Revenue Cycle Management

Smart Care 360 has a full revenue cycle management component that fully tracks patient revenue. Receive expert support to navigate the complexities of medical billing reimbursement and maximize profitability.

Revenue Cycle Management is the process used by healthcare systems in the United States to track their patient revenue from their initial appointment or encounter with the healthcare system to their final payment of balance. The cycle can be defined as “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue.” It is a cycle that describes and explains the life cycle of a patient (and subsequent revenue and payments) through a typical healthcare encounter from admission (registration) to final payment (or adjustment off of accounts receivables).

Billing & Coding Audits

Our independent, outside coding audits demonstrate that reasonable steps have been taken to ensure compliance.

Credentialing

Credentialing is the process of obtaining and reviewing documentation to determine participation status in a health plan. The documentation may include, but not be limited to, the applicant’s education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Generally, the terms credentialing and recredentialing include the review of the information and documentation collected, as well as verification that the information is accurate and complete.

Team-Based Care Approach

We cover the full spectrum of qualified healthcare professionals to meet your patient population’s needs ALL in one platform.

Benefits

For Practices

For Patients

Interested in learning more about what patients are eligible to participate and how RCM is relevant to your practice?

FAQs -Revenue Cycle Management

What is Revenue Cycle Management (RCM)?

RCM is the process of managing a healthcare provider’s revenue from patient registration to final payment, including billing, coding, claims submission, and collections.

Why is RCM important for my practice?

Efficient RCM improves cash flow, reduces billing errors, minimizes claim denials, and ensures timely payments—keeping your practice financially healthy.

Can RCM help reduce claim denials?

Yes. With proper coding, documentation, and timely submissions, RCM significantly reduces claim denials and boosts collection rates.

Is it better to outsource RCM or manage it in-house?

Outsourcing RCM can reduce administrative burden, improve accuracy, and enhance compliance—especially for practices lacking in-house billing expertise.

How does RCM benefit patients?

Patients benefit from accurate billing, fewer payment issues, and quicker claim processing—leading to a better, more transparent experience.