Simplify Process to Improve Finances with Revenue Cycle Management Software

Develop revenue cycle management software specific to your practice and simplify complex financial processes to improve your practice’s financial health.

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Eligibility Verification & Pre-Authorization HIPAA Compliance Icon logo

Verify patient insurance coverage from the software to minimize the risk of claims denials and streamline reimbursement with pre-authorizations.

Trust 125+ Clinics and 1465+ Providers Who Entrusted Thinkitive!

Thinkitive automates clinical and administrative processes to save you time and money.

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A doctor
healthcare provider
healthcare provider
A happy patient with her child having a conversation with the provider
A happy patient with her child having a conversation with the provider
two healthcare providers handshaking over successful care delivery
two healthcare providers handshaking over successful care delivery

Clients Testimonials

Join 150+ Happy Clients: See What They Have to Say

We've successfully collaborated with 150+ satisfied clients, and 95% of them have expressed their satisfaction with our medical software development company.

Cost & Timelines

Timely & Affordable Healthcare RCM Software Development

We deliver secure and feature-rich custom healthcare software solutions within your budget and set timeframe.

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Complexity

Software complexity (its functionality scope)

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Type

Software type (e.g. web, mobile, desktop)

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No. of Users

The expected number of users

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Integrations

The required integrations as per regulations

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Compliance

Regulatory compliance requirements

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Security

Performance, security, usability and accessibility requirements

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Deployment

The chosen deployment model (e.g. on-premise, cloud)

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Sourcing

The sourcing model (in-house, outsourcing) & team composition

We deliver healthcare software in the following timeframes

1 Week

Medical software project starts within 1 week

2-4 Months

MVP release

Every 2-4 Weeks

New healthcare software versions

Need a Tailored Healthcare RCM Software Cost Estimation?

Just answer these simple questions prepared by our consultants - it won’t take long.

Case studies

Transforming Success Stories of Healthcare RCM Software Development

16 July, 2024

Developing a Comprehensive Wellness Fitness Platform and Application

Our client, in the U.S. fitness industry, aimed to create a website and app to digitally transform fitness services. The platform would enhance communication between trainers...

12 July, 2024

Optimising MRI Clinic Operations with Custom Healthcare System

Our client operates a direct-to-consumer MRI service, providing scanning, pre-scan consultations, and detailed result explanations. Frustrated by their generic EMR...

11 July, 2024

Revolutionizing IDD Healthcare with Centralized Data and Streamlined...

We propose a custom speciality specific system that eliminates data silos and streamlines workflows. This single platform will centralize all client information...

...

WHY THINKITIVE?

Empowering Healthcare Technology Innovation

250+

Healthcare Projects

400+

Healthcare Experts

98%

Client Retention Rate

150+

Healthcare Customers

50%

Cost Saving on Development

Engagement Model Background

Engagement models

Affordable & Flexible: Engagement Models for Every Need

Our flexible engagement models allow us to customize our services to meet your unique needs. Whether you're looking for a dedicated team, project-based work, or ongoing support, we have the right solution for you.

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I have a requirement and want
to pay a fixed price

Share your project requirements, and our team will conduct a discovery call to understand your needs in detail. We'll provide a clear project estimate and deliver high-quality work. Pay only upon project completion and your satisfaction, ensuring you're never overcharged.

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I want to hire a healthcare software developers
on an hourly basis

Hire dedicated developers with 160 hours of focused attention each month. Enjoy peace of mind with transparent billing, daily timesheets, and our unwavering commitment to your success. Benefit from the expert guidance of our complimentary Delivery Manager.

SAVE
EXTRA 20%

Specialties

Specialty-Focused Healthcare RCM Software Development

Customized healthcare RCM software tailored to the unique needs of healthcare specialties.

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Unlock Practice Potential with Specialty-Specific RCM Software

Check how our custom RCM software assists and supports your specialty in action.

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To Develop Custom RCM Software Development

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Domain-specific Accelerators & Frameworks

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End to End Healthcare Digital Transformation

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Interoperable Data systems

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Assured Compliance & Security

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Proficiency in Healthcare Standards

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AI & Analytics Powered App Insights

Pre-Built Components

Build Your Custom RCM Software Rapidly by Leveraging Pre-Built Components

Every specialty has unique needs in medical billing, practice management, and EHR solutions.

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Integration

API-based Connectivity‍ through our Robust Integration

ePrescription & Labs Integration

We provide custom healthcare RCM software development services with ePrescriptions and Labs integration to enable you to send orders directly from the healthcare system. These integrations offer multiple benefits, from reducing errors to improving clinical efficiency and reducing the overall cost of care for both patients and providers.

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Surescripts

Surescripts is the leading e-prescribing network that helps improve medication safety and convenience for patients, providers, pharmacies, and payers. Integrate Surescripts during custom healthcare RCM software development to enable secure electronic e-prescribing and real-time access to patient medication history.

Billing & Payment

Safe, secure, and seamless healthcare transactions with our billing, payment, and point-of-sale integrations into your custom healthcare software solutions. Give your virtual care practice a comprehensive real-life healthcare ecosystem.

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Waystar

Waystar provides healthcare revenue cycle management solutions. Streamline claims processing, reduce denials, and optimize revenue capture through automation and AI, improving financial efficiency for healthcare organizations with Waystar.

Communication

Facilitate real-time communication with patients via various mediums, all from your custom healthcare RCM software solution. Give your virtual care practice a comprehensive real-life healthcare ecosystem.

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Sfax

Sfax is a secure faxing solution designed for healthcare. Integrating it during healthcare web RCM app development enables secure exchange of patient information like faxes within the system, ensuring patient data privacy and compliance with HIPAA regulations. This streamlines communication and protects sensitive medical information.

Trust 125+ Clinics & 1465+ Providers Who Entrusted Thinkitive!

Thinkitive automates clinical and administrative processess to save time and money for you.

A doctor
A doctor
healthcare provider
healthcare provider
A happy patient with her child having a conversation with the provider
A happy patient with her child having a conversation with the provider
two healthcare providers handshaking over successful care delivery
two healthcare providers handshaking over successful care delivery

Framework & Technology Expertise

Our RCM Software Developers' Framework & Technology Expertise

Leverage the expertise of experienced healthcare software developers and healthcare software development teams in a wide range of technologies and frameworks.

Back-end Programming Languages

Microsoft dotnet logo java logo python logo nodejs logo php logo go logo

Front-end Programming Languages

Languages

nd logo html server logo JS logo

Javascript Frameworks


angular logo react logo meteor logo vuejs logo nextjs logo ember logo

Mobile

ios logo android logo xamarin logo apache_cordova logo pwa logo react_native logo flutter logo ionic logo

Cloud

AWS Amazon Cloud logo Google Cloud logo Microsoft Asure logo DigitalOcean logo rackspace logo

Databases/Data Storages

SQL

SQL Server logo Oracle logo Azure SQL Database logo MYSQL logo PostgreSQL logo

NOSQL


Cassandra logo Apache HBASE logo Azure SQL Database logo MongoDB logo Bee logo nifi logo

Platforms

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THINKITIVE’S HEALTHCARE SOFTWARE DEVELOPMENT PROCESS

Affordable Development Anytime, Anywhere

Our skilled healthcare software developers have expertise in understanding the unique clinical needs and requirements of the healthcare practice.

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Discovery
  • Domain Expert
    To understand clinical and end-user needs.
  • Business Requirements
    To make market-fit solutions.
  • Wireframes & Userflows
    To define software functions and functionalities.
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Development
  • Dynamic UI/UX
    Elevated experience for patients and providers.
  • Sprint Creations
    To plan the healthcare RCM software development.
  • Coding & API Integration
    Software coding as per necessary compliances.
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Testing
  • Manual Testing
    For manually checking software functionalities.
  • Automation Testing
    Scripting for testing software functionalities.
  • Rigorous Testing
    End-to-end thorough testing of the software.
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Deployment
  • Secure & Compliant
    Ensuring the healthcare RCM system infrastructure is secure and HIPAA compliant.
  • Integration
    Application Integration for deployment.
  • Maintenance & Support
    User feedback and audits for continuous improvement.

Need to Design, Develop, or Improve
Healthcare RCM Software?

A doctor
A doctor
healthcare provider
healthcare provider
A happy patient with her child having conversation with provider
A happy patient with her child having conversation with provider
two healthcare providers handshaking over successful care delivery
two healthcare providers handshaking over successful care delivery

Frequently Asked Questions

Get answers to all your questions

Still have questions ?

Revenue Cycle Management (RCM) in healthcare has become a cornerstone for healthcare practices like hospitals and clinics to get paid. Right from the moment a patient books an appointment till the final payment, various processes like insurance verification, correct coding, and follow-ups on payments are involved. To ensure that every aspect of these processes is successful, RCM software plays a crucial and ensures that providers get paid.

Revenue Cycle Management (RCM) has become essential for healthcare organizations as it helps keep their finances in check and running smoothly. It efficiently manages everything from patient registration to final reimbursement. Having a strong revenue cycle management system ensures that the practice's finances are stable so that they can focus on patient care and let the RCM software take care of them getting paid.

In simple words, the RCM software acts as a bridge between EHRs and the finances of the healthcare practice. Since the healthcare providers are paid for the service they provide, the RCM software pulls information like diagnoses and procedures from the patient's EHR to create accurate bills and manage claims. With this integration, the workflow of the practice is streamlined, with fewer errors, so that healthcare providers get paid correctly and on time. Along with that, they also help in better financial tracking and reporting.

The healthcare RCM software is designed in such a way that it quickly fetches patient insurance data from the EHR to confirm the coverage. Furthermore, the automation feature streamlines complex paperwork so that healthcare providers can focus on patient care, without having to worry about patient eligibility or pre-authorizations, it does that for them. Also, automation prevents billing errors and speeds up the process of getting paid.

The healthcare RCM software optimizes workflows by automating tasks like eligibility checks and claims submission. Furthermore, to reduce denials, it verifies patient data, ensures accurate coding, tracks claim status in real-time, and streamlines denial management for quick appeals.

AI transforms healthcare revenue cycle management by automating monotonous, manual, and time-consuming tasks. By smartly analyzing data to predict claim denials, ensuring cleaner submissions, and streamlining coding and verifying patient insurance in real time, AI can help reduce errors and speed up the payment process.

Machine learning is an excellent tool for identifying patterns, which can be leveraged into the RCM software for claim approval and denials by analyzing historical claims data to detect trends and anomalies. Furthermore, by predictive modeling it helps in anticipating potential denials based on various factors such as claim characteristics and payer behavior. In this way, it helps them in making informed decisions and increases operational efficiency in claims processing.

By meeting HIPAA's strict privacy rules to safeguard patient data, healthcare RCM software helps healthcare providers stay compliant by automating crucial processes. Furthermore, it ensures accurate coding and billing and minimizes errors that could potentially lead to violations. In this way, it adapts to value-based care by tracking quality metrics by linking payments to patient outcomes.

The healthcare RCM software helps healthcare practices move away from the fee-for-service to value-based reimbursement models by data analysis for tracking patient outcomes and costs, performance monitoring by measuring quality metrics, claims management by accurate billing for results, and improving patient engagement with better patient communication leading to better patient outcomes.

To make sure data flows smoothly, it is important to integrate RCM software with the ERP systems. Some of the key considerations in this include:

  1. Data accuracy: Keeping information consistent across systems is known as data accuracy.
  2. Workflow optimization: Reducing human error by automating procedures.
  3. Real-time visibility: Offering a cohesive perspective of operational and financial data.
  4. Flexibility: Adjusting to changing industry standards.
  5. Security: Keeping private private patient and financial data safe.

The revenue cycle management software simplifies billing by making it easier for patients to understand their costs, and by automating tasks such as insurance verification and payment processing, it not only reduces errors but also leads to less confusion in the process. Moreover, the patient portals offer clear, accessible billing information and online payment options, bringing transparency to gain patient trust and improve patient experience in their care journey.

Predictive analytics in the healthcare revenue cycle management software helps healthcare organizations by predicting potential issues that can come up in claim denials and payment delays. Furthermore, it also allows for proactively addressing problems, while improving the billing processes and improves the cash flow in the process. This is one of the ways in which the RCM software can improve the financial performance of the organization.

Look at the RCM software as an assistant to your biller; it helps in automating repetitive tasks such as coding and claims submission. Moreover, advanced technology reduces errors and helps you track payment status. In this way, it reduces the need for manual intervention and allows healthcare providers to focus on patient care activities.

Certain cybersecurity risks associated with the RCM software are data breaches, ransomware, and phishing, as it handles sensitive patient and financial data. To mitigate these risks, strong access controls, data encryption practices, regular software updates, and employee cybersecurity training are required.

Natural language processing is used by AI-driven RCM software to "read" and comprehend intricate clinical notes, increasing the accuracy of medical records. This reduces, if not eliminates, the margin of human error and increases claim accuracy by precisely extracting important information and allocating the appropriate medical codes. In essence, it helps to maintain consistency by automating a lot of the laborious tasks.

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