RCM Automation & Analytics

RCM Automation & Analytics

At Protouch Medical Billing, we utilize Artificial Intelligence (A.I.) and Robotic Process Automation (RPA) to transform the way healthcare providers manage their revenue cycles. Our automated bots work tirelessly to streamline up to 70% of revenue cycle management tasks, allowing your staff to focus on more analytical and high-value work.

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Intelligent RCM Automation - 24/7 Efficiency for Enhanced Revenue Management

Key Benefits of RCM Automation
  • 24/7 Operations: Our A.I. bots work continuously to manage essential RCM tasks like claims submission, payment posting, and denial management without interruption. This leads to faster turnaround times, fewer delays, and improved financial outcomes.
  • Increased Accuracy: With 100% accuracy, automation eliminates the risk of human error in billing and claims processing, ensuring that every transaction is completed flawlessly.
  • Efficiency Boost: The use of RPA results in a 300% increase in productivity compared to manual processes, meaning that more claims are processed in less time, with greater precision.
  • Cost Reduction: By automating repetitive tasks, you can reduce operational costs by up to 40%, improving your bottom line and allowing resources to be allocated more effectively.
How it Works

Our bots handle everything from patient demographic capture to coding assistance and claims follow-up, including:

  • Patient Demographic Capture: Accurate collection and verification of patient information, ready for claim submission.
  • Eligibility Verification: Automates the verification of patient insurance eligibility, reducing rejected claims.
  • Claims Submission: Seamlessly submits claims to payers with 100% accuracy, reducing errors and denials.
  • Denial Management: Identifies and corrects denial triggers, automating claim resubmission.
Patient Demographic Capture

Patient Demographic Capture


Automatically collects and verifies patient information to ensure seamless claim submission.

Eligibility Verification

Eligibility Verification


Automated verification of patient insurance coverage, reducing claim rejections due to ineligibility.

Coding Assistance Platform (CAP)

Coding Assistance Platform (CAP)

Ensures accurate coding to meet payer requirements, reducing denials related to coding errors.

Claim Submission and Status Tracking:

Claim Submission and Status Tracking:

Automated submission and real-time status tracking of claims, ensuring faster reimbursement.

Denials Management

Denials Management


Proactively identifies denial triggers and automates the resubmission of corrected claims.

Patient Billing Statement Generation

Patient Billing Statement Generation

Streamlines billing processes by generating accurate and easy-to-understand patient statements.

Credit Balance Resolution:

Credit Balance Resolution


Automatically identifies and resolves credit balances, improving financial accuracy.

Risk Adjustment Optimization (RAO)

Risk Adjustment Optimization (RAO)

Enhances revenue by ensuring proper risk adjustment coding and claims submission.

The Power of RCM Analytics

Incorporating Big Data and advanced analytics into RCM operations provides actionable insights that drive better decision-making. Our automated system collects and analyzes data from multiple sources, including payer portals and patient systems, to offer insights that improve the quality of your revenue cycle.

Benefits of RCM Analytics

  • Actionable Insights: Identify inefficiencies, track claims in real-time, and receive recommendations for process improvements.
  • Enhanced Claim Resolution: Analytics tools identify claim patterns and bottlenecks, enabling quicker resolution times.
  • Improved Clean Claim Rate: Increases the percentage of claims accepted by payers on the first submission.
  • Reduced Denials: Leverages data insights to detect and resolve denial triggers before claims are submitted.
  • Streamlined Processes: Data analysis identifies process bottlenecks, enabling continuous improvement in workflows.

Dashboards for Informed Decision-Making

Protouch Medical Billing provides real-time dashboards that give you full visibility into the health of your RCM processes. These dashboards offer comprehensive views of key performance indicators (KPIs) and trends, enabling you to monitor and manage your revenue cycle with precision.

RCM Dashboards Include

  • KPI Dashboard: Monitor critical performance metrics in real-time.
  • Denials Dashboard & Trends: Track denial patterns and reasons to improve claim success rates.
  • A/R Summary Dashboard: Stay on top of aging claims and accounts receivable.
  • Payment Dashboard: Track payment cycles and spot discrepancies.
  • CPT Trend Analysis: Analyze coding trends and spot potential revenue leakage.

EHR Platform with Medical billing Softwares

Take the Next Step in Optimizing Your RCM

At Protouch Medical Billing, we are committed to revolutionizing your revenue cycle management through cutting-edge automation and powerful data analytics. By eliminating manual errors, accelerating claim processing, and providing actionable insights, our solutions are designed to boost your financial performance and streamline operations. Let us help you achieve faster payments, increased collections, and full compliance with industry standards.