Revenue Cycle Management

The Revenue Cycle Management (RCM) process plays a vital role in the financial performance of a medical organization and the payment turnaround time is a critical factor to the organization’s success. To increase the speed of payments, it is essential to mitigate some of the time-consuming, manual steps in the RCM process. A properly operating RCM process has minimal manual steps and realizes revenue and billing faster. Smart Data Solutions can aid in saving your team crucial time and resources in this process.

Affiliations and Partnerships

Smart Data Solutions converts an average of 800,000 documents to EDI per week.

Revenue Cycle Management

Mailroom

With Smart Data Solutions’ digital mailroom intake solutions, you can decrease your overall operational costs by digitizing and accelerating your mail intake.

Your organization will immediately improve your business continuity and gain access to SDS’ development team to automate your processes through our AI and machine learning technology. In addition, the SDS digital mailroom is flexible and customizable to meet all your business requirements.

Revenue Cycle Management

Correspondence Intake

Correspondence intake and processing are complex. Smart Data Solutions utilizes machine learning and the latest artificial intelligence to automatically determine the correspondence type, such as EOB, Appeals, Checks, etc.

When processing this collateral we can utilize our proprietary data capture technology to convert a paper to electronic that can be loaded directly into your system. This allows you to compare what is sent versus what is needed for payment, serving as a vital link in the RCM process.

Revenue Cycle Management

EOP to 835 Conversion

Through our SDS Stream Clearinghouse, we can convert your paper EOPs to an 835. This can take your hybrid paper/electronic solution to electronic processing only. With this solution, 835 data can be viewed and processed through our portal serving as a vital link in the RCM process. When processing electronically, there is no time delay with manual entry and allows you to realize revenue faster and have more accurate secondary billing.

Revenue Cycle Management

Mailroom

With Smart Data Solutions’ digital mailroom intake solutions, you can decrease your overall operational costs by digitizing and accelerating your mail intake.

Your organization will immediately improve your business continuity and gain access to SDS’ development team to automate your processes through our AI and machine learning technology. In addition, the SDS digital mailroom is flexible and customizable to meet all your business requirements.

Revenue Cycle Management

Correspondence Intake

Correspondence intake and processing are complex. Smart Data Solutions utilizes machine learning and the latest artificial intelligence to automatically determine the correspondence type, such as EOB, Appeals, Checks, etc.

When processing this collateral we can utilize our proprietary data capture technology to convert a paper to electronic that can be loaded directly into your system. This allows you to compare what is sent versus what is needed for payment, serving as a vital link in the RCM process.

Revenue Cycle Management

EOP to 835 Conversion

Through our SDS Stream Clearinghouse, we can convert your paper EOPs to an 835. This can take your hybrid paper/electronic solution to electronic processing only. With this solution, 835 data can be viewed and processed through our portal serving as a vital link in the RCM process. When processing electronically, there is no time delay with manual entry and allows you to realize revenue faster and have more accurate secondary billing.

Benefits of Machine Learning Integration

The intake of correspondence is a complex process that can benefit from machine learning integration. With automation, we can sort and categorize many different document types and place those documents into specific workflow queues for end users. Along with higher consistency and the ability to reduce staffing and ease production management challenges, some of the main benefits of automating this process include:

  • Documents are indexed and matched to ensure they are easily searchable
  • There are multiple configuration options available to fit you and your business’s specific needs
  • Workflow queues track aging statistics and help prioritize documents in real-time
  • Document history view shows user actions and our high-level reporting tracks employee productivity
  • Ability to create standardized ANSI x12 transactions from standard and non-standard forms
9,200
Connections
500M
Transactions annually
200,000
Provider connections
Over $1 Billion
in transaction billing per month
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CLIENT TESTIMONY

Debbie Ziegler

“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs ...”
View Story
icon

CLIENT TESTIMONY

Brian Janssen

“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development ...”
View Story
icon

CLIENT TESTIMONY

Matthew Estes

“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us ...”
View Story

CLIENT TESTIMONY

Debbie Ziegler

Executive Director of Operations
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
“SDS performs all of our front-end services. This includes clearinghouse, scanning, imaging, OCR and mailroom. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. SDS also does pre-adjudication edits, such as member and provider matching. Finally, SDS provides custom IT services such as file format conversion and transfer for our Amerihealth and BCI partnership claims. SDS has a comprehensive service suite thereby allowing “one-stop shopping’ for all our front-end services. This is both cost-effective and much easier to manage. In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. The process runs smoothly without much intervention. When we do have an issue they are quick to respond with a solution.”
View Solution

CLIENT TESTIMONY

Brian Janssen

VP, System Solutions
“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. Because of that, Smart Data is considered a valuable partner by business leaders. When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.”
“Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. Because of that, Smart Data is considered a valuable partner by business leaders. When we start a Smart Data initiative, as a corporate leader I do not have to worry about whether the outcome will be successful.”
View Solution

CLIENT TESTIMONY

Matthew Estes

Chief Information Officer
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
“SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. No matter how complex the setup and routing, SDS has always been able to make it work for us.”
View Solution

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