Pulse Revenue Cycle Management (RCM) makes it easier to improve cash flow by combining PulsePro Practice Management software, ranked the #1 practice management solution by AC Group, with experienced results-focused daily billing management. Pulse RCM is a turnkey solution for practices that are ready to turn their focus toward medicine rather than administrative red tape. With Pulse RCM, IT hardware problems are also a thing of the past – Pulse hosts the solution on its high-availability servers so clients can focus on the delivery of healthcare. Learn more or schedule a live product demo by contacting a Pulse representative.

An easier way to get started.

There are no start-up costs, no software licensing fees, no hardware or server investments and no ongoing maintenance or software upgrade fees. Pulse RCM’s cost-sharing model aligns with the success of the practice. Pulse RCM has been delivering results for more than a decade, continuously striving for improvement through an ongoing process of measuring results, streamlining processes and developing advanced automation tools.

Pulse RCM clients earn more and get paid faster.

Pulse RCM Specialists are kept up-to-date with the continuously accelerating changes in the billing environment, allowing Pulse RCM clients to benefit from optimal billing rates and first-time claim acceptance rates averaging over 98%. As a result, Pulse RCM clients consistently enjoy cash flow and accounts receivables that far surpass industry norms.

Complex payment processes made easier.

The flow of payments between interested parties in the provision of healthcare services consists of a vast network of payers and payees. Even more complex is the relationship between the various parties involved. The complexity of payor rules requires constant maintenance and management in order for the claimant to receive payments in a timely manner and to maximize payments received. Failure to recognize these complex rules often results in unwarranted rejections of valid claims. Finally, failure to comply with payor rules can result in legal liability for those responsible for billing and collection. Historically, compliance with payor rules was dependent on either the ability and knowledge of the billing and collection specialist, or on the technology available to them.

Consider your total cost today … and tomorrow

An increasing number of practices are moving from a traditional in-house billing solution to address the following market challenges today and to prepare for anticipated challenges tomorrow:

Increasing complexity of payor rules.

• Pulse has a full staff of experienced and qualified Certified Professional Coders (CPC) and Certified Billing Specialists to perform coding and coding review services, enabling users to maximize their reimbursement.
• Experienced Pulse Billing & Collection Specialists possess a broad and deep understanding of complex payor rules which are constantly changing. In addition, their knowledge and experience enables users to be effective in dispute resolution with third party payers.
• Pulse uses comprehensive claims scrubbing rules resulting in an acceptance rate greater than 98% for claims accepted by the clearinghouse.

Workflow inefficiencies.

• Pulse RCM Specialists can spot workflow deficiencies in the practice in a timely manner to correct problems as they occur rather than allowing bad habits to develop that ultimately jeopardize cash flow.
• Slow billing and collection costs practices significant amounts of money each month by not staying on top of the process. Pulse RCM works all charges, claims filings, payment postings and claims rejections on a daily basis to ensure the most rapid payment.

Increasingly specialized knowledge base required to perform the tasks in a highly efficient and productive manner.

• The Pulse commitment to managing Billing & Collection services allows clients to focus on the delivery of healthcare services to patients and avoid the constant distractions of keeping up-to-date with constantly changing complex payor rules.

Conversion from a fixed-cost to a variable cost for the practice.

• Pulse is aligned with the practice’s mandate to maximize the timely collection of revenue to physicians. Pulse earns compensation as a percentage of the collections that the practice receives.

Cost of employee turnover.

• Pulse RCM eliminates the interruptions in practice’s cash flow due to vacations, sick time or staff turnover.
• Pulse RCM eliminates the incremental costs of staff turnover — human resource experts agree that the out-of-pocket costs to replace a terminated employee are 150% – 250% of the annual compensation for the terminated employee. Pulse Billing & Collection Services enable practices to avoid these costs.

Frequently Asked Questions

Is Pulse RCM more expensive than using my own staff to perform the billing and collection services?

No, in fact, you will experience improved profitability by leveraging the strengths available to you through the engagement of Pulse RCM to perform the Billing & Collection services. Pulse services enable you to maximize your revenue by capturing the full allowable value of your professional services according to constantly changing and complex payor and plan rules. In addition, full utilization of the available tools by a team of Certified Professional Coders (CPC) and certified Billing & Collection Specialists enable you to reduce your operating expenses by leveraging our knowledge base.

How is Pulse RCM different from other billing and collection services?

Revenue Cycle Management (RCM) raises the bar significantly for healthcare professionals desiring to maximize the value of their contributions to the physician. RCM is not just new packaging for billing and collection services. Rather, RCM is a combination of services designed to leverage powerful new technologies in an expanded service that maximizes value for the physician.

What kind of system reports are available from PulsePro?

PulsePro currently has over 200 reports available to help manage your practice. As a part of your implementation, Pulse has identified the primary reports that are central to timely and accurate reporting of your financial performance as well as operating metrics. These reports include A/R and Claims Management as well as payor performance compared to contracted terms and compared to other payors. In addition, using Pulse Gateway, our state-of-the-art technology for electronic claims management, enables you to track the status of your outstanding claims.

Other than the traditional reporting generated by PulsePro, what kind of reporting can Pulse provide to assist in the management of my practice?

Pulse has various reporting available to you that analyzes performance results, trends and comparisons to comparable periods that enable you to make timely decisions in the management of your practice. Pulse RCM can benchmark the performance of your practice against industry standards as well as against other Pulse RCM customers on a “no-name” basis.

What if I don’t currently have PulsePro in my office?

PulsePro can easily be implemented in your office. Immediately following execution of the contract with Pulse, we will schedule the implementation of PulsePro in your office.

What if I don’t have the resources to make the change to PulsePro at this time?

Pricing for the comprehensive Pulse RCM solution includes the cost of the Billing & Collections services as well as the cost of licensing, implementation and customer support services. In addition, Pulse hosts the solution on its high-availability servers to allow you to focus on the delivery of healthcare to your patients.

I currently run PulsePro to manage my practice. What can Pulse do for me if I want to continue providing these services internally but we have a short-term need for assistance?

Pulse recognizes that temporary circumstances such as short-term and long-term disability of a member of your patient accounting team can cause costly interruptions in your workflow. Accordingly, Pulse is prepared to provide assistance for practices that need the assistance on a short-term basis but desire to continue performing these services internally on a permanent basis. Please contact us for a quote for these services.