Revenue Management Solutions Leverages eGistics Hosted Platform

eGistics, Inc., a provider of hosted document management solutions, has won a contract with Revenue Management Solutions, LLC (RMS) to provide image and data archive and delivery services. eGistics will support RMS’ solutions for Explanation of Benefits (EOB) conversion, reconciliation, posting, and contract management.

Together, the complementary eGistics and RMS technologies assure that healthcare providers are reimbursed to the fullest extent possible, as quickly as possible. Paper EOBs captured as images are converted into HIPAA-compliant data files. These files are combined with the RMS platform’s ability to process electronic remittance advices (ERAs) received from multiple sources, reconcile differences between the ERAs, and provide a single data stream.

“eGistics is committed to meeting the evolving document management requirements of the healthcare market and is delighted to be working with RMS,” stated eGistics Executive Vice President Gary Provo. “We expect more healthcare providers to utilize hosted technologies to support EOB processing and records management – thereby strengthening compliance, accelerating cash availability, increasing productivity, and enhancing customer service.”

“Providing innovative technology solutions to advance the electronification of healthcare revenue cycle processing is the guiding principle for our business, and we look forward to working with eGistics to deliver a feature rich network solution that is combined with world-class infrastructure that benefits payers, providers, employers, and patients,” commented RMS Chief Executive Officer Tom Dean. “Leveraging the eGistics hosted platform provides our clients with fast, secure, and easy access to our network – driving revenue cycle management and improving the medical banking value chain.”

The RMS platform runs in a HIPAA and EHNAC compliant, tier one operating environment and includes capabilities for logical forms and intelligent character recognition; secondary billing; patient billing; coordination of benefits; contract management; partial payments and denied claims; claim and batch reconciliation; and intelligent balancing of staff workloads.

The eGistics document management platform indexes and links EOBs, correspondence, checks and coupons; incorporates logical forms recognition; intelligently balances staff workloads; and offers industry-leading access administration and auditing. The HIPAA-compliant platform easily integrates into existing healthcare business practices and systems.