Skip to Content

Revenue Cycle Management (RCM)

Deliver better results at a lower cost and boost patient satisfaction. From front-end data cleansing and early identification of denial trends to avoid write-offs to integrated reconciliation, CIVIE drives operational advantage.

Request Demo
Revenue Cycle Management

Use AI-driven RCM tools to maximize earnings

Increase collections with Revenue Cycle Management

As insurance carriers regularly use AI to deny claims, it’s time to put AI to work on your side. Streamline billing workflows and maximize claim collection with cloud-based technology. Integrated reconciliation ensures posting and payments align so all money is collected. Plus, with CIVIE Revenue Cycle Management, you have an experienced team of call center agents on your team. We work closely with insurance companies and patients to deliver bottom-line benefits.

AI working for you—
higher collections, fewer denials.

Key Benefits

Work smarter. Earn more.

22%

revenue improvement

Boost revenues

Our experienced team understands the demands of insurance carriers and how to leverage technology to help you maximize payments. We combine a leading-edge technology platform with expert follow-up to increase returns.

20%

reduction in costs

Lower costs

With over $100 million invested in our technology, we’ve found the optimal ways to increase efficiencies and only leverage human intervention when it is most effective. We pass on the savings we achieve to our clients.

15%

increase in charge capture

Real-time analytics

See what is being received in your billing system in real time. Our state-of-the-art, easy-to-use dashboards put control of your practice right at your fingertips.

Technology Highlights

AI-enabled technology fortified by human expertise

The CIVIE Revenue Cycle Management solution combines the latest AI-enabled technologies to drive efficiencies with active human oversight for the best of all worlds. The software streamlines billing workflows and builds in intelligence gathered over years of operations. Simultaneously, our call center provides hands-on support for addressing insurance issues and managing patient payments.

Identify variances and missing data to ensure all charges are captured and maximize billings

Our RCM solution identifies physician reading patterns using AI to predict volumes and keep billing on track.

  • Quickly identify variances and missing charges.
  • Use logs to ensure all charges are captured.

Increase coding accuracy with AI-powered technology

Our depth of experience means our AI models have robust data across a variety of insurance providers to draw upon.

  • AI-enhanced coding quickly identifies deficiencies in dictation and likely misses.
  • Provide physicians with real-time feedback to quickly address issues.
  • Reduce errors with the power of LLM models.

Increase claim accuracy for better returns

CIVIE RCM is tuned to minimize denials and rejections and help you maximize billing success.

  • Integrate carrier-specific rules, policies, and procedures using AI.
  • Accelerate payments by eliminating upfront errors.
  • Perform front-end eligibility checks to cleanse demographic data.

Tailor billing to payer preferences

The built-in AI technology interprets the full range of variation across payers to address their individual nuances.

  • Proactively address contract variances across all insurance payers.
  • Catch incorrect payments early in the process and take immediate action.

Reduce denials and avoid the headaches

Our clients experience some of the lowest denial rates in the industry thanks to upfront error elimination and efficient follow-up. 

  • AI-enabled claims use large datasets to more accurately identify and reduce trending denials.
  • Our expert team actively addresses any issues to reduce risks.

Ensure a great patient experience at every interaction

Tech-savvy patients demand consumer-friendly interactions. CIVIE makes every patient touchpoint user-friendly. 

  • Allow patients to manage their health and pay their bill in one easy-to-use solution.
  • Give self-pay patients the ability to request discounts aligned with your payment schedules. 
  • Accept the latest consumer payment methods like Google Pay, Apple Pay, and even Bitcoin.

Find lost revenues through effective reconciliation

Complete bank reconciliation is an effective way to find missing or incorrect payments that may have slipped through the cracks. 

  • Conduct real-time reconciliation using state-of-the-art AI tools. 
  • Verify payment from any method or carrier.
  • Make reconciliation a regular, ongoing process.

Get the data you need, when you need it

Data transparency is at the heart of the CIVIE platform. Our robust analytics and reporting capabilities give you a full view of your performance.

  • Receive reports on any element of data.
  • Access insights anytime you need them with self-service capabilities.
  • Customize dashboards and reports to fit your unique needs.

Related Solutions

Delivering advantage across your operations

CIVIE brings together decades of operational experience in a cloud-based platform designed for bottom-line benefit. Our solutions integrate the capabilities you need to boost revenue capture and minimize expenses.

Make every interaction a great patient experience

Patients today expect every experience they have with their healthcare providers to be user-friendly. That’s why CIVIE has invested in creating intuitive, easy-to-use interfaces everywhere patients interact with the platform. From scheduling and reminders to our payment portal, our goal is to make the process enjoyable.

Make every interaction a great patient experience

Understand your operations with business intelligence

Let data help you make better operational decisions. Every CIVIE solution has robust analytics and reporting built in. Drill down into the details or look at the big picture using standard reports, or develop custom views of exactly the information you want to see. Understand productivity, identify opportunities for improvement, and explore ways to grow.

Understand your operations with business intelligence

Interoperability and integrations designed for the way you work

Bring together different data sources, from different hospital PAC systems, with different naming constructs, with ease. CIVIE technology leverages inputs from multiple sources to give your teams all the information and integrated capabilities they need to be highly responsive and deliver accurate insights with every scan.

Interoperability and integrations designed for the way you work
Back to top