UCG SOLUTIONS
Connect recurring care programs to a disciplined revenue workflow.
UCG supports recurring healthcare billing programs within the revenue cycle, including APCM, Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM) and related care-management workflows. Support connects program applicability, enrollment, documentation, coding, claims and recurring reconciliation.
Scope of support
- APCM eligibility, enrollment and care-plan workflows
- RPM patient, device and monitoring documentation
- RTM therapy activity, documentation and claim readiness
- Care-management program setup and billing checkpoints
- Coding, claim validation and denial / exception worklists
- Recurring reconciliation and operational reporting
Common risks and triggers
- Incomplete eligibility or enrollment records
- Missing care-plan, monitoring or therapy documentation
- Service and coding mismatch
- Program or payer-specific requirements
- Unresolved recurring exceptions or duplicate billing
HOW THE WORK MOVES
Follow this capability through its operating steps.
Select each stage to inspect the task, the issue to watch, an example action and the accountable reviewer.
WORKFLOW EXPLORER
APCM, RPM, RTM & care-management billing
Connect recurring care programs to eligibility, service documentation, coding, claims and recurring reconciliation within the revenue cycle.
SELECTED STAGE
Program context
Identify the care-management or remote-care service, payer context and responsible program owner.
Illustrative operating sequence. Final responsibilities, payer rules and automation scope are confirmed for each engagement.
Organizations served
- Primary Care / Family Medicine
- Physician Groups
- Independent Practices & Clinics
- Specialty Practices
INTELLIA relevance
UCG INTELLIA™ supports operational visibility, prioritization and workflow automation across revenue-cycle work, with review roles defined for each process.
- Denial Intelligence: Detect patterns, surface likely root causes, prioritize work and connect recovery findings back to prevention.
- A/R Intelligence: Segment accounts by age, value, payer, denial status and recovery potential.
- Coding Intelligence: Support documentation and coding review, QA prioritization and coding-risk visibility with human review.
- Eligibility Intelligence: Surface coverage and eligibility issues early in the revenue cycle.
- Revenue Analytics: Connect operational and financial KPIs into role-relevant views.
Related services
Discuss your workflow with UCG.
Share the revenue-cycle issue, operational priority or payer challenge you are working through.
Discuss Care Management Billing