Revenue Cycle Management Services
Our comprehensive Revenue Cycle Management (RCM) services streamline the entire financial lifecycle of healthcare, from patient registration through to final payment. We focus on optimizing each phase, including scheduling, insurance verification, coding, billing, and collections. With our expertise and advanced technology, we help healthcare providers minimize errors, reduce denials, and maximize revenue, allowing them to concentrate on patient care.
Claims Processing and Follow-up
Efficient claims processing and diligent follow-up are crucial for maintaining healthy cash flow in healthcare organizations. Our services cover the entire spectrum of claims management, from accurate coding and timely submission to persistent follow-up on unpaid or denied claims. We work to ensure that every claim is processed correctly and paid promptly, minimizing the risk of revenue loss.
Medical Billing and Coding
Revive your financial performance with the expertise of our billing and coding professionals, with over 5 years of combined experience.
Medical billing and coding is the single most important element to guarantee reimbursements. Even the smallest mistake can cause an insurance company to reject a claim, causing a long resubmission process and a delay of payment.
Patient Statement and Payment Processing
Our patient statement and payment processing services ensure clear, accurate, and timely communication with patients regarding their financial responsibilities. We generate easy-to-understand statements and provide multiple payment options to facilitate prompt payments. By leveraging secure technology and user-friendly portals, we enhance the patient experience while ensuring a smooth flow of revenue.
Insurance Verification and Authorization
Verifying insurance eligibility and obtaining necessary authorizations are essential steps to prevent claim denials and delays. Our team conducts thorough insurance verification and secures pre-authorizations to ensure that services are covered and reimbursed. This proactive approach helps avoid unexpected costs for patients and ensures smooth processing of claims.
Denial Management and Appeals
Denial management and appeals are critical components of maintaining a healthy revenue cycle. We meticulously analyze denied claims to identify the root causes and implement corrective measures. Our dedicated team handles the appeals process efficiently, working with insurers to overturn denials and secure rightful reimbursements, thus minimizing revenue loss and improving financial performance.
Charge Posting
Accurate charge posting is essential for reflecting the services provided and ensuring correct billing. Our charge posting services ensure that all services rendered are documented and billed accurately. By maintaining meticulous records, we help healthcare providers avoid discrepancies and ensure that they receive appropriate reimbursement for their services.
Accounts Receivable (AR) Management
Effective accounts receivable management is vital for maintaining a steady cash flow. Our AR management services focus on monitoring and managing outstanding balances to ensure timely collections. We employ strategies to minimize aged receivables and enhance the overall financial health of healthcare organizations.
Payment Posting
