In today’s evolving landscape, home care agencies face a growing set of challenges being reimbursed quickly and correctly: increasing billing complexities, payer diversity, and operational costs to name just a few. For a growing number of non-Medicare agencies, Revenue Cycle Management outsourcing to RMS is proving to be a way to better maximize revenue and collections, accelerate cash flow, reduce cost, and allow them the time instead to focus on improving quality and growing their business.
Simply put – we become your claims management department, improving your revenue cycle performance. We submit your claims, quickly work any rejects and denials with your Payers, post and reconcile your cash, scrupulously manage (minimize) your A/R and provide robust and timely reporting. Our highly skilled team works with local and state Managed Care, Commercial Insurance, Municipal and other Payers, as well as private-pay Clients, to maximize your reimbursement.
PRE-CLAIMS MANAGEMENTContract setup & maintenance, pay/bill data management, eligibility checking, “on-hold” claims.
CLAIMS SUBMISSIONSPre-billing claims cleanup, claims submissions, EDI maximization; rejections remediation & mitigation, process feedback.
REMITTANCE MANAGEMENTElectronic remittance facilitation, posting & reconciliation, backlog remediation, lockbox service.
ACCOUNTS RECEIVABLEAging AR recovery, updates & feedback, robust suite of management reports and analytics.
Revenue Management Solutions’ end-to-end seamless process provides you with the peace of mind to focus on improving delivery of patient care and growing your agency.
Payer Profile for Census Growth:
“We outsourced to RMS and our cash flow improved significantly in 60 days. They resolved aged receivables and current billing issues, and we are getting paid much more quickly and at a higher percentage of what we bill than we did in the past. RMS actively engages with me and my staff, and helps us through any new issues that arise.”
-Jenny Chan, President, ABC Health Services Registry, Inc.
"I have had the pleasure of working with the Sandata RMS group for over two years. They understand what it takes to collect aging Home Care receivables and do an outstanding job of maximizing the amount collected. The RMS group leaves no stone unturned in terms of looking for all available documentation that can support the claims in question. The staff is very knowledgeable and responsive and also provides us with analytics and operational insight that allows us to improve billing quality going forward."
-Kwabena Achampong, Director of Finance, Home Care Services For Independent Living.
"Several years ago, we had deep concerns of how we would to be able to keep up with the demands presented by managed care. We had proposals of being bought out by larger more powerful agencies because as they said, we would not be able to survive. Then to our rescue came RMS and alleviated that concern. They are extremely knowledgeable of Managed Care billing. Our billing goes out timely and accurately. Denials are not only addressed, but RMS works with us to eliminate root causes for future denial reduction. RMS has gone all the way to senior level executives at MCO’s to obtain resolution of aged receivables issues. We are extremely happy we decided to work with RMS. The decision and investment was well worth it!”
-Lisette M. Smith, RN, Executive Director,Bushwick Stuyvesant Heights Home Attendants, Inc.
Revenue Management Solutions is a leading provider of end-to-end services to home care agencies to improve revenue, cash flow, and reduce cost. Our leadership team and staff leverage many years of experience to maximize the success of our partnerships with our agency clients.
Phil Feldman, Vice President Donna Taffurelli-Sole, Senior Director Robert Nick, Systems
Maximize the revenue and cash flow you can get out of every hour of service you provide! Contact us to learn more about how Revenue Management Solutions allows you to do what you do best: Maximize excellence in patient care!