RHCs must manage specific CMS requirements like all-inclusive rates (AIR), annual cost reporting, and unique claim formats that standard billing software often handles poorly. Our platform is designed with a dedicated RHC billing module, and our team provides the training to navigate these rules effectively.

Key performance indicators (KPIs) are crucial for monitoring your clinic's performance. The most important categories include Billing KPIs (like clean claim rates), Scheduling KPIs (like visit volumes and no-show rates), A/R KPIs (like days to pay and denial rates), and Clinical Quality KPIs (like controlling high blood pressure).

RHCs can diversify their services by offering programs for substance use disorders (SUDs) and opioid detoxification. Strategies can include community outreach and youth- or parent-focused sessions to address this critical need in your community. A flexible EHR can help you manage and bill for these new service lines.

Chronic Care Management (CCM) is a specific service for Medicare and dually eligible patients who have two or more chronic conditions. RHCs can receive additional payments for these services, which can be billed when 20 minutes or more of non-face-to-face CCM services have been delivered in a month.

Automation within your EHR can handle many of the time-consuming and repetitive duties your staff performs daily. By using an AI-powered rules engine, you can automate billing tasks, reduce errors, and expedite the revenue cycle. This frees up your team to focus on more complex issues and direct patient care.

Expanding to a new location requires significant strategic planning, encompassing financial feasibility and state-specific compliance. A critical factor is ensuring your EHR platform can scale with you. A cloud-based system allows you to add new locations easily without expensive server installations. Our team has the expertise to help you navigate these strategic considerations and ensure your technology supports your growth.