RCM Software for Hospitals

Hospital Revenue Cycle Management Software

Enhance margins, improve claim outcomes, and stabilize cash flow with hospital revenue cycle management software designed to financial leadership in acute care. CareCloud’s RCM solution enables health systems to address payer complexity, labor shortages, and revenue uncertainty with confidence.

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CareCloud All-in-One Solution
Hospital RCM is Part of Our All-in-One Healthcare Platform

Maximize Your Hospital’s Financial Health

Smarter Hospital Revenue Cycle Management

Our healthcare revenue cycle management software is designed for hospitals with high volumes of claims, complex contracts, and multiple service lines. Automate processes, increase the accuracy of reimbursements, and provide financial predictability with enterprise-level RCM solution.

Pre-Bill Accuracy

Identify gaps in documentation, coding inconsistencies, and payer-specific rule violations prior to billing, preventing denials and inpatient revenue losses. 

Authorization Management

Automated processes ensure compliance with medical necessity and authorization requirements early on, preventing retrospective denials and delays in care. 

Inpatient Revenue Control

Control all aspects of inpatient revenue cycle management, from admission to final payment, with standardized processes that minimize manual work. 

Clinical-Financial Synchronization

Synchronize clinical documentation and billing data in real-time, improving charge capture and eliminating discrepancies.

Medical Record Abstraction

Abstracting includes assigning and validating diagnosis and treatment codes in order to confirm the accuracy of the record and achieve optimum claims submission and reimbursement results.

Appeals Automation

Quickly recover denied and underpaid claims faster with automated appeal and follow-up processes. Boost reimbursement rates and reduce revenue leakage.

Optimize Your Hospital Revenue Cycle with CareCloud

Get Your Free RCM Assessment

Uncover missed revenue, inefficiencies in workflow, and denial trends with a no-obligation assessment of your hospital revenue cycle management services. Designed for CFOs, revenue integrity teams, and financial leaders.

Flexible-Deployment

Flexible Deployment

Our hospital revenue cycle management software can be deployed alongside your existing EHR software and practice management system or as a comprehensive enterprise solution. The system design is flexible and does not interfere with hospital operations.

Revenue-Optimization

Revenue Optimization Engine

Our Hospital RCM solution not only processes claim but also helps hospitals optimize their revenue by identifying reimbursement risks and denial patterns.

Financial-Visibility

Executive Visibility

Hospital executives have real-time visibility into financial performance through our live dashboards, analytics, and key performance indicators.

Your Complete Hospital RCM Support

We assist hospitals in uncovering hidden sources of revenue, optimizing operations, and realizing every dollar from patients and payers.

Authorization Workflow Automation

Automate inpatient and outpatient authorization workflows in your hospital RCM software to eliminate approval delays, increase compliance, and decrease preventable denials.

Patient Financial Access

Empower patients to address billing inquiries and payments via self-service capabilities and support workflows, enhancing the patient’s financial experience and speeding up revenue collection.

Out of Network Billing

Manage and optimize non-contracted and out-of-network hospital claims using structured workflows to decrease write-offs and increase reimbursement visibility.

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Simplify Hospital Revenue Operations with a Smooth RCM Transition

Maximize predictable cash flow, improve reimbursement accuracy, and gain real-time financial visibility with hospital RCM services built for complex inpatient environments.

"The financial impact from switching to CareCloud has been incredible. Our revenue cycle is faster and we’ve boosted cash flow significantly."

Leona Mathews - Practice Administrator (Core Orthopaedic Medical Center)

"The software is user-friendly, our client manager listens to our needs, and the workflow analysis is incredibly helpful. We've been able to reduce our administrative workload by 70%. "

Dr. Alberto Dominguez-Bali - OB-GYN MCHS

"CareCloud has been extremely beneficial in the way we manage our practice. Their user-friendly system simplifies medical billing, allowing us to prioritize patient care. The RCM team efficiently manages payment posting, while the collections team tackles unpaid claims. This approach has streamlined our revenue cycle management, significantly enhancing both patient care and overall practice efficiency."

Joy Gonzalez - Google Reviews

"We have used CareCloud for 4+ years. It is a very user-friendly and intuitive system. It has all the features desired for our outpatient clinic. Great customer service with RCM support."

Sanjay Gandhi - Google Reviews

*Based on the national average. CareCloud makes no guarantee, warranty, or representation concerning the outcome of your practice, as many factors may impact actual results, including, but not limited to, geographic location and size of practice.

Frequently Asked Questions

What should hospitals concentrate on while searching for RCM software?

Hospitals should focus their efforts on locating hospital revenue cycle management software which provides solutions for inpatient treatment complexities and operates with EHR systems while delivering real-time financial information and compliance features.

Inpatient RCM requires advanced healthcare revenue cycle management solutions because it deals with complex billing requirements, including multiple claim types, various billing cycles, medical necessity assessments, and payer contract agreements. 

The solution allows complete hospital RCM through its integrated system, which handles patient access, coding, billing, collections, analytics, and denial management.  

The solution ensures smooth data transfer between its systems and major EHR and financial systems, which maintains operational stability throughout the hospital.  

The solution uses automated systems to detect risks at an early stage which leads to better claim accuracy and easier follow-up processes that assist hospitals in decreasing denials while enhancing their clean claim success rates. 

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Hospital RCM

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