Managed RCM Services
Your revenue cycle,
run your way.
Run CIVIE RCM yourself, share the work with CIVIE's billing team, or let CIVIE run the whole revenue cycle. All three run on the same platform, so you can change models without changing systems.
Work queues · who owns what
IllustrativeService model
Same platform in every model.
Three ways to work
Software, hybrid
or fully managed.
Client-managed
Your team runs billing on CIVIE RCM, with CIVIE's automation agents taking posting, status checks, refunds and appeal packets.
Hybrid
Your team keeps the work it wants, such as coding or patient calls, and CIVIE's billing team takes the rest. You set the policies and decide who owns each area.
Full RCM
CIVIE runs the revenue cycle end to end: charge capture, coding, claims, denials, posting, patient collections and reconciliation.
Who does what
Pick the model.
Keep the ecosystem.
How the work splits in each model. In a hybrid model you decide who owns each area, and you can move it later.
| Work | Client-managed | Hybrid | Full RCM |
|---|---|---|---|
| Charge capture and coding | Your team | Your team or CIVIE, you choose | CIVIE |
| Claims and status checks | Your team, with agents checking status | Your team or CIVIE, you choose | CIVIE |
| Denials and appeals | Your team, with agents building appeal packets | Your team or CIVIE, you choose | CIVIE |
| Payment posting and refunds | Automation agents | Your team or CIVIE, you choose | CIVIE |
| Patient collections and calls | Your team | Your team or CIVIE, you choose | CIVIE |
| Reconciliation | Your team | Your team or CIVIE, you choose | CIVIE |
| Your data and reports | Full access | Full access | Full access |
What's included
The team behind
the ecosystem.
Coding and audit
Radiology coders working with AI suggestions, IR coding and MIPS reporting.
Denials and appeals
Worked by agents and specialists, with no automatic write-offs.
Stateside patient support
A stateside call center, IVR, chat and texting for patient billing questions.
Client and special billing
Hospital and research accounts, personal injury and lien cases, nuclear medicine.
Reporting you can audit
Real-time dashboards for charges, payments, payer performance and contract variance.
One ecosystem throughout
Handoffs happen on the same platform, so everyone works from one record, whoever does the work.
Results
Revenue you
can measure.
- 98.7%of claims paid on first submission
- Up to 28%higher collections for practices moving to CIVIE RCM
- 85%of remittance lines posted without a person touching them
Results across CIVIE RCM clients.
FAQ
Questions,
answered.
Yes. All three models use the same CIVIE RCM platform, so moving work between your team and CIVIE's is a change in ownership, not a migration.
Next steps
Your revenue cycle,
run your way.
Request a demo and we'll work out which model fits your practice.