realsolutionssystem.com

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    • Home
    • ABOUT US
    • Leadership Team
    • RCM PORTAL
    • SOLUTIONS

realsolutionssystem.com

realsolutionssystem.comrealsolutionssystem.comrealsolutionssystem.com
  • Home
  • ABOUT US
  • Leadership Team
  • RCM PORTAL
  • SOLUTIONS

OUR SOLUTIONS A1-POWERED REVENUE CYCLE MANAGEMENT SUITE

INTELLIGENT CLAIMS SOLUTION

ELIGIBILITY & BENEFITS VERIFICATION

DENIAL PREVENTION & MANAGEMENT

MODULE 1

  • AI-assisted CPT/ICD-10 coding validation before submission
  • Real-time payer rule engine with 2,000+ edits  
  • Automated claim scrubbing — 98%+ first-pass acceptance
  • EDI 837/835 support across all major clearinghouses

DENIAL PREVENTION & MANAGEMENT

ELIGIBILITY & BENEFITS VERIFICATION

DENIAL PREVENTION & MANAGEMENT

MODULE 2

  • Predictive denial scoring on every claim before filing
  • Root-cause analysis with AI-recommended corrective actions
  • Automated appeals workflow with template library
  • Denial trend dashboards by payer, provider, and code

ELIGIBILITY & BENEFITS VERIFICATION

ELIGIBILITY & BENEFITS VERIFICATION

ELIGIBILITY & BENEFITS VERIFICATION

MODULE 3

  • Real-time verification for 900+ payers
  • Automated coverage discovery for uninsured patients
  • Benefits summary delivered to patient portal  
  • Pre-authorization tracking and alerts


OUR SOLUTIONS A1-POWERED REVENUE CYCLE MANAGEMENT SUITE

PAYMENT POSTING & RECONCILIATION

PAYMENT POSTING & RECONCILIATION

PAYMENT POSTING & RECONCILIATION

MODULE 4

  • ERA/EOB auto-posting with 99.4% match rate
  • Variance detection and exception queuing
  • Secondary billing automation
  • Patient balance management and statement generation

ANALYTICS & BUSINESS ITELLIGENCE

PAYMENT POSTING & RECONCILIATION

PAYMENT POSTING & RECONCILIATION

MODULE 5

  • Executive KPI dashboard: AR days, collection rate, denial rate
  • Payer contract performance analysis
  • Provider-level productivity benchmarking
  • Custom report builder with scheduled delivery

PATIENT FINANCIAL EXPERIENCE

PAYMENT POSTING & RECONCILIATION

PATIENT FINANCIAL EXPERIENCE

MODULE 6

  • Transparent cost estimates before and after service
  •   Multi-channel payment: web, text, phone, kiosk
  • Flexible payment plan configuration
  • Charity care screening and financial counseling workflow


Contact Us

REAL SOLUTIONS FOR WORLD PROBLEMS!

We would love to hear from you.

emmalee@realsolutionssystem.com

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