Revenue Cycle Management Solutions

Name

Revenue Cycle Management Solutions

Legal name

RCMS, LLC

Website

https://rcmsllc.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Software

NAICS

Software Publishers (5132), Computer Systems Design and Related Services (54151)

SIC

Services-Prepackaged Software (7372), Services-Computer Processing & Data Preparation (7374), Services-Computer Programming Services (7371)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Patient Billing, Statements & Payment Processing (HLACACAG), RCM Analytics, Benchmarking & Underpayment Detection (HLACACAL)

Keywords

• Revenue cycle management software
• Healthcare workflow automation
• Accounts receivable management
• Denial management solutions
• Enterprise content management healthcare

Headquarters

HQ city

Westlake

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure, Supply Chain

Revenue model

1. Software Licensing & Platform Subscriptions: Revenue from licensing the ReSolve® A/R Management Platform and related workflow automation modules, including denial management, payment processing, treasury workstation, and correspondence management.
2. Professional Services: Implementation, systems integration, and consulting services for deploying RCM solutions, ECM systems, and workflow automation across healthcare organizations.
3. Managed Services: Ongoing systems management and support services including remote monitoring, application updates, and technical support for installed RCM and ECM applications.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels2 records

Core offering

RCMS sells the proprietary ReSolve® A/R Management Platform — an AI- and RPA-enabled software suite that automates healthcare revenue cycle workflows across multiple EMR/EHR, practice management, and banking systems. The offering bundles modules for patient access, payment processing, denial management, bank reconciliation, collections, correspondence management, and reporting/analytics, and is complemented by Hyland OnBase-based Enterprise Content Management (ECM) and workflow automation, plus implementation consulting and managed systems support for hospitals, health systems, and Integrated Delivery Networks (IDNs).

Product overview

RCMS offers the ReSolve® A/R Management Platform as its core product with multiple integrated modules covering the entire healthcare revenue cycle: Patient Access for scheduling and insurance validation, Payment Processing for EDI and paper remittance capture, Treasury Workstation for bank reconciliation, Denial Management for defect tracking, A/R Collections for follow-up activities, Correspondence Management for document handling, and Reporting & Analytics for data visualization. The platform is complemented by Enterprise Content Management (ECM) & Workflow Solutions built on Hyland OnBase. Services include Business Process Consulting and Systems Management & Support. The architecture allows healthcare organizations to aggregate data from multiple EMR/EHR, PM systems, and billing applications on a single unified platform.

Differentiator

Problem solved

Functional benefit

Brands

• ReSolve®: AI & Workflow Automation platform for healthcare revenue cycle management, including A/R Management, Payment Processing, Denial Management, Treasury Workstation, and Enterprise Content Management solutions

Products and services

• ReSolve® A/R Management Platform Core proprietary platform that automates healthcare revenue cycle workflows, integrating with multiple EMR/EHR, PM systems, and banking applications. Consolidates claims and payment data from disparate systems to improve workflow efficiency, reduce denials, and enhance cash flow across hospitals, health systems, and IDNs.
• ReSolve® Payment Processing Module that captures, manages, and uses patient and payment information by integrating with existing patient billing systems for accurate EDI and paper-based payment capture. Uses OCR and RPA to eliminate manual data entry with rules-based validation and exception routing, aimed at hospitals and health systems seeking improved posting accuracy.
• ReSolve® Treasury Workstation / Bank Reconciliation Provides end-to-end automated reconciliation from bank deposits to payment application and host billing system. Creates an exception-centric workflow that automates matching of all posted and distributed remittances and enables 3-way reconciliation among bank, RCM, and host systems with complete audit controls.
• ReSolve® Denial Management Automatically captures denials and claim defects, routing them to appropriate work queues for timely follow-up. Analyzes denial trends to identify root causes, reducing initial denial rates and supporting process improvement.
• ReSolve® A/R Collections Manages third-party follow-up and self-pay collections with automated worklists and account routing. Tracks outstanding payments and denial history throughout the payment lifecycle, with the stated goal of decreasing processing delays and increasing cash flows.
• ReSolve® Correspondence Management Automatically indexes and routes documents of all formats using AI-based auto-indexing and auto-classification. Captures paper and electronic documentation including scanned mail, faxes, and emails to reduce turn-times and increase staff productivity.
• ReSolve® Patient Access Captures referrals, orders, and pre-visit documentation at registration. Integrates insurance information and patient cards into EMR systems and automates point-of-service collections for co-pays and deductibles with receipt generation and real-time reporting.
• ReSolve® Reporting & Data Analytics Unlocks the potential of revenue cycle data with drill-down analytics, pivot charts, and customized scorecards. Includes a drag-and-drop report builder enabling users to create reports without IT involvement, and integrates with Microsoft Power BI and SSRS for real-time data visualization.
• Enterprise Content Management (ECM) & Workflow Solutions Utilizes the Hyland OnBase ECM platform combined with custom workflow solutions. Transforms unstructured documents into dynamic business operations with real-time access, integration to line-of-business systems, and automated workflow technologies, delivered as hosted or on-site OnBase installations.
• Business Process Consulting Consulting service that analyzes current revenue cycle barriers and redesigns workflows to implement innovative technology. Helps healthcare organizations determine best approaches from departmental solutions to enterprise-wide implementations.
• Systems Management & Support Services Provides comprehensive systems support including direct access to support services, legacy system support, remote monitoring, implementation, training, and migration guidance. Augments in-house IT departments with programming and business office expertise.

Quantifiable outcome

• Reduces wasteful, redundant work tasks to spend time on high-value activities
• +3 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

AI capability6 records

Feature6 records

Partnerships

Two partnerships are on record, tiered core.

• Hyland (OnBase)coreTechnology or IntegrationRCMS is a Certified Hyland OnBase Reseller with decades of OnBase support experience, integrating with installations in some of the largest healthcare provider networks and physician-owned practice groups. RCMS provides hosted or on-site OnBase installations combined with custom solutions for back-office applications.
• Microsoft (Power BI, SSRS)coreTechnology or IntegrationRCMS utilizes Microsoft Power BI and SQL Server Reporting Services (SSRS) for analytics solutions, providing customized scorecards and management dashboards for hospitals and healthcare systems to capture, visualize, and report on revenue generating resources throughout the enterprise.

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• R1 RCM: R1 RCM is a leading end-to-end RCM services and software provider for hospitals and health systems, with broad capabilities from patient access to collections — a much larger incumbent in the same core market.
• Health Catalyst: Health Catalyst provides healthcare data and analytics platforms used by health systems for financial and operational reporting — comparable to RCMS's Power BI/SSRS-backed ReSolve® Reporting & Data Analytics module.
• Epic Systems: Epic's own Resolute revenue cycle suite is used by many large IDNs and competes with RCMS's system-agnostic integration layer, particularly in Epic-centric health systems where integration scope is reduced.
• Experian Health: Experian Health is a large, established healthcare technology vendor offering patient access, claims management, and revenue cycle analytics for hospitals and IDNs — competing with RCMS in patient access and RCM analytics.
• Optum (Change Healthcare): Optum's acquisition of Change Healthcare created one of the largest healthcare RCM and clearinghouse platforms in the U.S., competing with RCMS in claims processing and revenue cycle workflows.

Direct peers

• Hyland Healthcare: Hyland Healthcare's OnBase platform includes enterprise content management and clinical workflows for hospitals — directly adjacent to RCMS's certified OnBase resale practice and ECM + RCM integration offering.
• Waystar: Waystar is a leading healthcare revenue cycle management cloud platform serving hospitals and health systems with claims management, patient access, and analytics — directly comparable to RCMS's ReSolve® platform across the same end-to-end RCM use cases.
• Infinx Healthcare: Infinx provides AI-enabled RCM solutions for healthcare providers including patient access, denials management, and prior authorization — a direct smaller-scale competitor to RCMS's ReSolve® modules.
• FinThrive: FinThrive provides end-to-end RCM software spanning patient access, claims management, denials, and analytics for hospitals and health systems — competing with RCMS across multiple ReSolve® modules.

Emerging players

• Olive AI: Olive AI builds AI-powered healthcare workflow automation and revenue cycle tools using RPA and ML — an emerging competitor using similar automation paradigms as RCMS's ReSolve® platform.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/rcms-llc

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Revenue Cycle Management Solutions