Datacore Systems

Case Study

Healthcare
Outcome Based RCM Services

One of the largest emergency physician management companies in the country needed a knowledgeable and efficient team to help them with their Revenue Cycle Management processes. The company had been facing increasing incidence of data errors, resulting in a significant effort on their part to identify such errors and take corrective action. They were also looking for a partner who could implement a process customized to their specific needs, helping them to transition from a paper-based to a digital workflow. Data-Core delivered on this promise and has been working with this client since the start of this Millennium. Our scope of work has gradually increased over the years as we continue to deliver accurate and effective results.

We started with the Verification of insurance of the Patients admitted to the Emergency Rooms of the participating Hospitals and moved on to the Patient Chart Review and Coding. Data-Core is able to process large quantities of data in a timely and accurate manner, allowing the Client to focus on their core business.

Data-Core handles the entire Payment Process on behalf of the Client. We are able to streamline the complete procedure, from a Digital Mailroom through electronic deposits to the Bank (via Image Cash Letter) and processing of the Remittance Advice and EOBs (Explanation of Benefits) to enable our Client to efficiently manage their Accounts Receivables.

We started with the Verification of insurance of the Patients admitted to the Emergency Rooms of the participating Hospitals and moved on to the Patient Chart Review and Coding. Data-Core is able to process large quantities of data in a timely and accurate manner, allowing the Client to focus on their core business.

Data-Core has established a strong ongoing working relationship with the Client by consistently delivering accurate results on time. As a result, the Client is able to focus on the Core Business functions while achieving significant cost savings and substantial growth without the corresponding increase in manpower usually required for such expansion.

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Outcome Based RCM Services

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