Improve Workflow Efficiency Through Automation

TELCOR RCM minimizes billing staff while improving revenue cycle accuracy and compliance through automated workflow.

An exception-based rules engine is integrated and surrounds all revenue cycle processes required to bill and manage AR.

Rules can be created to:

  • Ensure accuracy of patient data
  • Ensure billing transactions are complete and correct prior to billing
  • Ensure payer claims and client invoices contain information as required by the recipient
  • Ensure remittances process automatically
  • Provide notification you are getting paid according to contract
  • Assist with efficiently managing any bad debt and much more

Pre-processing rules ensure charge transactions are coded, grouped, exploded, imploded, validated, and priced based upon each payer and client requirements. Missing patient information is automatically faxed, emailed, or presented in the client portal allowing information to be obtained efficiently. Payer jurisdictional rules ensure claims are directed to the right payer the first time. The automated checking of benefits eligibility, prior authorization, diagnosis, and CPT coverage prior to claim submission reduces denials.

Automation increases workflow efficiency and removes manual intervention from claim submission, patient statements, patient letters, client invoices, remittance posting, claim next step needed, transfer to bad debt, and more—it allows your staff to only work on exceptions with paperless workqueues customized to your organization’s work processes, further improving efficiency.

Report Automation Provides Actionable Insight

All management reporting: customized KPIs, AR reports, productivity metrics, profitability, and financial reporting can be scheduled for automatic distribution to your email or network shared folder within your organization in a PDF, Excel, or CSV file at whatever frequency meets your management needs. Rather than waiting for an analyst or IT-support person to run reports when their schedule allows, laboratory executives can have key analytics sent directly to them on a repeatable schedule. This consistency builds a complete picture of a laboratory’s revenue health.

Integrated Billing Options to Streamline Workflow

TELCOR can integrate your client billing with your patient billing creating workflow efficiency and making change of responsibility seamless and easy. All transaction rules for payer compliant claim submission, as well as claim monitoring, are performed in the application allowing improved remittance processing. Remittance and cash posting are also within the application. Payments from your client and patient portals are automatically updated into RCM.

All inbound and outbound data is controlled through interfaces requiring no manual intervention. Whether it is receiving patient demographic and charge data, or sending and receiving payer data, it is all automatic and audited. This processing reduces labor on the front end and produces compliant claims the first time so less time is spent working claim denials.