RMS and Finalytics Launch Claims Monetization to Accelerate Healthcare Cash Flow

Quick Summary

Healthcare organizations can now access cash from delivered care within three days through claims monetization. By integrating Finalytics’ funding solutions with RMS’s automated remittance, providers bypass traditional payer cycles to improve liquidity without reducing final adjudicated payments or disrupting existing revenue cycle workflows.

How Does Claims Monetization Solve Healthcare Liquidity Issues?

Claims monetization serves as a critical bridge for healthcare providers facing rising operational expenses and extended payer collection cycles. Traditionally, hospitals must wait weeks or months for reimbursement, creating a liquidity gap that hampers growth. This new solution allows providers to receive accelerated payment on eligible claims within just three days.

“Healthcare organizations can generate revenue and maintain strong patient volumes while still struggling with the timing of available cash,” said Scott Thomas, CEO of RMS. “This gives providers another way to improve liquidity and cash flow predictability, leveraging claims already moving through their revenue cycle.”

• 100% reimbursement: Providers still receive the full amount paid by the payer.
• Proactive capital: The strategy functions as a working-capital tool rather than a last resort.
• Zero disruption: The process integrates directly into the existing reimbursement workflow.

What Are the Benefits of Automated Remittance Support?

The partnership leverages automated remittance support to ensure that the influx of early cash does not create administrative burdens for revenue cycle teams. By automating the reconciliation process, RMS ensures that when the final payer adjudication occurs, the data is seamlessly matched with the initial accelerated payment. This eliminates the operational complexity often associated with third-party funding.

“Claims monetization does not have to be viewed only as a response to financial distress,” said Candace Fournet, Vice President of Operations at Finalytics. “It can also serve as a proactive working-capital strategy that gives providers more consistent access to cash while reimbursement continues through its normal process.”

• Reduced manual work: Automation handles the heavy lifting of data reconciliation.
• Improved visibility: Real-time tracking of claim status and cash flow.
• 7.5% expense growth: Addressing the pressure noted by the American Hospital Association.

How Does the RMS and Finalytics Integration Work?

The workflow is designed to be non-intrusive and secure. First, eligible claims are sent to Finalytics for evaluation. Once the allowable value is determined, payment is issued within 72 hours. Crucially, the claims continue through the normal adjudication process with the payer. Finally, RMS receives the remittance data to settle remaining balances, ensuring the provider's books remain accurate and transparent.

• 3-day funding: Rapid access to working capital.
• Standard adjudication: No changes required to payer relationships.
• Full reconciliation: RMS handles the back-end settlement automatically.

FF NEWS TAKE:

This partnership moves the needle by treating healthcare claims as a liquid asset rather than a bureaucratic waiting game. As hospital expenses outpace price growth, claims monetization is no longer a "distress" tool—it is a strategic necessity. RMS and Finalytics are effectively bringing "Instant Pay" logic to the complex world of medical billing, which is a massive win for provider stability and healthcare financial health.