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.

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? 

Musculoskeletal Specialty Focus

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

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

Full Transparency

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

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.

Function
How It Benefits Your Practice
Automated Claims Submission
Faster, error-free billing with reduced manual entry
Real-Time Eligibility Checks
Instantly verify patient coverage for fewer denials
Denial Management Automation
Catch issues early and resolve rejections faster
Integrated Payment Posting
Simplify posting and reconciliation—stay audit-ready
Accounts Receivable Dashboard
Monitor outstanding balances with actionable insights
Compliance Monitoring
Minimize risk with built-in regulation checks
Analytics & Financial Reports
Get clarity on cash flow, collections, and trends
Arbitration & Collections
Manage complex Work Comp/No-Fault cases efficiently

Unified RCM for Every Stage of Care

From new patient intake to claim resolution, YourDoctors RCM makes financial performance seamless—so you spend less time chasing payments and more time delivering care.

Key Functions at a Glance

Confident collections. Clear insights. Reliable results.

Centralized Health Data
Full clinical picture at your fingertips
Centralized Health Data
Full clinical picture at your fingertips
Secure Messaging
Communicate safely with patients and the care team
e-Prescriptions
Fast, accurate medication management
Alerts and Reminders
Reduce missed follow-ups and critical events
Integration with Devices
Syncs with labs and devices for automated data capture
Performance Analytics
Reports and dashboards to monitor outcomes