QuickRCM AI Revenue Cycle Automation for Urology Practices

QuickRCM pulls patients, appointments, clinical notes, coverage, charges, and claim context from the EHR on a scheduled sync, then writes back verified eligibility, authorization status, finalized codes, claim status, posted payments, statements, balances, and call notes.

Yes. Eligibility can run from the appointment schedule or a single-patient check, send 270 requests through Availity or Stedi, parse 271 responses, flag active or inactive coverage, and update the EHR and Patient AR estimate for check-in.

QuickRCM creates prior authorization drafts from scheduling, eligibility, and coding signals. Submissions can move through EDI 278 with Availity or Stedi, portal automation for portal-only payers, or fax packets, with status polling and EHR write-back when approvals arrive.

Yes. QuickCode reads the attested note, proposes E/M, CPT, ICD-10, HCPCS, and modifier options, then runs an 8-step scrub for NCCI, MUE, medical necessity, LCD/NCD, frequency, bundling, documentation, and modifier issues before the claim moves forward.

Denial Prevention reviews draft claims before submission, scores risk using coverage, authorization, coding, medical-necessity, timely-filing, and bundling signals, and sends fixable findings to the right work queue before the claim reaches the clearinghouse.

Payment Posting ingests 835 ERA files from clearinghouses such as Availity and Stedi, matches payments to claims, auto-posts clean lines, moves exceptions to a work queue, routes denials and underpayments, and writes adjudication detail back to the EHR ledger.

Patient AR receives patient responsibility from Payment Posting, keeps aging buckets current, sends statements by mail, email, or SMS, supports Stripe-hosted guest payments and payment plans, and writes balances, receipts, and plan status back to the EHR.

QuickVoice can run appointment reminders, balance reminders, eligibility re-verification, recall outreach, and inbound triage. It verifies identity when needed, logs transcripts and outcomes, and writes confirmations, cancellations, payment promises, new insurance, and call notes back into the revenue workflow.

The manual describes TLS for data in transit, AWS-managed encryption at rest, Secrets Manager for credentials, organization-scoped data, role-based access controls, audit trails, patient identity checks for voice workflows, and server-side call-window and opt-out controls.