and historical data.
  • Real-time claim validation
  • Payer-specific rule checking
  • Historical denial pattern analysis
  • Automated correction suggestions
Intelligent Denial Management
Automatically categorize denials, generate appeals, and route to appropriate staff with AI-powered workflow optimization.
  • Automated denial categorization
  • Appeal letter generation
  • Workflow routing rules
  • Success rate tracking
Payment Prediction Analytics
Predict payment likelihood and timeline using machine learning to optimize collection efforts and cash flow forecasting.
  • Payment probability scoring
  • Collection prioritization
  • Cash flow forecasting
  • Risk assessment
Automated Follow-up Workflows
Smart follow-up sequences that adapt based on payer behavior, claim type, and historical success rates.
  • Adaptive follow-up timing
  • Multi-channel communication
  • Escalation workflows
  • Performance optimization

Comprehensive RCM Dashboard

Real-time visibility into every aspect of your revenue cycle

Revenue Cycle Overview

Monitor key metrics, aging reports, and cash flow projections with real-time dashboards and automated alerts.

RCM Dashboard

Revenue cycle metrics

Denial Management Center

Track denial trends, manage appeals, and monitor success rates with intelligent categorization and workflow routing.

Denial Management

Appeals & tracking

Payer Performance Analytics

Analyze payer behavior, payment patterns, and denial trends to optimize your revenue cycle strategies.

Payer Analytics

Performance insights

Claims Workflow Management

Track claims through every stage with automated workflows, exception handling, and staff productivity metrics.

Workflow Management

Claims processing

Deep Payer Integrations

Direct connections with major payers and clearinghouses for seamless claims processing

Direct EDI Connections
Real-time claims submission and status tracking
  • Medicare/Medicaid direct
  • Major commercial payers
  • Workers' comp carriers
  • Real-time eligibility
  • Electronic remittance
Clearinghouse Partners
Multiple clearinghouse options for redundancy
  • Change Healthcare
  • Availity
  • Waystar
  • Emdeon/RelayHealth
  • Custom clearinghouses
Payer Portals
Automated portal interaction for non-EDI payers
  • Automated portal login
  • Claims status checking
  • Authorization requests
  • Appeal submissions
  • Payment posting

Revenue Intelligence & Reporting

Advanced analytics and reporting to optimize your revenue cycle performance

Predictive Analytics
AI-powered insights predict payment outcomes and identify optimization opportunities.
  • Payment probability scoring
  • Cash flow forecasting
  • Denial risk assessment
  • Collection prioritization
Performance Benchmarking
Compare your performance against industry standards and best practices.
  • Industry benchmarks
  • Peer comparisons
  • Trend analysis
  • Goal tracking
Custom Reporting
Build and schedule custom reports for stakeholders with drill-down capabilities.
  • Custom report builder
  • Scheduled delivery
  • Role-based access
  • Export capabilities
Real-Time Alerts
Automated alerts for critical events and performance thresholds.
  • Threshold monitoring
  • Exception alerts
  • Performance notifications
  • Escalation workflows

See RCM Automation in Action

Watch how our AI-powered RCM platform transforms your revenue cycle operations

RCM Platform Demo

6 min comprehensive overview

Ready to Maximize Your Revenue?

See how our AI-powered RCM can reduce denials and accelerate cash flow

Schedule RCM Demo Calculate Revenue Impact