R Systems' mission is to help our healthcare clients enhance patient experience, reduce costs, streamline hospital operations and increase profitability through digital, business analytics and AI.
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The vast majority of healthcare Payer organizations are severely limited by aging IT and operational systems. These setbacks hinder the efficient management of digital ecosystems with providers, groups, agents, and members.
Payers must adopt smart Electronic Data Interchange models that adhere to HIPAA requirements and current expectations of customer-centricity.
As a leading technology services provider, R Systems enables Payers to keep up with changing healthcare demands, introduce automated processes, and enhance quality of care.
The rapid transition to “value-based care” models has forced healthcare Providers to reassess their strategic vision.
Every Provider knows the importance of adopting advancements in AI and Internet of Things, yet few understand the sheer complexities of organization-wide integration to meet modern challenges of healthcare administration and “one-stop” patient expectations.
With deep expertise in enterprise digital transformation, R Systems empowers Providers to adapt to data-fueled healthcare ecosystems and make their quality of care more patient-specific.
The fast-changing nature of the public healthcare marketplace requires Government stakeholders to be exceedingly versatile.
With the undying struggle to provide excellent patient care while reducing overhead costs, stakeholders must capitalize on IT modernization and AI advancements to implement smarter population health programs.
As an industry leader in digital transformation, R Systems enables Government agencies to develop more efficient execution and reporting of public care delivery.
Modern Medical Equipment is only as good as the software it has in place. Advancements in the cloud, mobility, AI, and Internet of Things have sparked demands for increased connectivity and impeccable quality assurance.
Manufacturers across the board are finding adequate software integration to be their biggest obstacle in success. Combining a rich background in Product Engineering and AI testing, R Systems supports medical equipment manufacturers in producing exceptional solutions that transcend boundaries of medical care.
Innovation in medical technology and the emergence of patient-centric business models have inundated the Life Sciences companies with challenges. Many organizations are struggling with big data overload and modernizing supply chain management in accordance with drug safety compliance.
With years of experience in strategic digital transformation, R Systems is a key enabler for Life Science organizations to refine legacy infrastructures to improve quality and time-to-market.
The primary focus of our revenue cycle solutions specialized team is to streamline your revenue flow, track underpayments, enforce HIPAA-compliant policies, meet local regulatory norms, and improve acceptance v/s denial ratios.
We deploy time-sensitive resource bandwidth to review, optimize, and manage varied components of billing cycle information along with creating a systematic and simplified workflow that can be easily integrated to your system to ensure hassle-free approvals of your claims.
Enable claim automation, adjudication & denials, electronic billing and EDI to enhance revenue growth. Recover lost dollars by maximizing overpayment recoveries and deploying automation tools for efficient reimbursements.
Derive optimum value from continuously accumulating patient data through our leading-edge analytics solutions for population health management, fraud detection, payer & claims analytics, risk profiling and lifestyle risk assessment among others.
Achieve error-free regulatory compliance including ICD-9 to ICD-10 compliance, and HIPAA 4010 & 5010 across healthcare operation to save big dollars on fines and legal fees.
Our services include EDI Modernization, Application Portfolio Optimization and Legacy Modernization solutions. From helping the organization migrate to cloud to leveraging mobility solution for greater agility; we can help you transform your legacy systems to enhance patient care and efficiency.
Evaluate information on every claim and eliminate the chances of delay in claim adjudication.
Expertise to apply logic within the claims processing system to evaluate action on the claims, such as pay in full, pay in part, or deny.
Our coding specialists adjudge a variety of CPT/ICD-denial reasons such as Medically Unlikely Edits, NCCI-bundling Issues, and Medical Necessity - ultimately advancing the accuracy of existing adjudication process.
Retrospective review of claims for a provider/facility observed by the payer, being overpaid compared to peers. Identify the instances of aberrant billing patterns in terms of fraud, waste and abuse - a boost to your efforts towards clinical document improvement.
Enable efficient patient management within hospital operations by leveraging cutting-edge tools for PMS, EHR, HIS, RIS, PACS, CRM and Patient Engagement among others.
Achieve error-free regulatory compliance including Hl7, SMART on FHIR, ICD- 9 to ICD-10 and HIPAA 4010 & 5010 across healthcare operation to save big dollars on fines and legal fees.
Harness the power of constantly accumulating big data through clinical & BI reporting, enterprise data warehousing, and operations/financial analytics. Identify new revenue streams and enhance current patient care & operational efficiency.
Connect smartphones and tablets of employees and patients through mHealth and eHealth portals with hospital operation to ensure free flow of relevant data for more collaborative and efficient hospital operations.
Derive greater value from your clinical research data through reliable data collection and innovative analytics solutions for efficient clinical research & trials.
Leverage critical data of suppliers and customers to identify and fix challenges of delivering affordable healthcare goods and supplies.
Transform heaps of research data into critical intelligence and actionable insights. Ensure omni-channel population health management, wellness & disease management, clinical data management and behavioral health management.