Healthcare Revenue Cycle Management Solutions

Integrate and automate your entire revenue cycle management process

 

PNC Healthcare serves companies with over $5 million annual revenue. Find how our experience in healthcare can serve your organization’s needs. If your company’s revenue is under $5 million, our 
PNC Healthcare Business Banking team can be of service.

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PNC’s Revenue Cycle Automation solutions focus on patient registration quality, denial prevention, patient estimation and denial management. Our Revenue Cycle Management Advisory team can help you analyze your entire revenue cycle to identify and implement process improvements.

Clearing House Services

PNC Healthcare provides clearing house services such as claims submission and remittance processing, claims status and eligibility, lockbox services for patient pay and commercial payments and ERA processing.

Claims Submission

Easily connect to thousands of payers for healthcare transactions. Submit primary or secondary/tertiary claims through our online portal at the time of receipt of via overnight batch process.  This service supplies providers with tools for payers and provider-specific edits to help increase clean claim rates and to provide a streamlined solution.

Electronic Remittance Advice (ERA) Processing

Shorten the reimbursement cycle and streamline workflow. Help improve efficiency by knowing which of your claims have been paid and in what amount. Process your secondary claims faster and shorten the number of days your receivables are outstanding. ERAs are returned in a consistent and easy-to-understand format so you can quickly search, view or print each remittance as needed.

$23+ Billion

In capital committed to the healthcare industry

 350+

Dedicated Healthcare employees with direct experience

$1+ Billion

Medical equipment financed in the last two decades

Revenue Cycle Automation Solutions

PNC Healthcare’s solutions help providers to reduce claims denials, increase cash flow, reduce days in accounts receivable, increase efficiency and improve patient satisfaction.

Patient Estimation

Capture revenue up front at the patient point of contact to reduce time spent on patient follow-up and to accelerate collection times. Enable your staff to give a patient a written estimate of their expected out-of-pocket responsibility after the projected insurance carrier payment has been deducted. You can prioritize post-discharge collection efforts based on each patient’s relative ability and likelihood to pay the outstanding balance.

Denials Management

Effectively manage post-submission claims, denials and the settlement of patient accounts. Accelerate collection of your accounts receivable by using automated processes to help reduce write-offs, minimize the need for third-party collection agencies, and identify denial trends to find opportunities for claim workflow process redesign.

Eligibility & Authorization

Get real-time insight into your current registration system to streamline patient access management functions, including registration and eligibility quality assurance. Each patient registration is assessed in real time for missing, incomplete or incorrect data using data contained in the patient registration data (HL7) and eligibility transactions (270/271).

 


Propensity to Pay

Assess how much an uninsured or underinsured patient can potentially pay toward the uncovered portion of their medical bill either at the point of service or post-visit.

Patient Access Solutions

 Integrate pre-registration, registration and patient flow management with your current Electronic Medical Record applications. Our user-friendly platform also provides patients with the ability to manage their own data and dollars.

Patient Portal

Enable your patients to update demographic and insurance information, fill out forms or surveys and/or pay outstanding and estimated bills through one portal.

 

Patient Flow Management

Prioritize patient flow based on urgency or wait time. Patient Flow Management can also help staff direct patients to a kiosk, registrar, etc. with the help of our Concierge Assistant software.  

Express On-site Check-in

Give your patients a familiar, retail-like experience. Kiosks and tablets*, can help to expedite the check-in process. These applications mirror the pre-registration workflow offered in the patient portal.  

*These hardware items are purchased from another vendor

Contact Us

PNC Healthcare serves companies with over $5 million annual revenue. Find how our experience in healthcare can serve your organization’s needs.

 

If your company’s revenue is under $5 million, our PNC Healthcare Business Banking team can be of service.

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Important Legal Disclosures & Information

Banking and lending products and services, bank deposit products, and treasury management services, including, but not limited to, services for healthcare providers and payers, are provided by PNC Bank, National Association, a wholly-owned subsidiary of PNC and Member FDIC.

Read a summary of privacy rights for California residents which outlines the types of information we collect, and how and why we use that information.