FREQUENTLY ASKED QUESTIONS

Everything you need to know about how RMS simplifies revenue cycle automation.

What does Revenue Management Solutions (RMS) do?

Revenue Management Solutions (RMS) is a healthcare revenue cycle automation company that helps healthcare organizations simplify the work behind payments, remittance, reconciliation, correspondence, and more. Using AI-driven automation, RMS reduces manual effort, improves workflow consistency, and helps teams access cash faster while working with existing systems, banks and clearinghouses. RMS brings together technology, operational expertise, and onshore support to solve fragmented revenue cycle work more completely.

What does RMS mean by True Automation?

At RMS, True Automation means the work is done by technology, not by outsourced manual entry behind the scenes. Some solutions create the appearance of automation by returning digital files after processing, but digital does not always mean automated. RMS uses proprietary Artificial Intelligence (AI), Optical Character Recognition (OCR), and Natural Language Processing (NLP) to process complex workflows without relying on forced balancing or manual cleanup to get there.

What types of healthcare organizations does RMS work with?

RMS works with healthcare organizations of many sizes, from independent practices and specialty providers to hospitals and large multi-facility leading health systems. We also support payers, banking partners, billing companies, clearinghouses, and other organizations involved in revenue cycle operations.

How does RMS work with existing systems, banks, and clearinghouses?

RMS is built to work with the systems, banks, and clearinghouses healthcare organizations already use. Instead of requiring a major operational overhaul, RMS helps simplify the flow of payment, remittance, and reconciliation data across existing workflows.

Can RMS support Epic and non-Epic environments?

Yes. RMS supports both Epic and non-Epic environments. In Epic settings, RMS can support API integrations that help teams work within their current system and reduce reliance on external portals. In other environments, we work with any practice management and patient accounting systems that can accept standard 835 files. This helps organizations simplify payment, remittance, and reconciliation workflows without replacing the systems they already use while maximizing the investments they’ve already made.

What parts of the revenue cycle can RMS help simplify?

RMS helps simplify the remittance processing portion of the revenue cycle connected to payments, remittance, reconciliation, and related document workflows. That includes the work of organizing payment data, matching remits, handling exceptions, and reducing the manual effort that often slows cash flow.

What is ERA reconciliation, and how does automation improve it?

ERA reconciliation is the process of matching electronic remittance advice (ERA) data to the corresponding payments received. Manual reconciliation can be time-consuming and difficult to manage across multiple banks, payers, and payment sources. RMS automation improves ERA reconciliation by bringing payment and remittance data together faster, reducing manual matching work, and helping teams produce cleaner files ready for posting with fewer delays and exceptions.

What is EOB conversion, and how does RMS help?

EOB conversion is the process of converting images of paper or PDF Explanation of Benefits (EOB) documents into electronic EDI 835 files. By using RMS’s proprietary AI and Optical Character Recognition (OCR) technology to convert the images to data, providers are able to accelerate remit posting and free up staff time for revenue generating activities.

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