what is revenue cycle management (RCM)?

TIMS-Software-Revenue-Cycle-Management

Revenue Cycle Management is much more than a simple industry term. It touches every aspect of your business, from intake through payment posting. Managing your revenue cycle from end-to-end is made simple and efficient with TIMS Software providing all the tools needed to oversee each aspect of the RCM process. The revenue cycle begins with the referral source, which starts an order. Then, all of the actions taken to move a patient’s order through the revenue cycle are automatically queued with intake worklists showing a clear path for your CSRs and billers to navigate and, at the same time, giving you clarity on staff productivity through monitoring tools.

TIMS Software was created for the HME industry and we continue to develop our software products based on our providers’ evolving needs. Revenue Cycle Management is simply what we do.

Revenue Cycle Management: Front End Processes

Begin by setting up pre-determined billing rules for each payer and product within TIMS Software to guide you through patient intake and trigger the qualifications, documentation, and authorizations needed to successfully get paid and avoid an audit.

Gather complete, correct information during the referral process to start the customer experience off on the right foot. Intelligent work queues, automated task lists, and billing rules help your staff stay organized and on-task. Plus, there’s no worrying about remembering who should follow up on tasks and when.

With TIMS Inbound Document Routing, patient information from your referral source is received and stored digitally within the patient record—no paperwork needed. If documentation is missing at any point in the revenue cycle, the customer service representative (CSR) has the tools within TIMS Software to quickly generate and request the right forms. With the TIMS Document Management Dashboard, you and your CSRs can monitor responses and view alerts when documentation has been updated or is past-due, and continue working the order.

Once the order is qualified, you’re ready to dispense the product, whether through mailing, drop ship, in-person, or delivery. Use the TIMS Delivery mobile application on a smartphone or tablet to process deliveries, collect patient signatures, take credit card payments onsite, and assist with routing.

Revenue Cycle Management: Back End Processes

TIMS A/R Worklists help you organize claim denials and aging A/R to work more efficiently. The configurable worklists can be set to create alerts when you don’t get paid, whether through a denial or lack of response from either the insurance company or patient. Filter outstanding A/R by submission date, due date, date of service, invoice date, and EOB date to easily find A/R that is approaching the deadline for timely filing. Isolate unpaid claims and assign them to team members. Appeals can then be handled quickly with easily generated appeal forms and supporting documents.

Finally, use TIMS Financials and TIMS Business Intelligence to measure and monitor your business needs. Manage your budget in the TIMS Financials General Ledger, and make sure vendors are paid on time with the TIMS Accounts Payable system. TIMS Business Intelligence helps you analyze data and make better decisions based on fact with custom reporting. Develop a complete picture of your business performance with analysis tools and dashboard metrics. Finally, create reports with TIMS Report Builder and schedule and distribute them in a variety of methods and formats. Your data is always available and fully exportable to Excel®, Power BI® or Report Writer® or a third-party financial system through TIMS Software.


When considering a business software solution, start with a solid understanding of Revenue Cycle Management to find the right software for your business needs.

TIMS Software has been developed over the last 40 years as an integrated software solution based on our customers' evolving needs. Revenue Cycle Management is simply what we do.

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This article was originally written by of Computers Unlimited. Published . Modified 2018-06-29.

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