Revenue Cycle Management Services

Our RCM solutions integrate seamlessly with advanced practice management systems, effortlessly bridging the gap between front-end patient interactions and back-end revenue collection. Leveraging our skilled team of AAPC-certified coders, we ensure meticulous charge capture, accurate procedure and diagnosis coding based on ICD-10, CPT, and HCPCS standards, and efficient claims submission. We go beyond mere compliance, focusing on denial management to optimize your revenue stream. Our team conducts thorough pre-claim analysis to minimize denials and employs rigorous follow-up processes on denied claims. We also provide comprehensive accounts receivable management, ensuring prompt payment posting and reconciliation. Our service scope extends from patient registration to final payment, ensuring a seamless, end-to-end revenue cycle. Our adherence to Six Sigma methodologies in process management significantly reduces errors, thereby enhancing claim acceptance rates. We also deploy AI-driven predictive analytics to anticipate and manage claim denials proactively, further improving your bottom line. Moreover, our RCM services extend to patient access management, ensuring accurate patient registration, eligibility verification, and authorization, thereby reducing front-end denials and enhancing patient satisfaction. In the era of value-based care, our solutions align perfectly with MACRA/MIPS requirements, assisting you in meeting quality reporting criteria while maximizing reimbursements. Our robust approach, coupled with the latest technology and compliance measures, ensures your healthcare organization stays profitable, efficient, and primed for growth. Let's embark on this journey of operational excellence together. Contact us today for a comprehensive consultation.

WHAT WE PROVIDE

Healthcare Revenue Cycle Management Services We Offer

The Beneficiaries of Our Services

Healthcare ProvidersHealthcare Providers
Pharmaceutical CompaniesPharmaceutical Companies
Medical Equipment SuppliersMed Equipment Suppliers
Dental PracticesDental Practices
Mental Health PracticesMental Health Practices
Physical Therapy CentersPhysical Therapy
Chiropractic OfficesChiropractic Offices
Home Healthcare ServicesHome Healthcare Service
Ambulance ServicesAmbulance Services
Health Insurance CompaniesHealth Insurance Compony

Why Choose Us as Your Revenue Cycle Management Company?

Our revenue cycle management solutions are designed exclusively for companies in the healthcare sector and revenue cycle management firms. Our expertise in navigating the complexities of healthcare revenue cycles enables us to provide accurate and timely solutions that drive tangible results. By choosing our services, you gain access to a range of benefits that optimize your operations, reduce costs, and position your organization for sustainable growth -

  • Lower Overheads and Infrastructure Requirements

    By outsourcing your revenue cycle management to us, you can significantly reduce overhead costs associated with staffing, training, and maintaining infrastructure.

  • High Quality of Services

    Our team of experienced professionals ensures exceptional quality in every aspect of revenue cycle management, from claims processing to denial management.

  • Familiarity with Various Practice Management Systems

    Our team is well-versed in working with different practice management systems, ensuring seamless integration and improved efficiency and accuracy in your revenue cycle processes.

  • Prompt and Timely Service Delivery

    Our average TAT is 24 hours or less and we prioritize prompt service delivery. You can rely on us for timely responses, quick claims processing, and efficient resolution of any revenue cycle issues.

  • High Accuracy and Successful Claims Processing

    Our commitment to quality is reflected in our track record of achieving 99%+ quality and 98% claims getting paid in the first pass. Experience high accuracy and successful claims processing, leading to improved cash flow and revenue.

  • 100% HIPAA Compliant Processes

    Rest assured that our revenue cycle management processes adhere to stringent HIPAA regulations, ensuring the confidentiality and security of patient data throughout the entire cycle.

Outsource Revenue Cycle Management Services to Us

Entrust your RCM needs to our adept professionals and experience a seamless fusion of precision billing, compliance rigor, and enhanced revenue retention. Our services are meticulously crafted to navigate the intricacies of medical billing, ensuring that each claim is accurately processed and swiftly paid. We deploy innovative technology and industry-leading practices to manage your entire revenue cycle, reducing administrative burdens and allowing you to focus on delivering quality healthcare. Our partnership provides not only operational efficiency but also strategic foresight. We analyze trends, forecast potential disruptions, and implement proactive measures to keep your finances robust and resilient. With our vigilant monitoring and adaptive strategies, we safeguard your revenue against the ever-changing landscape of healthcare regulations and payer policies. Elevate your RCM strategy with us-where expertise meets innovation to drive your success. Reach out now to redefine excellence in revenue cycle management.

Process Flow for Our RCM Services

Our streamlined Revenue Cycle Management process maximizes efficiency, accelerates reimbursements, and ensures optimal financial performance. We have a comprehensive approach that covers every step of the revenue cycle, from patient pre-authorization to denial management, delivering seamless operations and improved revenue outcomes for your healthcare organization -

  • 01. Patient Pre-authorization

    Obtain pre-authorization from insurance providers to ensure coverage for planned medical services, minimizing claim rejections and delays.

  • 02. Insurance Eligibility and Verification

    Verify patient insurance eligibility, coverage details, and benefits to ensure accurate billing and prevent claim denials.

  • 03. Insurance Claims Submission

    Prepare and submit accurate and complete insurance claims to payers for reimbursement, ensuring timely and accurate payment.

  • 04. Payment Posting

    Post payments, adjustments, and rejections received from insurance companies, providing real-time visibility into financial transactions and maintaining accurate accounts receivable records.

  • 05. Denial Management/h3>

    Proactively identify and address claim denials, appealing on your behalf, and implementing strategies to prevent future denials. Maximize revenue recovery and minimize financial losses.

  • 06. Reporting

    Generate comprehensive reports and analytics on revenue cycle performance, including key performance indicators, trends, and actionable insights. Gain visibility into financial outcomes and make informed decisions to optimize revenue management.

RCM Services Software We Use

NextGen Healthcare Kareo Billing & EHR eClinicalWorks AdvancedMD brightree medisoft Athenahealth MediTouch athenahealth Billing & EHR AdvancedMd Billing Epic Billing AdvantX Billing CareCloud Billing Centricity Lytec Billing Misys Modernizing Medicine Billing & EHR Nex-tech Billing & EHR Proclaim Pulse SequelMed TotalMD Billing

Additional Services You Can Benefit From

MEDICAL TRANSCRIPTION SERVICES

ur services transform voice-recorded reports into written text. This not only enhances patient care but also supports providers by significantly reducing paperwork.

MEDICAL BILLING AND CODING SERVICES

Our expertise in claim submission and follow-up enables better revenue management, minimizes billing errors, and ensures prompt reimbursement.

HEALTHCARE CLAIMS ADJUDICATION SERVICES

We manage the insurer's payment determination after benefit application, which ensures precise processing and reduces the possibility of claim rejections.

MEDICAL ACCOUNTS RECEIVABLE SERVICES

We proficiently manage owed amounts, streamline collections, and improve cash flow, significantly alleviating financial stress for healthcare providers.

EMR Services

We boost efficiency and help enhance the quality of care you provide by creating or optimizing your electronic healthcare records system.

Telehealth Services

Our consolidated services and expert-level insights help healthcare providers offer remote high-quality care from their doctors and physicians.

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