Accelerate Revenue and Elevate Patient Experiences
Many hospitals and health systems struggle to stay profitable amidst reimbursement cuts. Intelligent revenue cycle management (RCM) is essential to navigating these challenges and helps providers to it improve cash flow, strengthen financial health, and drive long-term sustainable growth. However, providers are increasingly burdened by account backlogs, rising administrative tasks, shifting regulations, and evolving coding demands. Meeting these pressures requires a smarter, more adaptive RCM approach.
Sutherland’s Enhanced Revenue Cycle Management Solutions delivers a comprehensive suite of RCM services through a BPaaS (Business Process as a Service) model. Our enabling proprietary tools and platforms are designed to streamline collections, improve claim visibility, and simplify coverage tracking. By combining a robust digital data exchange, smart automation, and analytics-based segmentation, Sutherland helps healthcare providers optimize their RCM to reduce manual effort, speed up revenue cycles, and improve overall cash flow.
OUTCOMES DELIVERED
RCM collections annually
Reduction in TCO
Improvement in collection rate
Reduction in AR Days
Average denial conversion
Average AR liquidation rate increase
Discover how Sutherland can optimize your revenue cycle and boost cash flow performance.
Comprehensive RCM BPaaS Services
Our team of RCM experts, including certified coders and collection specialists, provides end-to-end revenue cycle support—from patient access to claims processing, denial management, and patient experience services. Sutherland’s full business office solutions include:
Patient Access Solutions
- End-to-End Patient Access
- Digital Order Management
- Central Scheduling
- Patient Registration Quality Assurance
- Demographic and Insurance Verification
- Pre-Certification and Authorization
- Medical Necessity Checking
- Financial Counseling with Propensity-to-Pay
- Patient Liability Estimator
Provider Life Cycle Solutions
- Prescreening
- Missing Information Follow-up
- Application Review
- Primary Source Verification
- Gap Analysis
- Ongoing monitoring
- CAQH Set Up Maintenance
Health Information Processing
- Multi-Specialty Autonomous Coding
- Professional (Physician) Coding
- Facility Coding
- Charge Capture
- Medical Necessity Checks
- Pre-Bill Edits
- Clinical Documentation Improvement (CDI)
- Coding Audits
Patient Accounting
- Billing
- 3rd Party Collections
- Self-Pay Collections
- A/R Follow-up
- Legacy A/R Conversions
- Denials Management: Technical and Clinical
- Payment Posting
- Patient Contact Center Services
- Reporting
- Analytics
- Credit Balances
Platforms
Hyper-automation for patient access processes
AI/RPA enabled workflow management
Provider enrollment and credentialing
Sutherland SmartCred®AI enabled business intelligence solution
Sutherland Health AnalyticsOmni-channel communications solution
Sutherland Connect®Intelligence and insights from interactions
Sutherland CX360®NP/NLU led automation of interactions
Conversational AIChannel integrating invisible app and media
Document ingestion and extraction
Extract.AIOmni-channel communications solution
Sutherland Connect®
