Billing & Revenue Cycle Management

📊Overview

Our Revenue Cycle Management (RCM) system is designed to minimize claim rejections and accelerate days sales outstanding (DSO). From invoice generation to payment tracking, our automated system ensures you never miss a payment and reduces administrative overhead by up to 40%.

40%

Reduced Admin Time

95%

First-Pass Claim Rate

30%

Faster Payments

⚡Core Capabilities

Automated Claim Submission: Direct EDI (Electronic Data Interchange) integration with major payers eliminates manual entry errors.
Real-time Claim Tracking: Monitor claim status from submission to payment in a unified dashboard.
Denial Management Engine: AI-powered analysis of denied claims with automatic resubmission workflows.
Patient Payment Portal: Secure online payment gateway with recurring billing and installment plans.
Insurance Verification: Automated eligibility checks before appointments to prevent billing surprises.
Financial Analytics: Real-time dashboards showing revenue trends, outstanding balances, and collection rates.

🎯 Case Study: Multi-Specialty Clinic, Mumbai

Challenge: 25% claim rejection rate costing ₹12 lakhs annually in lost revenue.
Solution: Implemented Umami's automated RCM with real-time verification and denial management.
Results: Claim rejection rate dropped to 5%, recovering ₹9.5 lakhs in previously denied claims within 6 months.

⏱️Implementation Timeline

Week 1: Financial System Integration

Link business accounts and map existing insurance codes and fee schedules.

Week 2: Data Migration

Securely import open invoices and patient ledgers from legacy systems.

Week 3: Automation Setup

Configure rules for auto-invoicing, payment reminders, and claim submission.

Week 4: Go Live

Full system launch with staff training and real-time analytics dashboard.

💰 Billing & Revenue Cycle Management