Revenue Cycle Modernization System

Issue Date: May 1st, 2026

Due Date: June 1st, 2026

The organization is seeking a vendor to provide a revenue cycle modernization system designed to maximize revenue capture by ensuring accurate coding, thorough documentation, and timely submission of all billable services. The system should work to reduce claim denials through minimization of coding errors, management of authorizations, and closure of eligibility gaps that could lead to payer rejections or write-offs.

Key features include automation of manual processes such as eligibility verification, prior authorization tracking, and claim scrubbing, thereby reducing administrative workloads and human error. Additionally, the solution should standardize workflows to foster repeatability and auditability across departments and service lines, and facilitate audit readiness through comprehensive documentation trails.

The system must be able to reduce billing disputes by ensuring claims are accurate at first submission and be capable of seamless integration with EHR data to improve charge capture accuracy and eliminate redundant data entry. It should utilize a scalable, modern architecture to serve inpatient psychiatric, long-term care, and residential care environments, supporting a configuration-first approach to minimize custom development and technical debt. The user interface must be consistent, intuitive, offer in-application guidance, onboarding support, training aids, and be both multilingual and accessible.