Revenue Cycle Management (RCM)

In healthcare, maintaining financial fluidity is essential. smartData’s Revenue Cycle Management (RCM) solutions simplify the financial processes that underpin healthcare—from billing to collections. Our RCM services optimise denial management, streamline Electronic Data Interchange (EDI) file handling, and improve overall revenue capture, reducing operational overheads.

With smartData’s RCM, billing becomes accurate, collections are timely, and financial operations run smoothly. By enhancing financial efficiency, healthcare providers can redirect savings toward patient care. Partner with us to build a seamless, transparent financial system that benefits both providers and patients.

smartData core Revenue Cycle Management (RCM) services

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Automating Workflows & Health Insurance

We optimise billing and claims management, automating workflows to boost collection rates and decrease manual errors, ensuring faster reimbursements.

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02

Patient Billing and Payment Solutions

Our tools simplify billing interactions, offering patients transparent statements and easy payment options, improving satisfaction and encouraging timely payments.

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03

Financial Reporting and Analytics

With advanced reporting and analytics, our RCM solutions provide insights into cash flow and revenue trends, helping providers make strategic financial decisions for a sustainable practice.

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Recent Portfolio Projects

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Physician Revenue cycle management

Physician Revenue cycle management

This solution transforms the reimbursement experience by not only handling the end-to-end billing and revenue cycle processes but also paying physicians upfront for their services. 

This solution gets the healthcare providers paid with minimal administrative costs. It represents a paradigm shift that puts user experience at the core while elevating the quality, increases cash flows and reducing transaction and administrative costs.

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Healthcare Data Warehouse

Healthcare Data Warehouse

This custom solution can help standardize data available in unstructured formats from different systems. These solutions efficiently maintain essential healthcare data compliance like HIPAA and HL7. Provide useful insights from Data to increase the efficacy of patient treatment through interoperability. 

Here we are receiving data from below sources:
1. Relational databases, 
2. Flat files, Salesforce, 
3.HL7 data from various EMRs, Pharmacy, 
4. DICOM files like CT scans, MRI, etc, 
5. Medical prescription OCR

And finally, store in a Data warehouse hosted in AWS to perform analytics over data to capture useful insight

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Healthcare Payment Audit and Appeal Wizard

Healthcare Payment Audit and Appeal Wizard

SaaS-based software to draft, track, and manage healthcare payment audit appeals and responses. The platform unites the overcharged patients, organizations and auditors. This helps the patients suspecting for overcharge to appeal in the judiciary system against the alleged organization.

The goal of this application is to facilitate the communication amongst organizations, victim patients and auditors, and assists appeal to the judiciary system with a structured approach. The total process is tracked by the system with valid papers and document maintenance.

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IDD Mental EHR

IDD Mental EHR

The application is a comprehensive SaaS EHR solution for companies serving the IDD (intellectual development & disabilities) community and provides various solutions such as provider portal, care application, document management and billing. The platform creates and processes claims for IDD (intellectual or developmental disabilities) services either through the electronic claims (EDI’s) or through the paper claims (CMS 1500). The platform increases efficiencies, decreases costs, and safeguard Protected Health Information (PHI), Personally Identifiable Information (PII) and provider-related confidential information. The software helps increating, tracking, and ensuring quality documentation & helps to streamline data entry, transmission and storage – easily, efficiently, and securely (fully encrypted). It also includes integrated tools to organize tasks, create assignments, generate reports and MORE..

Application creates the authorization, provider schedules with patients for services and push schedules information to EVV. EVV processes the schedules on daily basis and then syncs the actual schedules to create claims for the services.

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Patient Dispatch Management

Patient Dispatch Management

A solution for the transportation management company for smartly managing client’s mobility requirements and the resources. It provides high quality, innovative transportation services that raise the bar for efficiency, cost-effectiveness, driver safety and accountability. This is primarily used for last mile of patient journey who cannot move on their own. The request is generated from the medical facilities based on appointments schedules and the dispatching request is made to the driver from the area ensuring the last mile is managed and paid. 

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Ambulatory Patients EHR PMS

Ambulatory Patients EHR PMS

A comprehensive EHR and PMS. Application has been awarded level 3 recognition by the National Committee for quality assurance patient-centered medical home program. It has grown its provider base and service areas covering all of Florida’s major metropolitan areas. Application has developed a patient care management system that allows patients and providers access to medical services information systems. 

The application provides functionality to manage health records of ambulatory patients for their general primary care. Including patient intake, SOAP notes, diagnosis, vitals, encounters, lab orders, e-RX and help managing clinical workflow efficiently.

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What our clients says about smartData

Aime

Aime

CEO and Founder
Dr.Salman

Dr.Salman

CEO and Founder
Sitora

Sitora

CEO and Founder
Endre

Endre

CEO and Founder
Dr.Nazeri

Dr.Nazeri

CEO and Founder

smartData Benefits

Global Talent Pool

We boast nearly 1,000 highly skilled developers strategically positioned across three offshore locations, enabling us to deliver world-class software solutions. 

Proven Track Record

With a proven track record of delivering over 10,000 diverse software applications worldwide, we have honed our expertise to perfection.

Worldwide Presence

smartData Enterprises boasts a robust global footprint, with a strong foothold in key regions such as the US, Australia, Europe, and Japan.

Healthcare Specialist

We offer extensive experience and expertise in healthcare technology solutions, making us the ideal partner for organizations seeking innovation.

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