RCM Optimization, Powered by AI
You did the work. Make sure you are paid for it.
Our Advanced AI solution scans submitted claims to identify missing or underbilled revenue and
makes it easy to resubmit and collect what you are owed.
Don’t miss out on the potential for millions of dollars of revenue for your organization.
Our Services
Assess
RCM 360 Report
Using your own data (837/835 files, encounters, etc.) our software identifies current performance, areas of opportunity, and revenue eligible for recapture.
Recapture
Revenue Recovery
Our team works on your behalf to recapture missing revenue, working on performance-based agreements to pull in dollars for services your clinicians have already provided.
Strengthen
RCM Work Queues
Give your team the RCM tools to supercharge their efforts. Unlock work queues that outline the suggested next action and ensure you are paid appropriately.
RCM 360 Assessment
We create a “treasure map” for your organization, using your own data.
RCM Overview
Payor Underpayments Analysis
Opportunity Overview
Actionable Opportunity Details
Find the “gold” hiding in your organization with a RCM 360 Assessment Today
Recapture Missed
Revenue
Identify and capture missing or underbilled revenue without effort from your team.
CareEco’s platform uses a Multi-layered Contextual Engine to determine the appropriate reimbursement amount and helps you recover revenue for past claims. Our team works alongside your staff, removing the additional burden, and can generate new revenue in as little as 30 days.
Performance-Based Agreements
Fees are paid as a percentage of recovered revenue, which means there is no risk to your organization. We win when you win.
Data Requirements
We analyze your past claims data, payor contracts, ERA responses, etc. and process through our AI engine.
Digging the Gold
Identified claims are appeals/resubmitted and worked to resolution. Our team fights for you to receive the reimbursement you deserve.
Reap the Rewards
No change in payment flow. Recovered funds flow into your existing bank account, similar to all other payor reimbursements.