Question 1

What is Hope RCM and who is it for?

Accepted Answer

Hope RCM is an AI-powered Revenue Cycle Management (RCM) platform built specifically for independent clinical laboratories, physician clinics, multi-site practices, and DMEPOS suppliers. It automates claim validation, denial management, underpayment detection, and payer credentialing — all in one platform.

Question 2

How is Hope RCM different from a traditional billing company?

Accepted Answer

Traditional billing companies charge 4-8% of every dollar you collect and provide little visibility into why claims are denied. Hope RCM charges a flat monthly fee, gives you real-time dashboards, AI-powered claim scrubbing, and full control over your data — so you keep more of your revenue.

Question 3

What is the OIG Exclusion List and why does it matter for medical billing?

Accepted Answer

The OIG (Office of Inspector General) maintains the LEIE — List of Excluded Individuals and Entities. Any provider on this list is banned from participating in Medicare and Medicaid. If your practice employs or contracts with an excluded provider and submits claims under their name, you face fines up to $10,000 per claim. Hope RCM's OIG Checker automates monthly verification for all your providers.

Question 4

Does Hope RCM support laboratory billing including UB-04, PAMA, and CLFS?

Accepted Answer

Yes. Hope RCM includes full lab-specific billing workflows including UB-04 generation, PAMA compliance tracking, CLFS rate validation, ABN management, and ERA 835 auto-posting. It is purpose-built for independent labs, not adapted from a generic clinic billing tool.

Question 5

Is Hope RCM HIPAA compliant?

Accepted Answer

Yes. Hope RCM is built HIPAA-compliant from the ground up. All data is encrypted end-to-end (AES-256), a Business Associate Agreement (BAA) is included with every plan, PHI access is fully audit-logged, and the platform is SOC 2-aligned. Your patient data never touches a third-party billing company's servers.

Question 6

How long does it take to get started with Hope RCM?

Accepted Answer

Most practices are fully operational within one business day. You can import existing patient and claim data via CSV, or enter records manually. No API keys, no IT project, no waiting. Our team provides white-glove onboarding for Enterprise plans.

Question 7

Is there a free trial for Hope RCM?

Accepted Answer

Yes. Every plan includes a 28-day free trial. Cancel before day 28 and you will not be charged. There are no long-term contracts and no setup fees on standard plans.

Question 8

What does AI-Powered Human-Verified mean?

Accepted Answer

Our AI engine scans 100% of claims in real time and flags high-risk submissions. Every flagged claim is then reviewed by a trained billing specialist before it leaves your system. This combination of AI speed and human expertise is why Hope RCM clients maintain a denial rate under 5%.