End-to-End Revenue Cycle Management (RCM)
We manage the entire revenue cycle, from patient intake to final collections:
- Patient intake & insurance verification
- Charge capture & coding validation
- Clean claim creation & submission
- Payment posting & reconciliation
- Denial management & appeals
- Patient billing & collections
- Compliance monitoring & reporting
Medical Billing & Financial Services
Charge Capture & Claim Accuracy
• Translate clinical services into billable claims
• CPT, ICD-10, HCPCS code verification
• Prevent coding and documentation errors
Claim Submission & Payment Posting
• Timely electronic and paper submissions
• ERA/EOB posting and reconciliation
• Detection of underpayments and payer discrepancies
Insurance & Claims Management
- Insurance eligibility & benefits verification
- Referral & prior authorization coordination
- Real-time claim tracking & follow-up
- Denial analysis, corrections & appeal submissions
- Secondary & tertiary billing
- Follow-up on aged accounts receivable
Patient Billing & Collections
Patient Statements
- Clear, accurate statements after insurance adjudication
- Deductibles, coinsurance, and copays clearly outlined
- Identification of non-covered services
Patient Support & Collections
- Prompt responses to billing inquiries
- Explanation of EOBs and balances
- Flexible payment plans & assistance workflows
- Compliant collection practices
Compliance, Records & Reporting
Record Maintenance & Compliance
• Accurate billing, insurance, and payment records
• Audit-ready documentation
• HIPAA-compliant workflows
• Adherence to payer-specific rules
Reporting & Analytics
• Customizable billing and practice reports
• Real-time monitoring of denials, payments, and revenue trends
• Advanced dashboards highlighting key RCM performance metrics
• Insightful reports to support operational and financial decision-making