eClinicalWorks® RCM Process

Small, medium and large physician practices all need to manage their cash flow and revenue closely. That means they need to get paid on time by processing their insurance claims quickly and effectively. They need to produce the right codes for the right procedures that match with each insurer or government payment provider. They need this to be done on time and in an organized way through a revenue cycle management process (RCM). Otherwise, they may fall behind on their income, leading to delayed bill payments, payroll shortfalls or even more dire financial consequences.

Fortunately, the eClinicalWorks® software provides a platform for these practices to input their diagnoses, prescriptions and procedures according to the required demands of payment providers. Once those are processed, they can be sent to those providers for immediate billing. If there are any disputes, the physician has all of their notes and diagnoses already saved within the system. It is easy to audit the notes and find the critical missing information so that the claim can be paid out.

This entire RCM process is organized clearly and intuitively by the eClinicalWorks® billing system. In fact, the tool allows physicians and office managers to track the entire process very closely. They can see when they saw the patient and when their notes were completed. They know when any procedure was done and when any prescription was written and filled.

Most importantly, the eClinicalWorks® RCM clearly states when the claim was issued to the payment provider. It links with company records and financial institutions to determine if the payment was made. If not, it can help to follow up with the payment provider to complete the payment. Once that payment is made, both the provider and the physician will be notified. That makes the payment recognition extremely simple and easy to follow. Physicians are able to gain a deep understanding of their cash position and make sure that no issues arise. That results in healthier practices and healthier patients.

And to compliment the eClinicalWorks® RCM there is a solution available to medical practices using eClinicalWorks®. You can now utilize the services of EMR Billing Solutions, which specialize in medical billing domain. Having extensive knowledge of eClinicalWorks® based medical billing, EMR Billing Solutions will your best choice for handling the medical billing affairs of your practice.