The Complete Revenue Cycle Management Services
Implement our transformational turnkey solutions across your healthcare services. Overcome the challenges in revenue cycle management and avoid loss of income with an integrated approach. Gaps in the patient-to-payment cycle can lead to late payments, underpaid claims and claim denials, affecting your business’s financial health.
Our innovative leading-edge RCM solutions help you identify and eliminate errors, and meet compliance while streamlining processes, saving costs and time. Implanting automation across the RCM value chain irons out inefficiencies and prevents errors. Partner with us and get a ready team of specialists at your disposal. RCM systems also help move your business from fee-for-service to value-based reimbursement.
Challenges:
- Meeting RCM compliance, since regulations change frequently
- Collecting payments from patients at or before service point
- Precision in coding, charge capture and billing
- Time lost in administrative tasks leading to longer TAT
- Data integration
- Staff optimization
Services We Do:
We provide the following services in both professional and institutional billing:
- Claims billing – Getting all claims information together, generating a claim form, and processing them to insurance carriers for reimbursement
- Charge posting – Consolidating charge documents from all departments after ensuring patient data is entered accurately
- Payment posting – Posting payments from patients and insurance carriers, and ensuring the balance is reconciled
- Multi-specialty medical coding – Reviewing all documents for services provided, assigning appropriate ICD-10-CM and HCC coding
- Accounts receivable – Collecting payments and reducing backlogs
- Patient statements – Invoicing patients, alerting them with follow up reminders, and closing the account once the final payment has been made by the insurance carrier
- Denial Management – Checking if the payment received through the EOB from the insurance carrier is appropriate, and if not, requesting for reconsideration
