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Revenue Cycle Management Services

Revenue Cycle Management Services

RCM services help address the complex challenges of managing financial operations.

From short-term project support to long-term engagements, we’ve designed our services to meet the unique needs of all venues of care. As our industry shifts from volume to value, we are committed to helping our clients thrive by preparing for regulatory changes to optimize reimbursement, while providing the highest quality care.

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The last 15 years have shown more regulatory changes than the last 100 years of health care reform, combined. When it comes to RCM, more health care organizations are finding themselves having to do more with less. Due to increasing pressures, more practices and health systems are choosing to outsource RCM services.

Cerner RCM services offer a true partnership for our clients, a shared responsibility and accountability, and proves that we are invested in our clients’ success beyond any of our competitors. By integrating people, process and technology, we help our clients improve workflow efficiencies, meet organizational metrics and control their cost to collect.

Benefits

Continuous analysis and improvement: Intelligence + expertise

Account Resolution

  • Claims processing
  • Payment posting
  • Online bill pay
  • Self-pay
  • Accurate payer reimbursement

  • Denial mitigation
  • Root-cause analysis
  • Translation to accurate charge transactions
  • Analysis of technical and clinical denials

  • Adoption of culture
  • Loyalty
  • Patient advocacy
  • Increased referrals

Competency

Capacity

Cerner has the infrastructure – or capacity – of expertise, which helps avoid unnecessary disruptions that often occur with process or regulatory changes, and allows our teams to continually achieve best practice results.





Capacity

Competency

Among the many challenges facing organizations is the implementation, training and inevitable learning curve of a new revenue cycle system. Through RCM services, our clients are able to streamline the process by utilizing our billing experts – who are also solution experts – which minimizes touches and reduces the number of resources required.


Cost

Cost

And last, but often most important to financial leaders, is cost. It’s common that the first strategy a CFO employs is reducing the spend – and doing more with less. Leveraging Cerner for RCM services allows organizations to do just that – our expertise, skill set and singular devotion to the revenue cycle, and our vast resource pool, allows our clients to save money while improving financial performance.

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Read the stories of our clients' successes using Revenue Cycle Management solutions.

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Contact us to schedule a demo and request sales information about this solution.

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Watch our Revenue Cycle Management client achievement video playlist.

Related Offerings

Billing, Claims & Contract Management

Verify expected reimbursements and manage any variances and denials right within your workflow.

Case Management

Connect clinical and financial information and automate utilization management, clinical documentation improvement and discharge care management within Cerner’s EHR.

Practice Management

Enable a comprehensive workflow including registration, scheduling, patient tracking, patient accounting and reporting through a single platform in the ambulatory setting.

Patient Access

Get complete and accurate information at the point of service to help manage your cash flow.

Health Information Management & Coding

Electronically monitor, support and manage health information of all types for a comprehensive, secure medical record.

FAQs

Does Cerner offer revenue cycle management services for all organizations no matter how big or small?

Yes, hospital systems of all sizes are seeking revenue cycle management services partnership to improve processes, drive new revenue efficiency and manage payment reforms. 

From short-term project support to long-term engagements, we’ve designed our services to meet the unique business needs of all organizations and venues of care.  This includes the following:

Account resolution:

  • Claims processing 
  • Payment posting
  • Online bill pay 
  • Self-pay 
  • Accurate payer reimbursement

Denial management and prevention: 

  • Denial mitigation 
  • Root-cause analysis 
  • Translation to accurate charge transactions 
  • Analysis of technical and clinical denials  

Patient/Provider experience 

  • Adoption of culture 
  • Loyalty 
  • Patient advocacy 
  • Increased referrals 

Partnership roles can flex based on specific partnership scope and client needs, but generally speaking, responsibilities are broken out in the following ways: 

Full outsource 

  • Registration and scheduling (CLIENT) 
  • Point of Service Collection (CLIENT) 
  • Clinical Documentation (CLIENT) 
  • Coding/Charge Entry (CLIENT in ambulatory venues; CERNER in acute) 
  • Dedicated Revenue Cycle Executive (CERNER) 
  • Claims Management (CERNER) 
  • Self-pay Management (CERNER) 
  • Patient Call Center (CERNER) 
  • Payment Posting (CERNER) 
  • Denial Management/Prevention (CERNER) 
  • Monthly Reporting (CERNER) 
  • Online Bill Payment Posting (CERNER) 
  • Regional Practice Managers (CERNER)