Revenue Cycle Management (RCM)

In the dynamic world of healthcare, financial fluidity is paramount. That's where smartData's Revenue Cycle Management (RCM) solutions step in, revolutionizing the intricate financial processes that drive the healthcare industry, from billing to collections.

At smartData, our mission is to simplify the often complex financial interactions between patients and providers, optimizing denial management, including efficient handling of EDI files. We do this by offering comprehensive RCM solutions that not only ensure increased revenue capture but also significantly reduce operational overheads.

Imagine a healthcare ecosystem where financial processes, including the management of EDI files, are seamless, efficient, and transparent. With smartData’s RCM solutions, healthcare providers can achieve just that. We help organizations optimize their revenue cycles, making sure that billing is accurate, collections are timely, and financial operations run smoothly.

Our commitment to enhancing financial efficiency goes beyond streamlining processes. We understand that in healthcare, every dollar saved can be reinvested into better patient care. By partnering with smartData, you embark on a journey towards a seamless RCM experience that not only bolsters your financial stability but also frees up resources to focus on what truly matters: delivering high-quality care to your patients.

In summary, smartData is your trusted partner for enhancing financial efficiency in healthcare. Our RCM solutions simplify the financial intricacies of the industry, ensuring increased revenue capture and reduced operational overheads. Join us on a journey toward a healthcare ecosystem where financial processes are seamless, efficient, and transparent, ultimately benefitting both providers and patients.

smartData core Revenue Cycle Management (RCM) services

01

Automating Workflows & Health Insurance

Optimize financial operations with smartData's Automating Workflows & Health Insurance solutions. We streamline intricate processes, from billing to claims management, ensuring increased revenue capture and reduced operational overheads.

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02

Patient Billing and Payment Solutions

Enhance patient financial experience with smartData's Patient Billing and Payment Solutions. We provide user-friendly tools that simplify billing, payment, and financial interactions, resulting in increased patient satisfaction and efficient revenue collection.

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03

Financial Reporting and Analytics

Gain financial insights with smartData's Financial Reporting and Analytics solutions. We offer comprehensive tools to track revenue, analyze financial performance, and make data-driven decisions, ensuring a more financially efficient healthcare practice.

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Recent Portfolio Projects

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Patient Dispatch Management

Patient Dispatch Management

A solution for the transportation management company for smartly managing client’s mobility requirements and the resources. It provides high quality, innovative transportation services that raise the bar for efficiency, cost-effectiveness, driver safety and accountability. This is primarily used for last mile of patient journey who cannot move on their own. The request is generated from the medical facilities based on appointments schedules and the dispatching request is made to the driver from the area ensuring the last mile is managed and paid. 

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Ambulatory Patients EHR PMS

Ambulatory Patients EHR PMS

A comprehensive EHR and PMS. Application has been awarded level 3 recognition by the National Committee for quality assurance patient-centered medical home program. It has grown its provider base and service areas covering all of Florida’s major metropolitan areas. Application has developed a patient care management system that allows patients and providers access to medical services information systems. 

The application provides functionality to manage health records of ambulatory patients for their general primary care. Including patient intake, SOAP notes, diagnosis, vitals, encounters, lab orders, e-RX and help managing clinical workflow efficiently.

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Healthcare Payment Audit and Appeal Wizard

Healthcare Payment Audit and Appeal Wizard

SaaS-based software to draft, track, and manage healthcare payment audit appeals and responses. The platform unites the overcharged patients, organizations and auditors. This helps the patients suspecting for overcharge to appeal in the judiciary system against the alleged organization.

The goal of this application is to facilitate the communication amongst organizations, victim patients and auditors, and assists appeal to the judiciary system with a structured approach. The total process is tracked by the system with valid papers and document maintenance.

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Physician Revenue cycle management

Physician Revenue cycle management

This solution transforms the reimbursement experience by not only handling the end-to-end billing and revenue cycle processes but also paying physicians upfront for their services. 

This solution gets the healthcare providers paid with minimal administrative costs. It represents a paradigm shift that puts user experience at the core while elevating the quality, increases cash flows and reducing transaction and administrative costs.

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Healthcare Data Warehouse

Healthcare Data Warehouse

This custom solution can help standardize data available in unstructured formats from different systems. These solutions efficiently maintain essential healthcare data compliance like HIPAA and HL7. Provide useful insights from Data to increase the efficacy of patient treatment through interoperability. 

Here we are receiving data from below sources:
1. Relational databases, 
2. Flat files, Salesforce, 
3.HL7 data from various EMRs, Pharmacy, 
4. DICOM files like CT scans, MRI, etc, 
5. Medical prescription OCR

And finally, store in a Data warehouse hosted in AWS to perform analytics over data to capture useful insight

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IDD Mental EHR

IDD Mental EHR

The application is a comprehensive SaaS EHR solution for companies serving the IDD (intellectual development & disabilities) community and provides various solutions such as provider portal, care application, document management and billing. The platform creates and processes claims for IDD (intellectual or developmental disabilities) services either through the electronic claims (EDI’s) or through the paper claims (CMS 1500). The platform increases efficiencies, decreases costs, and safeguard Protected Health Information (PHI), Personally Identifiable Information (PII) and provider-related confidential information. The software helps increating, tracking, and ensuring quality documentation & helps to streamline data entry, transmission and storage – easily, efficiently, and securely (fully encrypted). It also includes integrated tools to organize tasks, create assignments, generate reports and MORE..

Application creates the authorization, provider schedules with patients for services and push schedules information to EVV. EVV processes the schedules on daily basis and then syncs the actual schedules to create claims for the services.

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What our clients says about smartData

Ricardo

Ricardo Matos

CEO and Founder
Trinity

Trinity Manning

CEO and Founder
Heath

Heath Pratt

CEO and Founder
Jayraj

Jayraj Lutchmun

CEO and Founder
Andreas

Andreas Mayer

CEO and Founder

smartData Benefits

Global Talent Pool

We boast nearly 1,000 highly skilled developers strategically positioned across three offshore locations, enabling us to deliver world-class software solutions. 

Proven Track Record

With a proven track record of delivering over 10,000 diverse software applications worldwide, we have honed our expertise to perfection.

Worldwide Presence

smartData Enterprises boasts a robust global footprint, with a strong foothold in key regions such as the US, Australia, Europe, and Japan.

CMMI/ISO certifications and accreditation

smartData’s CMMI Level 3 and ISO 9001:2015 certifications showcase our commitment to quality and consistency, with a focus on client success. As we aim for CMMI Level 4, we’re driving greater efficiency and innovation.