What to Know

About Allscripts Revenue Cycle Management

Understandably, you have big questions.

Healthcare business remains costly, labor-intensive and time consuming. Reimbursement rules, regulations and reform drive uncertainty. Allscripts is here to help you prepare for the future, safeguard your business, and improve your revenue cycle with our full suite of revenue cycle solutions. Plus, our solutions uniquely foster practice satisfaction and stronger physician compensation levels; two valuable factors for staff retention and physician recruitment.

How do I choose the right RCM solution(s) for my practice?

To meet the needs of unique organizations of any size or specialty, Allscripts offers a full suite of solution options to improve every step of the revenue cycle. Allscripts PM – our  proven practice management technology; Allscripts Payerpath – a robust suite of claims management, patient access and patient payment solutions; and Allscripts RCM Services – an outsourced solution. From scheduling through collections and performance reporting, each of our RCM solutions tackle your toughest business challenges to maximize return on investment, earn more and collect every dollar due.

How can I improve patient collections?

Self-pay is the fastest growing portion of a provider's revenue stream with 50% of patient payments written off as bad debt. Allscripts offers several patient payment solutions to obtain accurate and complete payment and better informs your patients about payment responsibility at the time of service.

We deliver real-time eligibility insight to reduce write-offs and patient bad debt. By verifying insurance coverage and payment responsibility, you'll immediately be alerted of non-covered services before providing care.

Best of all, you can choose the right patient payment solution for your practice. For example, with Intuit Health Bill Pay Premier, patients receive a complete and easy to understand bill via email, and can make payments on-line. Or practices can obtain pre-approved credit card (or debit card) authorization of estimated patient responsibility at time of visit, instead of having to work harder on the back end. When you help your patients understand their responsibility and obtain payment pre-authorization, you'll be able to capture more reimbursement with automatic processing of patient payment once payers adjudicate a claim.

Can I improve office efficiencies and still operate my practice, my way?

Yes. Allscripts RCM solutions incorporate both client feedback and industry best practices to best streamline workflow and uncover more revenue opportunities.

Our robust, rules-engines embrace and mold to staff and physician preferences, (not the other way around). You'll find simplicity in scheduling multiple appointments (and referrals) across multiple practice locations; and easy management of appointment scheduling variables such as: first-available appointment searches, wait-list, bump lists, walk-ins and recurring appointments. But that's just the beginning.

You'll also automate routing of pre-defined work tasks to be sure critical business steps are completed by the right staff. Besides improving communications throughout your practice, you'll enhance staff satisfaction with more efficient work flow processes.

How can I reduce denials and underpayments from payers?

Practices can average more than 10 percent in denials for adjudicated claims. Allscripts can dramatically lower that number using our RCM solutions to generate cleaner claims and accelerate complete reimbursement.

Allscripts RCM solutions provide real-time visibility into reimbursement performance activities. Our simple, easy-to-use reports and tools answer questions such as, How often and why is this claim denied?; Which payers deny my claims most and for which codes?; and, How does my reimbursement performance compare to my peers? We identify critical reimbursement patterns by parsing electronic remittances sent from payers and providing market-leading data analysis to recognize trouble areas and trends. But then we'll help you integrate updates into your RCM process, and resolve issues due to payer errors and underpayments.

We'll also help you identify and collect underpaid claims from payers. With Payerpath Contract Audit & Recovery you'll be confident that payers are complying with and paying to the contracted pricing terms for your practice.

If I prefer not to invest in hardware, software and staff, can Allscripts completely manage my revenue cycle for me?

Yes. Allscripts offers a full and flexible suite of RCM solutions to meet your revenue cycle needs, including the option to completely outsource.

Our outsourced solution represents a proven bundle of technology and professional services with a flexible pay-as-you-go plan. We provide expert consultants to help you improve workflow efficiencies, optimize technology use, improve cash flow and maximize your return on investment.

With Allscripts RCM Services you'll free your practice of the labor- and IT-intensive tasks associated with managing the revenue cycle, allowing you to shift resources to more strategic practice needs and spend more time caring for patients.

How can Allscripts RCM solutions help me keep up with regulatory and payer changes?

Allscripts is in the business of healthcare, so you don't have to be. Our RCM solutions incorporate payer and regulatory updates including HIPAA, ANSI 5010, and ICD-10 compliance, as well as back-up recovery requirements. When you choose Allscripts, you'll achieve peace of mind knowing your revenue cycle processes adhere to rules essential to reimbursement and reduced compliance risk.

Plus, Allscripts invests more than $150 million annually to efficiently meet the changes in healthcare business. When you choose Allscripts, you benefit from our cumulative experience and product investments to more profitably manage every step of your revenue cycle.

Will Allscripts RCM solutions integrate with an Electronic Health Record and other solutions?

Allscripts is committed to connecting one community of health using open, flexible and integrated clinical, administrative and financial solutions.  

Our RCM solutions fully integrate with each other, and many other industry business and clinical EHR solutions. We'll even offer you advanced integration capabilities when you integrate Allscripts RCM solutions with an Allscripts EHR. And since Allscripts EHRs are fully-certified, you'll be ready to qualify for full federal incentive dollars.

Rest-assured our RCM solutions will capture all revenue opportunities and remain open to meet the changing needs of your practice.

What experience does Allscripts bring to the business of healthcare?

Providers know Allscripts for our leadership in creating one patient record across a community of health. Yet our award-winning solutions span clinical, administrative and financial areas of healthcare.

For three decades, Allscripts business solutions have been helping more than 100,000 physicians profitably navigate the challenges of a constantly changing landscape for healthcare business.

We're an industry leader connecting one of the largest healthcare networks in the nation: 180,000 physicians, 1,500 hospitals, 10,000 post-acute care organizations. Plus, our proprietary clearinghouse, the third largest in the industry, processes more than 700 million transactions and 300 million claims annually with a 98% first-pass rate average.

When you choose Allscripts, you benefit from our cumulative industry experience and investments in innovative solutions to more profitably manage every step of your revenue cycle.

How do I get started?

Select the right RCM solution and you’ll be on your way.

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