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.

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.

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

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.

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.

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.

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.

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 images into data, providers are able to accelerate remit posting and free up staff time for revenue-generating activities.

RMS manages ERA and EFT enrollments, bank account changes, virtual credit card opt-outs and ongoing payer data updates across payers and clearinghouses. By handling the related provider- and bank-level paperwork, we help reduce payment delays, improve access to funds and free internal teams from time-consuming administrative work.

RMS uses proprietary technology to identify, classify and route healthcare correspondence based on each organization’s workflows. Documents can be categorized across dozens of correspondence types and delivered to the appropriate team or system, helping reduce manual sorting and accelerate follow-up.

RMS helps reduce delays between payment receipt, remittance delivery, reconciliation and posting. By automating manual processes and improving access to accurate payment and remittance data, healthcare organizations can post cash faster, resolve exceptions sooner and gain clearer visibility into outstanding activity.

RMS uses secure technology, established safeguards and controlled processes to safeguard protected health information (PHI) and sensitive financial data throughout processing, storage and delivery. Our team works closely with clients to support applicable security, privacy and compliance requirements.

RMS performs its work entirely within the United States, without relying on offshore manual keying teams. This gives clients greater consistency, accountability and transparency while supporting faster communication and more direct access to the people responsible for their workflows.

RMS can automate work across remittance reconciliation, payment posting, EOB conversion, payer enrollment, correspondence routing and indexing, document conversion and exception management. Each solution is configured around the organization’s existing processes, systems and business requirements.

RMS brings together payment, remittance and deposit information received across payers, banks and clearinghouses. Our technology helps match and reconcile that data, convert information into usable formats and deliver it into existing revenue cycle workflows with less manual intervention.

RMS combines proprietary technology with consultative, 100% onshore support. Rather than relying on large teams of manual keyers or forcing every client into the same process, RMS builds workflows around each organization’s systems, payer requirements and operational needs.