Is it possible? We think it is, and this is why. RCxRules delivers the industry’s cleanest, most reliable business office data—every time, guaranteed. We provide the capability to review 100% of your charges against our robust, tailored rules—rules created specifically for your data issues and business challenges—before they hit your billing system. So you can be sure that once they do, your chances for eliminated denials and successful reimbursement are significantly improved. As are your business process efficiencies, staff productivity, employee morale and more.
Our comprehensive RCxRules engine moves the management of payer requirements from the traditional back-end process to an efficient, technology-enabled front-end process. We analyze denial patterns and build rules around your most important issues.
RCxRules combines the latest industry-standard rules (LCD, NCD, CCI, MUE) with unique, high-value rules tailored to your organization. The power of RCxRules’ predictive rules engine automatically fixes your routine issues, eliminating the need for time-intensive manual review and correction.
Once your rules are written, they are consistently and accurately applied 100% of time, resulting in what we like to call “bulletproof claims-submission performance.”
So back to our question. Is the elimination of denials really possible? We definitely think so, and that’s what we’re shooting for.
“RCxRules has dramatically improved our first pass clean claim rate. We have put a great deal of effort into establishing sound business office policies and payer rules – now those rules live in the technology and are integrated into our staff’s workflow. Since the RCxRules solution reviews every charge, it ensures full compliance with all of our policies. We have confidence that these improvements are sustainable with future opportunities for even more improvement”
Robert Wood Johnson Physician Enterprise, P.A.