Overview
Our comprehensive Revenue Cycle Management (RCM) services streamline the entire revenue cycle from patient registration to final payment collection. We ensure maximum revenue capture while maintaining strict compliance with healthcare regulations including HIPAA, ensuring your practice operates efficiently and profitably.
With over 99% claim accuracy and reduced AR days, we help healthcare providers, billing firms, and hospitals optimize their financial performance while focusing on patient care.
Our RCM Process Flow
Patient Registration
Comprehensive demographic data collection, insurance verification, and eligibility checks. We ensure all patient information is accurate and up-to-date before any services are rendered.
- Demographic data entry and validation
- Insurance verification and eligibility checks
- Prior authorization management
- Patient financial responsibility estimation
Medical Coding
Expert medical coding using ICD-10, CPT, and HCPCS codes with 99% accuracy rate. Our certified coders ensure proper documentation and coding compliance.
- ICD-10 diagnosis coding
- CPT procedure coding
- HCPCS level II coding
- Modifier application and validation
Charge Entry & Claim Submission
Automated claim scrubbing and submission to payers. We ensure all claims are clean, accurate, and submitted in a timely manner to maximize reimbursement.
- Charge capture and entry
- Automated claim scrubbing
- EDI submission to payers
- Real-time claim status tracking
Payment Posting
Electronic remittance processing and reconciliation. We accurately post all payments, adjustments, and denials to maintain accurate accounts receivable.
- ERA processing and posting
- Manual payment posting
- Adjustment and write-off management
- Payment reconciliation
AR Follow-up & Denial Management
Proactive follow-up, denial analysis, and appeals. We work diligently to resolve outstanding claims and minimize write-offs.
- Automated AR follow-up workflows
- Denial analysis and root cause identification
- Appeal preparation and submission
- Payment plan management
Reporting & Analytics
Real-time dashboards and performance metrics. We provide comprehensive reporting to help you make informed business decisions.
- Real-time performance dashboards
- Key performance indicators (KPIs)
- Financial reports and analysis
- Trend analysis and forecasting
Key Capabilities
Patient Registration & Insurance Eligibility
Comprehensive patient registration with real-time insurance verification and eligibility checks
Medical Coding (ICD-10, CPT, HCPCS)
Expert coding services with 99% accuracy rate by certified medical coders
Charge Entry & Claim Submission
Automated charge capture and clean claim submission to all major payers
Payment Posting & AR Follow-ups
Efficient payment posting and proactive accounts receivable management
Denial Analysis & Resolution
Comprehensive denial management with root cause analysis and appeal services
RCM Reporting and Analytics
Real-time dashboards and comprehensive financial reporting
Why Choose Our RCM Services
HIPAA-Compliant
Full compliance with healthcare data protection standards and regulations
99% Claim Accuracy
Advanced validation and quality checks ensure maximum claim acceptance
Reduced AR Days
Average 30-40% reduction in accounts receivable aging
Faster Reimbursements
Improved cash flow with streamlined processes and faster claim processing
24/7 Support
Round-the-clock monitoring and support for your practice
Scalable Solutions
Flexible services that grow with your practice needs
Ready to Optimize Your Revenue Cycle?
Contact us today to learn how our RCM services can improve your practice's financial performance.
Get Started
