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Revenue Cycle Management (RCM)

In the dynamic world of healthcare, financial fluidity is paramount. That's where smartData's Revenue Cycle Management (RCM) solutions step in, revolutionizing the intricate financial processes that drive the healthcare industry, from billing to collections.

At smartData, our mission is to simplify the often complex financial interactions between patients and providers, optimizing denial management, including efficient handling of EDI files. We do this by offering comprehensive RCM solutions that not only ensure increased revenue capture but also significantly reduce operational overheads.

Imagine a healthcare ecosystem where financial processes, including the management of EDI files, are seamless, efficient, and transparent. With smartData’s RCM solutions, healthcare providers can achieve just that. We help organizations optimize their revenue cycles, making sure that billing is accurate, collections are timely, and financial operations run smoothly.

Our commitment to enhancing financial efficiency goes beyond streamlining processes. We understand that in healthcare, every dollar saved can be reinvested into better patient care. By partnering with smartData, you embark on a journey towards a seamless RCM experience that not only bolsters your financial stability but also frees up resources to focus on what truly matters: delivering high-quality care to your patients.

In summary, smartData is your trusted partner for enhancing financial efficiency in healthcare. Our RCM solutions simplify the financial intricacies of the industry, ensuring increased revenue capture and reduced operational overheads. Join us on a journey toward a healthcare ecosystem where financial processes are seamless, efficient, and transparent, ultimately benefitting both providers and patients.

smartData core Revenue Cycle Management (RCM) services

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Automating Workflows & Health Insurance

Optimize financial operations with smartData's Automating Workflows & Health Insurance solutions. We streamline intricate processes, from billing to claims management, ensuring increased revenue capture and reduced operational overheads.

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Patient Billing and Payment Solutions

Enhance patient financial experience with smartData's Patient Billing and Payment Solutions. We provide user-friendly tools that simplify billing, payment, and financial interactions, resulting in increased patient satisfaction and efficient revenue collection.

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Financial Reporting and Analytics

Gain financial insights with smartData's Financial Reporting and Analytics solutions. We offer comprehensive tools to track revenue, analyze financial performance, and make data-driven decisions, ensuring a more financially efficient healthcare practice.

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Recent Case Studies

HEDIS Analytics Platform

HEDIS Analytics Platform

Health insurance companies and providers face multiple rejections and huge penalties due to incomplete documentation. To improve payor performance, the HEDIS analytics platform integrates consumer, clinical, provider and payer data to analytical data that healthcare stakeholders can readily use to improve the health of their patients and populations. The platform is on HEDIS quality measure reporting rules driven by data extracted from more than 15 EMR systems. HEDIS analytical platform helps in remediating the gaps in data collection through pre auditing of data and to improve the efficiency of HEDIS reporting.

Budget Management System

Budget Management System

The Budget Information System is a comprehensive platform developed to unify financial data across departments into a centralized database. This system streamlines data management, ensuring accurate, up-to-date financial information is readily available for analysis. By consolidating data in one place, it empowers decision-makers to perform insightful evaluations and make well-informed, strategic financial decisions with ease

Health and Wellness Solution

Health and Wellness Solution

Business Solution healthcare company providing innovative software solutions exclusively to mental, behavioral, and substance abuse treatment organizations.

Recent Portfolio Projects

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Digital Media Store

Digital Media Store

A digital vault developed specifically for working DJ’s offering audio/video files comprising of party breaks, mashups, bootleg mixes, and remix versions of must-play tracks for DJ's during live performances. 

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Mental Health Counselling Platform

Mental Health Counselling Platform

The application aims to keep individuals and employees mentally healthy and motivated. It is a telehealth platform which makes mental health support accessible with real-time secure video counselling and offers training to managers and employers. It is developed on a HIPAA compliant secure architecture and has a proprietary matching algorithms to connect clients with the most effective mental health counsellors or life coaches. This platform also offers legal, financial and career advisory services. 

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AI powered HIE platform

AI powered HIE platform

This solution is SaaS cloud-based electronic health records and information exchange platform that connects health care providers (hospitals, laboratories, and physician practices), payers (insurance companies) and patients to deliver optimum care. Solution Integrated with Healthcare AI chatbot for patients where they getting pre-diagnose, scheduling the appointment virtually with the physician of nearest located practitioner and also integrates with the existing EMR system that will ease the access of medical documentation for the physician along with the verification.

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Healthcare Enrollment system

Healthcare Enrollment system

The project aims to revolutionize hospital management through a dual approach: a Software as a Solution (SaaS) platform that hospital staff can independently manage, and a Full-Service Model providing comprehensive support with software and human resources. The solution focuses on streamlining operations, enhancing patient care, and maximizing revenue generation for healthcare providers.

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Website for Medical Devices

Website for Medical Devices

The company has proved its prowess as one of the top names in the world of Medical Devices and become synonymous with premium quality, unmatched safety, cutting edge innovation, superior services & world-class medical care. Making its passion for global health care, researching and innovating better technologies and finer products.

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Patient BOT

Patient BOT

The AI bot is designed to demystify the world of prescription assistance, offering a clear path towards managing patients medication needs affordably and efficiently. With the patient virtual assistant patient  gain not just a tool, but a companion committed to helping you navigate the challenges of prescription assistance with ease and confidence.?

The goal is  to enhance their ability to quickly read and interpret eligibility criteria from prescription assistance forms, answer frequently asked question which is dynamically managed by the staff.

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What our clients say about smartData

Jay

Jay

smartData's expertise extended our partnership from just stabilising our platform...

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Aime

Aime

smartData’s team of AI software engineers brings valuable expertise to...

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Emmanuel

Emmanuel

Given that we needed a strong technical team partner, I...

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Trinity

Trinity

The visit to sD office has been amazing. We felt...

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Sitora

Sitora

smartData consistently met deadlines, even with evolving requirements, thanks to...

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smartData Benefits

Global Talent Pool

We boast nearly 1,000 highly skilled developers strategically positioned across three offshore locations, enabling us to deliver world-class software solutions. 

Proven Track Record

With a proven track record of delivering over 10,000 diverse software applications worldwide, we have honed our expertise to perfection.

Worldwide Presence

smartData Enterprises boasts a robust global footprint, with a strong foothold in key regions such as the US, Australia, Europe, and Japan.

CMMI/ISO certifications and accreditation

smartData’s CMMI Level 3 and ISO 9001:2015 certifications showcase our commitment to quality and consistency, with a focus on client success. As we aim for CMMI Level 4, we’re driving greater efficiency and innovation.

Frequently Asked Questions

smartData provides solutions like billing, claims processing, patient payment systems, denial management, and financial analytics.

By automating workflows, streamlining billing processes, and providing real-time analytics for financial insights.

Yes, smartData specializes in efficient EDI file management to streamline claims and reimbursements.

Hospitals, clinics, private practices, and other healthcare organizations.

Yes, solutions are tailored to the unique needs of each healthcare provider.

Yes, its solutions are compatible with most healthcare IT systems like EHRs and EMRs.

smartData ensures data security and adheres to all HIPAA regulations.

Through real-time reporting and dashboards for both providers and patients.

If you're facing challenges with billing, claim denials, or revenue delays, RCM solutions can help optimize your processes.

Outsourcing reduces operational costs, enhances efficiency, and provides access to specialized expertise.