Revenue Cycle Management
As a leading global provider of end-to-end solutions, our main aim is financial strength of your business which is directly correlated to timely billing and reimbursement. We help our healthcare clients to focus on providing the best possible medical care to their patients by providing them with a stress-free work environment.
Our billers and coders also keep themselves updated with the latest changes in reimbursement process as per different payers’ rules and regulation along with advance emerging treatment options, dynamic technologies, and trends in the healthcare sector.
We offer the following services Healthcare Revenue Cycle Management services:
- Insurance credentialing - application completion and follow-up, reassignment and re-validation
- EDI enrollment
- Prior authorization, certification, and re-certification
- Documentation requirements & drafting super bill
- Patient Scheduling & Registration
- MIS Analytics & Reporting
- Insurance Eligibility Verification & Coverage validation
- Medical Coding
- Charge Entry – daily submission of claims
- Payment Posting – balancing the books
- Denial management – correction, resubmission and appeals
- Pre-shipment and post-shipment audits
Our work flow includes
- An experienced Billing Account Manager for effective communication
- Improved RCM Cash Flow Management through Robust Technology
- Real-Time Customized Dashboards to track your Revenue Cycle
- Work-Flow Automation to Enhance Collection Cycle
- 4 Week Transition Methodology
- Onsite Consultation & Training Assistance
- Detailed MIS Reporting
With our cost effective outsourced Healthcare RCM services you enjoy cleaner claims, fewer denials, enhanced revenue and freedom to focus on your core capabilities. Accurate Medical Coding along with timely filling of claims are the priority for all healthcare providers and we can free them from recruiting & training coding staff ensures reduced labor costs, improve coding accuracy and ensure compliance with government regulations.
We have one of the largest in-house full-time AAPC certified medical coders, billers and denial management specialist.
We serve medical groups, academic practices, hospitals, nursing facility, skilled nursing facility, home health agency, ambulatory surgery centers, and coding companies throughout the United States.
Why should you use our RCM services?
- Certified and experienced coders & billers
- Error-free medical coding systems
- Focus on documentation requirements with 99% accuracy
- In compliance with current CPT, ICD-10, HCPCS, DRG and other billing codes
- Understand insurance coverage, eligibility, and timely filling limits
- In-house Expertise with Multi-specialty Domain Knowledge
- Capability to manage high work volume
- Quick Turnaround Time
- Ease of submitting and retrieving documents
- High QA control
- 100% HIPAA compliance
- Competitive pricing
- Significantly Reduces Denials
- Avoids Costly Back Billing
- Reduces A/R days
- Ensure complete accurate Reimbursements
Revenue Cycle Management (RCM) not only includes everything about the medical billing process, but it goes way beyond payments and invoicing.
A successful and healthy healthcare RCM process can ensure steady collections, timely revenue, and financial viability, focusing more on quality patient care.
Generating medical billing and coding reports in RCM can help you recognize your practice health by tracking claims, confirming received payments, etc.
Investment in technology, timely claims filing, charge capturing and coding improvement, denial management, etc., are some of the best practices to improve RCM.
