Revenue Cycle Management (RCM)

Optimize Every Dollar—Reimagine RCM with
Soma health

Soma health Revenue Cycle Management (RCM) is crafted exclusively for musculoskeletal and injury-focused practices, ensuring you capture maximum revenue with minimal administrative burden. From first patient contact through final payment, our RCM solution streamlines financial processes, accelerates collections, and keeps your practice financially healthy—all while maintaining the highest standards of compliance and transparency.

Why Choose Soma health RCM

Core Features

Automated Claims & Billing

  • Seamless Claim Submission: Automate every step—from coding to electronic  claim filing—with built-in rules for Work Comp and No-Fault.
  • Eligibility Verification: Instantly confirm coverage to reduce denials and  accelerate approvals.
Denial Management & Appeals
  • Proactive Alerts: System-driven notifications flag denials, missing info, or  compliance risks before they impact cash flow
  • Automated Workflows: Save time with pre-populated appeal templates, direct- from-system correspondence, and built-in tracking at every stage.
Accounts Receivable & Payment Posting
  • Real-Time AR Dashboards: Monitor outstanding balances by payer, patient, or  case with a single click.
  • Integrated Payment Posting: Automatically reconcile payments, adjustments, and  write-offs for transparent, audit-ready records.
Arbitration, Litigation, & Complex Collections
  • Comprehensive Legal Tools: Track progress on appeals, arbitrations, and litigated  cases for Work Comp/No-Fault billing scenarios.
  • Centralized Documentation: House all claim, appeal, and supporting documents  within the patient record for easy retrieval and compliance.
Analytics & Financial Reporting
  • Performance Insights: Generate detailed reports on reimbursement timelines, AR  aging, collection rates, and revenue trends.
  • Customizable Dashboards: Visualize key metrics tailored to your specialty,  location, or provider group.
Compliance & Security
  • Built-In Regulation Tracking: Always up-to-date with NY WCB and federal billing  rules—reducing costly errors.
  • Secure Data Handling: Robust encryption and access controls safeguard  sensitive financial and patient information.

Why Choose Soma health RCM? 

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Musculoskeletal Specialty Focus

Engineered for the unique nuances of injury care, Work Comp, and No-Fault reimbursement

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Efficiency & Accuracy

Automation reduces manual entry, mitigates errors, and ensures claims are clean from the start

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Faster Payments

Quicker claim turnarounds, fewer appeals, and smarter follow-up drive stronger cash flow

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Full Transparency

Dashboards and reports keep your team, partners, and stakeholders informed at every step

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Scalable Solution

Whether for solo practitioners or multi-site clinics, RCM adapts as your practice grows

Key Functions at a Glance

Confident collections. Clear insights. Reliable results.

Payment Posting & Reconciliation
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Record and match payments quickly for transparency.
Accounts Receivable Tracking
Monitor payments, balances, and financial performance.
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Billing Automation
Create precise invoices to accelerate collections.
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Claims Submission
File and monitor claims with automated worklists.
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Denials & Appeals Management
Resolve rejections with streamlined workflows and tracking.
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Financial Reporting
Analyze trends and revenue through actionable reports.
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