Revenue Cycle Management (RCM) Industry
Transform your revenue cycle with ClearTouch’s unified RCM suite
Are you navigating a maze of paperwork, hold times, and denied claims as a part of your RCM process? Our cloud-native contact center platform unites patient outreach, payer follow-ups, analytics, and compliance into a single, intuitive interface. Our IVR system helps you cut hold time, two-way SMS reminders that keep balances top of mind, and in-app prompts that flag coding errors before they become denials, which can help your team guide patients through payment plans. Our real-time dashboards and denial-trend alerts will help you spot problem areas instantly, resolve issues faster, and see cash flow accelerate, while delivering the empathetic, transparent communication today’s patients expect.
Request a DemoSlash Denials, Accelerate Cash Flow, and Enhance Compliance
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Hold Queue Monitoring (HQM)
Instead of having agents sit idle on hold for 20 minutes to two hours, HQM detects when the payer’s agent finally responds (via voice detection) and immediately alerts your agent. They can swap between calls while waiting, doubling or tripling call throughput without losing a single live pickup.
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Automated IVR Traversal
Our smart bot can move through any IVR menus from start to finish, entering DTMF inputs and resolving fallbacks so that your operators never get trapped in menus. Everything up to the point where a live person picks up is totally automated. This reduces wait times and allows your staff to focus on solving problems instead of making calls.
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Claims Prioritization
Our technology rates and routes claims in real time based on rejection code categorization, claim aging buckets, and payer-specific performance metrics. High-priority cases go to specific queues with instant notifications. This ensures that critical issues are addressed first and reduces AR days by up to 40%.
Why ClearTouch’s RCM?
ClearTouch automates interactions with payer IVRs, discovering coding mistakes before they lead to denials, and sending timely follow-ups. This frees up your team’s time to address problems instead of performing manual tasks. This helps lower write-offs, shorten the time it takes to get paid, and keep cash flow steadier.
Our platform’s real-time denial analytics help you identify the fundamental causes of process improvements, as well as in-app tips that enable agents to explain better. Two-way messaging keeps patients up to date on their own terms, which reduces confusion, lowers call volume, and increases satisfaction.
Because it features open APIs and a compliance-first architecture, our platform seamlessly integrates with your existing EHR, billing, and CRM systems. The platform expands with your needs, providing everything you need to communicate with people, analyze data, and comply with regulations. This allows you to focus on providing quality care.
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Our Healthcare RCM Advantage
Check out all the benefits for your business.
Streamlined patient communication
ClearTouch combines all your methods of reaching out to patients, including phone, text, email, and encrypted messaging. You can see how our IVR bot integration progresses through payer selections on its own, which results in nearly non-existent wait times. Real-time scripts and sentiment analysis guide agents on the next steps, ensuring every interaction is compliant. Two-way messaging allows patients to view their balances and payment options without requiring additional effort in the back office.
Prioritized claims handling
Our platform gives claims ratings based on rejection codes, aging buckets (30/60/90+ days), and payer-specific patterns. This lets you assign claims smartly. It ensures that urgent cases are directed to the relevant desks immediately, and it utilizes automated procedures to expedite the adjudication of high-priority claims. These smart queues can cut outstanding receivables by as much as 40%.
Automated denial resolution
Claims that are denied cost time and money. ClearTouch collects denial reasons and presents the main problems directly on your dashboard. Automated follow-up sequences, pre-made appeal forms, and workflows enable teams to address denials before they become too old. Your rules engine becomes more effective with constant feedback loops, which means your staff has to do less work and experience fewer repeat denials.
Real-time analytics and reporting
Instead of just getting static information, get insights that you can apply. Our dashboards put all of your denial trends, AR aging, payer performance, and agent data in one location. Use analytics to identify areas where the process is stalled or where individuals require additional training, and then provide personalized coaching suggestions through the app. Scheduled executive reports and on-demand exports keep everyone on the same page without requiring extra effort from anyone.
Seamless integrations & compliance
ClearTouch links to your EHR, billing, and ticketing systems via open APIs. This ensures that patient information is accurate and up to date. Our built-in compliance engine automatically adheres to state-level call time requirements, as well as TCPA and HIPAA regulations. It hangs up on callers who arrive at the wrong time and keeps private information hidden in records. You get a safe, auditable space without having to do any extra work.
Frequently Asked Questions
How could ClearTouch improve communication between RCM teams and patients?
Phone, SMS, chat, email, and even secure communication take place through one seamless interface. Within our system, advanced automation supports outbound calls, agent interactions with patients, and real-time messaging to ensure adherence and minimal connection failures.
Is ClearTouch capable of both receiving and placing calls for RCM customers?
Absolutely. Our hosted systems enable call reception, secure messaging, and outbound messaging within a single, streamlined workflow, facilitating both patient query responses and the collection of overdue balances.
What tools does ClearTouch have for denial code analysis?
We organize denials into categories based on primary reasons like missing modifiers, gaps in authorization, coding errors, as well as overarching trends evaluated through trend analytics. This enables customized appeal workflows, along with continuous engine refinement.
What criteria does ClearTouch use to prioritize the order of claims to focus on?
Claims are graded based on the complexity of the rejection code, the age of the claim, and the payer’s historical performance. Automated assignment prioritizes urgent tasks for specialized teams to ensure that critical issues are addressed first.
Can ClearTouch be integrated with my existing EHR and billing systems?
Absolutely. Our systems seamlessly integrate with leading EHRs, practice management systems, and billing software, ensuring that patient and claim information is properly synced across all of your systems.
What aspects are included in reporting for ClearTouch’s RCM solution?
Real-time dashboards visually represent accounts receivable aging, denial trends, and key performance indicators for agents simultaneously, providing a comprehensive view of their operations. You have the option to set recurring executive reports or extract on-demand reports, with no manual actions required on your end.
What elimination of repetitive tasks provides the most efficiency?
ClearTouch automates repetitive tasks such as IVR traversal, DTMF automation, follow-up automation, and triggering of appeal templates. Focus on solution finding instead of data entry is now possible due to this automation.
What assurance does the platform provide to ensure compliance with the rules?
Our built-in compliance engine ensures TCPA call time compliance and HIPAA-grade data masking, along with comprehensive audit trails. Any calls that come in during prohibited windows are dropped, and no sensitive information is ever stored in unencrypted form.
Am I allowed to increase or decrease the number of agent seats?
Absolutely. ClearTouch’s RCM platform is entirely adaptable. You can scale your utilization under our pay-as-you-go, per-minute pricing setup.
What kind of help and training can ClearTouch offer?
We provide 24/7 onboarding, built-in microlearning modules that are always available, and a dedicated support team to help you improve procedures and train new employees.
Learn more about our training and support.
Related Resources
Discover how our platform helped one of the largest RCM providers in India achieve zero holds, zero mistakes, and total compliance.
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