Leverage AI and cloud-based solutions for your practice-specific revenue cycle management software and simplify your practice’s complex financial workflows.
Let's Build the Ideal Revenue Cycle Management Software for Your Practice
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.
Eligibility Verification & Pre-Authorization
Verify patient insurance coverage from the software to minimize the risk of claims denials and streamline reimbursement with pre-authorizations.
Automated Patient Information Collection
Same Day Pre-authorization and Eligibility Verification
One-Click Insurance Verification
Faster and Easier Insurance Claims Processing
Easy Payment Tracking
Advanced Medical Coding & Superbill Management
Simplify medical coding with automated CPT code suggestions, real-time code validation and improve finances with superbilling processes.
AI Assisted Medical Coding
Automated Data Capturing
Automated Superbill Generation
EHR Integration to Fetch Encounter Information
Exportable Format Invoice Generation
Hands-Free Claim Submission & Denial Management
Accurate and efficient billing processes with hands-free claim submission along with real-time denial management features.
Automated Information Filling and Single-Click Claim Submission
Automated Claim Scrubbing
Electronic Paper-Less Claim Submission
Easy Claims and Reimbursement Tracking
Actionable Denial Analysis and Claim Resubmission
Automated Payment Process & ERA/EOB Posting
Real-time ERA/EOB tracking and reporting to identify and manage claim and payment discrepancies.
Payment Status and Due Tracking
Automated Reminders for Due Payments
Custom Payment Policy
ERA Payment Posting
Automated EOB Posting
Robust Analytics & Reporting
Generated automated reports on your practice’s finances to identify and address gaps to improve your practice’s financial performance.
Comprehensive and Informative Dashboards
Performance Indicators to Identify Revenue Gaps
Multiple Format Reporting with Graphs, Listicles, etc
Streamline financial workflows with accuracy, transparency and visibility to improve revenue cycle processes and financial health.
Real-time Information Pulling with EHR Integration
Clearinghouse Integration to Reduce Denial Rate
Payer Integration for Insurance Verification and Authorization
Multiple Payment gateways
HIPAA-Compliant Electronic Claim Transfer
Trust 125+ Clinics and 1465+ Providers Who Entrusted Thinkitive!
Thinkitive automates clinical and administrative processes to save you time and money.
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.
"Streamlined Our Billing & Increased Revenue!"
Thinkitive transformed our practice’s revenue cycle with their custom RCM software. Our billing efficiency improved, denials reduced, and revenue increased significantly. Their team understood our needs and delivered a seamless, easy-to-use solution. Highly recommend!
Maxwell Rhys Davies CFO, Horizon Family Clinic
"Better cash flow and reduced administrative burden!"
We struggled with claim rejections and revenue leakage until we partnered with Thinkitive. Their expertise in RCM software development gave us a tailored solution that automated our billing process and ensured compliance with cash flow and reduced administrative burden!
Clara June Sullivan Practice Administrator, Evergreen Healthcare
"Exceptional Service & Custom Solutions"
Thinkitive’s RCM software has been a game-changer for our multi-location practice. Their team worked closely with us to customize the platform to our exact needs, improving patient collections and reducing time to payment. Their support is top-notch!
Ethan Kai Ramirez CEO, PrimeCare Medical Group
"Faster Payments & Fewer Denials"
Before Thinkitive, our practice faced constant claim denials and delays in reimbursements. Their custom-built RCM solution automated our workflows and provided real-time insights into financial performance. We now get paid faster with fewer errors!
Hazel Maeve O'Connell Revenue Cycle Director, BrightPath Health
"A True Partner in Revenue Cycle Optimization"
Thinkitive doesn’t just develop software; they become a true partner in revenue cycle management. Their system improved our patient billing, claim tracking, and compliance processes, making our operations smoother than ever. Couldn’t ask for a better technology partner!
Julian Vance Nguyen COO, Summit Wellness Center
"Increased Efficiency & Maximized Revenue!"
Partnering with Thinkitive for our RCM software was the best decision for us. Their custom solution streamlined our billing operations, reduced claim rejections, and improved cash flow. The automation features have saved us countless hours, allowing our staff to focus on patient care.
Penelope Rose Dubois Billing Manager, Oakridge Medical Center
Cost & Timelines
Timely & Affordable Healthcare RCM Software Development
We deliver secure and feature-rich custom healthcare software solutions within your budget and set timeframe.
Complexity
Software complexity (its functionality scope)
Type
Software type (e.g. web, mobile, desktop)
No. of Users
The expected number of users
Integrations
The required integrations as per regulations
Compliance
Regulatory compliance requirements
Security
Performance, security, usability and accessibility requirements
Deployment
The chosen deployment model (e.g. on-premise, cloud)
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...
...
13 June, 2024
Dialysis Care Management System in Jamaica
We began by conducting thorough consultations with our client to understand their specific needs and operational challenges. Through detailed discussions and analysis...
12 June, 2024
AI-Driven Healthcare: Streamlining Workflows and Enhancing Collaboration
We have a client who is a leading healthcare provider to understand their challenges with their outdated EMR system. Through in-depth interviews with staff...
10 June, 2024
Optimizing Hospital Efficiency: The Impact of an Integrated HMS on Inpatient and...
We implemented a comprehensive Hospital Management System (HMS) designed to streamline workflows for both inpatient and outpatient services. This integrated system...
7 June, 2024
Streamlining Home Infusion Services with a Pharmacy-Specific System
Our client, a leading healthcare provider in central US, specializes in home infusion services for chronic disease patients, receiving referrals from hospitals...
6 June, 2024
EMR Simulator: Transforming Training in Healthcare
The client, a healthcare organization offering training programs, needed a dummy EMR system for practice purposes. This system replicates essential EMR features...
5 June, 2024
A Feature-Rich EMR for Event Medical Staff
Our client, a Texas-based event organizer for large-scale sports events, needed a system for their new medical team to efficiently provide services to injured participants...
4 June, 2024
Transforming Healthcare EMR with Advanced AI and Billing Features
To address the challenges faced by our client, a leading healthcare organization in Canada, we devised a multi-phased approach encompassing system stabilization...
3 June, 2024
Fragmented to Unified System: Streamlining Operations for a Growing Clinic
Our client, a well-known primary care provider in California, sought to scale up their services by increasing the number of clinics. With the existing setup consisting of three...
31 May, 2024
Improving Medication Adherence by 25% with Innovative Functional Medicine Services
We gathered requirements and developed a comprehensive solution for our client, a prominent functional medicine organization specializing in weight management...
30 May, 2024
Real-Time Tracking with EVV & Caregiver App: Powering Efficiency in Home
Our home care client needed a nurse/caregiver mobile app integrated with their system and EVV tool to automate task assignments, track caregiver activities, and generate...
27 May, 2024
Enhancing Patient Care Through Real-Time Health Tracking and Telehealth Integration
We provided a comprehensive solution for our client by integrating remote patient monitoring and telehealth services. Also,by providing real-time health tracking...
23 May, 2024
Enhancing Operational Efficiency with a Single Platform Ecosystem
We have developed a solution addresses the challenges faced by healthcare providers by integrating EHR, CRM, and RCM functionalities into a single, customizable platform...
23 May, 2024
Transforming 24/7 Primary Care with AI-powered chatbot
Our client is a prominent primary healthcare provider committed to offering round-the-clock care to patients. With a mission to improve patient access and satisfaction...
23 May, 2024
Empowering Employee Wellness: Over 95% Satisfaction Rate with Integrated Health...
Our client, a leading provider of primary care services, sought to modernize their healthcare offerings to cater to both employer-backed and individual patients...
23 May, 2024
Optimized EMR Functionality: Reducing Claim Denials with Advanced Visit...
We developed an integrated digital healthcare platform featuring a comprehensive Super Admin portal for streamlined marketing campaign management...
23 May, 2024
Streamlined Fitness App: User Satisfaction with Smart Fitness App Features
Our client, a fitness industry innovator, envisioned a seamless digital solution combining a fitness mobile application for customers with a robust website featuring...
23 May, 2024
25% Cost Reduction Achieved with a Unified Inventory and Dispensing Platform
A mid-sized healthcare provider specializing in diverse medical services faced inefficiencies due to reliance on multiple SaaS systems for EMR, inventory, and dispensing...
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 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.
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.
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%
Let’s Find Your Healthcare Software Developer
Specialties
Specialty-Focused Healthcare RCM Software Development
Customized healthcare RCM software tailored to the unique needs of healthcare specialties.
Unlock Practice Potential with Specialty-Specific RCM Software
Check how our custom RCM software assists and supports your specialty in action.
To Develop Custom RCM Software Development
Domain-specific Accelerators & Frameworks
End to End Healthcare Digital Transformation
Interoperable Data systems
Assured Compliance & Security
Proficiency in Healthcare Standards
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.
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.
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.
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.
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.
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
Front-end Programming Languages
Languages
Javascript Frameworks
Mobile
Cloud
Databases/Data Storages
SQL
NOSQL
Platforms
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.
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.
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.
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.
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?
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:
Data accuracy: Keeping information consistent across systems is known as data accuracy.
Workflow optimization: Reducing human error by automating procedures.
Real-time visibility: Offering a cohesive perspective of operational and financial data.
Flexibility: Adjusting to changing industry standards.
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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Barcelona, framed for its individuality, cultural interest, and physical beauty, home to art and architecture. Facing the Mediterranean to the southeast, ... the city is one of a kind. Upon visiting make sure you visit the spectacular and unique Park Güell which was firstly designed for a town up in the mountains by artist Antoni Gaudí. Gaudí's work is admired by architects around the World as being one of the most unique and distinctive styles in modern architecture. Other places worth visiting is the La Sagrada Família, is a giant basilica. With beaches on your doorstop, and art and city culture, this diverse city has everything to offer.
Barcelona, framed for its individuality, cultural interest, and physical beauty, home to art and architecture. Facing the Mediterranean to the southeast, ... the city is one of a kind. Upon visiting make sure you visit the spectacular and unique Park Güell which was firstly designed for a town up in the mountains by artist Antoni Gaudí. Gaudí's work is admired by architects around the World as being one of the most unique and distinctive styles in modern architecture. Other places worth visiting is the La Sagrada Família, is a giant basilica. With beaches on your doorstop, and art and city culture, this diverse city has everything to offer.