Revele: Healthcare Revenue Cycle Management Solutions
Revele is a specialized healthcare services company dedicated to optimizing revenue cycle management (RCM) and medical billing, with a specific focus on supporting users of the eClinicalWorks (eCW) electronic health record (EHR) platform. By combining proprietary data analytics, professional consulting, and workflow automation, the company aims to help medical practices increase cash flow, reduce administrative burdens, and improve the overall efficiency of their billing operations.
Continue…Core Services and Expertise
Revele distinguishes itself from traditional billing vendors by offering an integrated approach that blends automation with human-led support. Their services are designed to address the specific complexities of the eClinicalWorks environment.
Revenue Cycle Management (RCM) and Medical Billing
Revele provides end-to-end RCM services that manage the entire claims lifecycle. This includes:
* Claim Scrubbing and Submission: Ensuring claims are accurate before submission to reduce rejection rates.
* Denial Management: Utilizing a proprietary resolution system to track trends, manage appeals, and recover lost revenue.
* Payment Posting and Reconciliation: Handling the allocation of payments from both insurance carriers and patients.
* AR Management: Following up on outstanding accounts receivable and delinquent accounts to ensure timely payments.
Clinical Coding Services
To improve compliance and payment velocity, Revele offers specialized coding support. This includes:
* Coding Audits and Reviews: Performed by Certified Professional Coders to ensure accuracy and ethical billing practices.
* Comparative Analysis: Providing benchmarks against national and state-level performance to help providers avoid undercoding or overcoding.
* Provider Education: Delivering specialty-specific coding education to improve documentation quality at the source.
Patient-Pay Solutions
Recognizing that patient billing is a significant pain point for many practices, the company offers "Revele Pay." This platform automates the patient billing experience to encourage faster payments. Key features include:
* Digital Statements: The delivery of online statements via text or email with integrated, secure payment options.
* Self-Service Payment Plans: Allowing patients to manage their own balances through flexible, configurable plans.
* Credit Card on File: A program that securely captures payment information to streamline subsequent billing cycles.
* Patient Support: Providing access to US-based billing representatives to answer questions and resolve concerns.
Professional Consulting and Optimization
A cornerstone of the Revele service model is its Client Success Team, which provides personalized guidance to healthcare organizations. Unlike firms that offer a single point of contact, Revele assigns a team of subject matter experts to each client, including:
* Client Performance Managers: Who lead monthly meetings to review key performance indicators (KPIs) and discuss strategic improvements.
* Billing and Revenue Consultants: Who analyze EHR usage and assist with process updates to ensure the practice is operating at peak efficiency.
* eClinicalWorks EHR Optimization Specialists: Who provide ongoing software configuration, database reviews, and training on new platform features.
Analytics and Performance Reporting
Revele emphasizes the use of data to drive decision-making. Their proprietary "ScoreCard" reporting tool benchmarks client data against industry standards—such as those set by the Medical Group Management Association (MGMA). By tracking over 50 specific KPIs—including net collections, payment variance, and error rates—Revele provides medical practices with a transparent view of their financial health. This data-driven approach allows practices to identify bottlenecks in their workflows, assess provider coding performance, and implement targeted improvements to maximize their return on investment.
