• RCA has the latest gateway security features and patches, as well as enforced  Geolocation blocking policies 

Why is this important to you? 

RCA gives you more protection and the ability to block any IP address that appears unsafe.  We currently block anything that is not coming from North America and make exceptions by single IP addresses for sites that are hosted outside of North America. 

• RCA provides multi factor authentication for all users

Why is this important to you? 

RCA provides increased security by requiring an employee to enter in a separate security code sent via text message or email to their mobile device in order to access the network. 

• RCA provides an internal network secured behind a Demilitarized Zone (DMZ)

Why is this important to you? 

RCA’s Demilitarized Zone provides additional security by placing a buffer between our inside and outside network and further protects data for you. 

• RCA provides Endpoint Security Software within the DMZ and network

Why is this important to you? 

RCA’s antivirus software actively scans for attempted intrusions and malware to further protect you from viruses.

• RCA provides encrypted electronic Protected Health Information (PHI)

Why is this important to you? 

RCA ensures that all Protected Health Information is protected on the hard disks and when files are sent or received so that your PHI remains secure at all stages. 

• RCA provides an encrypted email system

Why is this important to you? 

RCA’s system sends the recipient a notification that they have an encrypted email message. The recipient is then required to click on a link in this notification to create a secure account and a “key” to unlock any future messages. Further, all encrypted messages never leave our network and reside on our email encryption server. 

• RCA provides internal Data Loss Prevention (DLP)

Why is this important to you? 

RCA’s internal DLP prevents information like Social Security numbers, medical records, and account numbers from leaving the system.

• RCA provides encryption of all passwords

Why is this important to you? 

RCA guarantees that passwords are never stored as text in our database, which means that they remain secure from any cyber threat.

• RCA provides regular performance of intrusion and penetration tests

Why is this important to you? 

RCA’s regular tests ensure safety from hackers, which provides a proactive means to identify any cyber threat and defend against them before they can be deployed. 

• RCA stores our databases in a state of the art datacenter with triple power redundancy, a 185-mph wind rating, and 8 layers of security including (biometric, passcode, badge, bulletproof mantraps, and cabinet locks). 

Why is this important to you? 

RCA’s database storage measures ensure that our service for you will remain completely secure and uninterrupted, even in the most extreme weather conditions.

Our IT Director has been with RCA for 25 years and continues to manage and improve all of our processes to better serve our partners.  

RCA understands that our partnerships with hospital facilities and systems extends to their patient population. Patient satisfaction is of the utmost importance to us, because we understand that your patient’s impression of your vendor partners forms their opinion of you. As a result, we train every RCA employee in our Communicating Caring process in order to ensure that they are properly caring for your patients.

Our communicating caring process includes:

The Practice of Presence:

We train our employees to focus their complete attention on the patient, family member, or staff member that they are speaking with. They are encouraged to remove any distractions from their mind and hold eye contact the entire time. Furthermore, all of our employees are trained to employ active listening techniques in all of their conversations. It is imperative that we listen to your patients and staff without interrupting or interjecting to process the information we receive and offer the best possible service.

Acknowledging Feelings:

RCA employees work diligently to not only hear what your patients are saying, but to then reflect back what they believe they are hearing or seeing from your patient. This shows your patient’s that our employees are empathetic to what they are experiencing and makes your patient feel heard and seen.

Showing Caring Nonverbally:

RCA understands that body language speaks just as loudly as verbal communication. Accordingly, we ensure that our employees are mindful of their posture, tone, face, and pace in dealing with your patients.

Explaining Positive Intent:

We intend to show every single patient that everything we do is for them. Our goal is to ease the worries of patients and benefit them through our processes and systems.

Blameless Apology:

There may be many obstacles for patients to overcome in the course of financial processing or their hospital care. Although we may not be responsible for the issues that they have experienced, we should express regret for any suffering or struggles that may have arisen.

The Gift of Positive Regard:

In a process that can be cumbersome, your patients may not always expect a pat on the back or compliment for how they are dealing with everything. We do our absolute best to acknowledge their patience and ability to stay calm, and thank them for working with us through the process.

The Caring Broken Record:

Sometimes it is necessary to repeat yourself to emphasize what you are saying or to ensure that what your patient hears what you are trying to convey. Moreover, it is our responsibility to do everything we can to ensure patient satisfaction and in order to accomplish that we may have to repeatedly follow-up with the patient.

RCA has built a reputation for taking excellent care of our partner’s patients. We are regularly awarded for our customer service from our partners. Our Communicating Caring process ensures that our employees put your patient’s satisfaction first in all they do to assist them. We know that your vendor is a reflection of you, which is why we work diligently to make you proud to be our partner.

At RCA we understand that the holidays can be a stressful time for your facility, especially within the current climate. However, we also know that our presence in your facility can be an incredible present because we seek to reduce your workload and stress level in all that we do. Our implementation, training, and business practices are all structured to improve your already stellar processes and increase productivity and your bottom line.

Our implementation process is unmatched in efficiency. Not only can we be up and running within weeks of a signed contract, we provide seamless IT integration and constant communication with management to ensure quality. This is due in large part to the fact that our IT department is in-house and prepared to handle any issue that may arise. Further, because our IT department is in-house, we are not only able to expedite implementation, but we are capable of preparing customized reports for management. We would never expect you to simply take our word for it, we have the references to prove our efficiency…

“RCA recruited, hired and trained 40+
employees and were up and operational in
60 days from the signing of our agreement.
We could not be happier with our
selection of RCA.”

Senior VP, Financial Operations

Our training process also sets us apart from other vendors and allows us to improve processes within your facility while working with your current employees and management team. Our staff are thoroughly trained in all assistance programs, which allows for the most advanced and up to date knowledge of eligibility criteria and application processing. Onsite staff will be placed at all client’s requested locations and will begin efforts to initiate contact with patients immediately upon referral, with most having a completed screening within 24-hours. RCA understands that the best results and timely reimbursements come from thorough and rigorous follow-up procedures, unmatched by other vendors. Accounts are touched daily while in-house and every seven (7) days or less after discharge. During this process, patient support staff will be communicating with applicable parties including the patient, agency and/or clinical staff.

At RCA we pride ourselves on being the best eligibility partner for our clients. As your partner, we provide you with a tailored strategy that suits the needs of your facility. We will effectively minimize variables that could extend application processing time and closely manage inventory through quality assurance programs using benchmarks and cycle time conversion metrics. Further, our management team (with an average tenure of 21 years) will communicate regularly with your management team to ensure that goals are met and that your expectations are exceeded. We provide value-added services in order to offer complete packages to our partners, which protect your patients and bottom line. You can read more about the services that we offer at:

At RCA we understand that assisting with I.H.S claims can be cumbersome, which is why you need a vendor who not only comprehends the process, but has a proven track record in saving at-risk dollars from improper filing by vendors who are not knowledgeable. We understand the intricacies and requirements of I.H.S, which has led us to partner with many of the Native populations in Oklahoma and facilities that need further assistance in properly filing claims.

We realize that you want to see proof of what is possible through an RCA partnership and we believe that our results speak for themselves. Within the first 5 months of our partnership with Osage Nation, we successfully enrolled 81 tribal members with charges totaling over $163,000 in Osage Clinic. These accounts are now being billed for payment that otherwise would have been adjusted as Indian Beneficiary. In 2019, RCA obtained Medicaid coverage on over 154 accounts for over $9.1 million in Muskogee Creek Nation (MCN) Contract Health. In our partnership with MCN we have had over 300 dates of service totaling over $400,000 in charges for disability.

Moreover, RCA has obtained Medicaid coverage on over $3.2 million in charges at HMC/HHS to protect I.H.S PRC funds, which resulted in $225,222 in refunds to Cherokee Nation PRC. Our diligence in our partnerships has also led to 175% increase in third-party revenue collections per month, and more than $13M in PRC funds protected from being used.

We understand your needs when it comes to I.H.S claims and we specialize in assisting Native patients who are admitted to your facility. Our knowledge and diligence ensure that your Indian Health notifications will always be sent properly…can your current vendor say the same?

Let us help protect your Native patients and your bottom line!

During this time of year, we realize that you may be inundated with tricks, but RCA only offers treats! We strive to not only provide the best service for our partners, but also continue to increase revenue, while decreasing the workload for your current employees. So you may be asking what do we have to offer? We can offer:

Consistency

Neither ownership nor our name has changed since 1994. We have also never changed our consistency in our drive to innovate and be the best eligibility company in the business. As a result, our net conversion rate remains over 93%, with client hospitals in 23 states, and management of over 50 billion dollars in hospital AR.

Communication

Our team ensures that while in-house, accounts are worked daily and every seven days or less after discharge. RCA’s patient support staff communicates with all applicable parties during this process including the patient, agency, and/or clinical staff. Further, RCA conducts regular meetings with management to keep your facility abreast of all updates. Constant communication enables us to ensure that all accounts are properly worked and brought to resolution in the shortest amount of time.

Innovation

RCA realizes that all facilities needs are not identical and so we offer customized reporting for all of our partners. This includes customized liability reports that provide useful data tailor made to the needs of our respective partners. RCA is committed to enhancing our technological intelligence to alleviate work for our partners and their patients. In adhering to that commitment we have developed a HIPAA compliant mobile application that allows patients to quickly and securely submit needed documentation. We have also added a quick screen link on our website so that our partner’s patients can enter information pertaining to to their potential eligibility for staff to review. Further, we continue to improve safety features in our IT department, which is led by our director who has over 24 years of experience with RCA.

Bottom Line

We would love to have a conversation with you about all of the things that we could add to treat your bottom line, but for now we can just give you the proof. In 27 years, we have certified 4 billion accounts for over $29 billion in charges. We are the go-to resource for your at-risk dollars! Will you let us prove it?

Did you know that 69.1 million people received benefits from programs administered by the Social Security Administration (SSA) in 2019! In 2019 alone, 5.7 million people were awarded Social Security benefits and 55% of those beneficiaries were women. The average age of the disabled-worker beneficiary in 2019 was 54.9 years old and 86% of SSI recipients received payments because of a disability or blindness.

14% of SSI recipients on the basis of age and the rest qualified on the basis of disability. 28% of the recipients were age 65 or older. In the SSI program, a disabled recipient is still classified as “disabled” after reaching age 65. In the OASDI program, DI beneficiaries are converted to the retirement program when they attain full retirement age. Remember, to qualify for SSDI/SSI an individual must be disabled and unable to work for a period of at least 12 consecutive months (or have a condition that is expected to end in death) due to a physical and/or mental disability.

We also assist with children’s disability claims. However these cases work much differently than adult cases (most importantly, we are not trying to prove they cannot work). Regarding children’s cases, we tend to look at how they function when compared to their peers. Often we ask ourselves “are they meeting milestones”, “if school age – are they performing at grade level”, etc. The Social Security Administration has a Listing of Impairments (found within the Social Security Act) that outlines impairments that automatically deem someone disabled. Part A was created for adults whereas Part B has separate disability listings for children. If a child’s medical condition does not meet the requirements of a disability listing, the child may still be deemed disabled if it is found that they have functional limitations that are “marked or extreme”. These limitations must severely affect the child’s ability to function on a daily basis and Social Security has 6 domain areas to consider:

(1) Acquiring and using information

(2) Attending and completing tasks

(3) Interacting and relating with others

(4) Moving about and manipulating objects

(5) Caring for yourself

(6) Health and physical well-being

In order to be approved, a child must have 2 domains that are at the “Marked” level of severity or 1 domain area at the “Extreme” level. In addition to medical records, we will often use educational records (including 504 plans, IEP assessments, teacher reports, attendance logs, etc.) to help prove disability within the above domains.

If you have been injured or diagnosed with an illness which stops you going to work and earning a living and you believe you qualify for social security disability benefits, don’t expect your claim to be automatically approved. In fact the majority of claims are denied at the initial level. However, we are well versed in the process for filing timely appeals.

It is important to be proactive about your claim by filing paperwork on time, seeing your doctor on a regular basis, and staying in contact with your disability representative. If you don’t do this your claim may be denied and the appeals claim can be a slow and lengthy process.

Our nationally accredited disability representatives are always prepared to handle any case that is referred to them. We train to be the best so that our claimants receive the best service and best possible result for their claim. Whether you are filing your initial claim, going through the appeal process, or filing and preparing for a hearing, we are ready and willing to assist and get the benefits that you deserve.

Our success at RCA is due to a number of different practices, but the foundation of our success is derived from our adherence to our values. At RCA we commit to do what we say with honesty, integrity, and compassion. Moreover, we operate with the most knowledgeable, competent, and adaptable people and processes.

Honesty

At RCA we believe that our words should reflect our deeds. When we make a promise to our partners we honor that promise. When we set goals with a partner, we ensure that those goals are reachable and measurable. We do not make promises that we cannot keep. We understand that honesty is vital to any partnership and so we say what we mean and we mean what we say.

Integrity

We operate with integrity in all that we do. RCA understands that integrity can be seen through what you do and how you behave when no one is looking. Our employees are carefully selected to exemplify integrity in every aspect of their work. Although they would never require constant supervision to perform at the highest level, our management team reviews all case work on a daily basis to ensure that we are honoring our commitment to our partners. Our principles are a guiding force in all that we do.

Compassion

RCA understands that empathy is the foundation to ensuring success with your patients, which is why all of our employees are trained in the Communicating Caring process. Your patient experience is of the utmost importance and we understand that completely. We also understand that each patient may be dealing with their own set of circumstances or financial difficulties when they are admitted to your facility, which is why we believe it is so important to listen and understand in order to truly empathize with their unique situation.

Knowledge

We take our role as your partner seriously and understand that in order to meet your standards we have to set the highest standards for our employees. We can assure you that we have the most knowledgeable staff because we take the appropriate steps to train properly. RCA requires that every employee complete extensive training on eligibility processes during the hiring process. Our employees are also led by the best management team in the business with an average tenure of 20 years.

Competency

RCA requires all employees to complete a series of competency tests in order to qualify for employment with the company. We ensure that we hire the best so that they can be the best for our partners. Moreover, we maintain relationships with local and national offices in order to stay abreast of any changes in policy. Our training program does not end with the hiring process as all employees are led and mentored while on the job as well. We know that change is inevitable in this business and so our continued growth must be as well to remain overly competent.

Adaptability

In an ever-changing business you have to be flexible in order to achieve success. RCA has continued to adapt our processing, reporting, and technological innovation to better serve our customers. Our name and ownership has remained the same for over 27 years, but our desire to be the best eligibility partner in the business prompts our pursuit of excellence in all that we do. This is evidenced by our constant innovation with apps and online forms of communication, but also through our customized reporting, which is customized for each partner’s needs.

At RCA we are driven by our values to achieve our mission of providing reimbursement solutions for at-risk dollars while providing healthcare partners with measurable, timely, and superior results. This all helps us to achieve our vision of being the go-to resource for at risk dollars.

We realize that outsourcing is a decision that is not taken lightly by revenue cycle managers and that a myriad of factors go into that decision. As a result, we understand how important it is to ensure that a partner has your best interest in mind. Our mission is to provide reimbursement solutions for at-risk dollars while providing healthcare partners with measurable, timely and superior results. Outsourcing with RCA provides you with a partner who seeks to align with your values and provide the best service to your facility and patient population, all while increasing your bottom line.

A question that we often get about outsourcing is whether it will require termination of current employees. RCA’s goal is to recover dollars that are missed, however, we also understand that your employees are tasked with a number of responsibilities. These responsibilities can take the focus off money you are entitled to receive. Furthermore, outsourcing to RCA allows you to eliminate the fixed cost per full-time employee and adjust to a fee based on performance. In order for RCA to receive payment, we must find lost revenue. Partnering with RCA does not require you to eliminate employees, but it does provide the opportunity to capture lost dollars and increase your revenue. We provide a number of service lines to accomplish this task and you can read more about those at:

Another concern that we get from revenue cycle directors is whether our growth will impact the level of service that a partner receives. We understand that this is a valid concern, especially if you are approached by a partner who has regularly changed their ownership, name, or management. However, RCA was founded in 1994, we have maintained the same ownership, name, and have an average management tenure of 20 years. Over the course of the last 27 years our growth and experience has benefitted our partners because we continue to improve our processes, technological advancements, and security to increase effectiveness. RCA will continue to innovate and improve but never at the expense of unparalleled service to our partners.

Outsourcing with RCA provides a partnership that is based on aligning values to achieve mutually beneficial results. We strive to alleviate stress on your current employees and management by offering service lines that allow them to focus on their daily responsibilities while we focus on recovering lost revenue. Our experience and service is unmatched in the industry and we welcome the opportunity to provide the proof.

To ensure timely reimbursements and the best results, follow-up needs to be rigorous and consistent. RCA has heard from multiple clients that their eligibility vendors failed to stay on top of accounts, which inevitably led to lost revenue. Noncompliant and difficult patients are pain points that are alleviated through constant contact and account monitoring.

The minute your uninsured patient leaves the hospital, the clock begins ticking and that revenue becomes more difficult to recover. In many cases, patients are hard to reach by phone and do not respond to mail correspondence. In these instances, even the most thoroughly trained staff struggles with gathering the necessary documentation for maximum reimbursement.

We have found that weekly communication with the case worker, agencies, and patient is critical to shortening the number of A/R days to payment. In search of discharged patients, sometimes more significant measures are necessary including home, jail and shelter visits, transportation to and from appointments, translations services, and skip traces.

Follow-up should be a priority for your vendor. If they fail to follow-up then they fail to secure all of your available revenue. As a result, RCA ensures that follow-up is a key component to our process to better serve our clients.