Healthcare Revenue Cycle Management Services
Maximizing revenue, improving productivity, and enhancing patient engagement
Healthcare Revenue Cycle Management Services
for End-to-End Solutions
Additionally, our expertise in healthcare debt collection covers recoupments, appeals, and denials. By using advanced automation and resources, we improve debt collection and maximize revenue, ensuring patient satisfaction through a seamless, multichannel approach.
Patient Access and Mid-Cycle Functions
Patient Registration
Efficiently manage patient intake and appointment scheduling to ensure accurate data capture from the start.
Insurance
Ensure correct determination of your patient’s insurance eligibility, improving the clean collection ratio and boosting profitability.
Charge Capture and Medical Coding
Accurate claim submission through timely and thorough charge capture, minimizing the risk of revenue leakage.
Claims Management
Handle all aspects of claims management, from submission to denials, ensuring maximum settlement and seamless revenue recovery.
A/R and Collections Functions
Payment Posting and Reconciliation
Record insurance decisions and out-of-pocket costs accurately, ensuring up-to-date financial records.
A/R and Denials Process Management
Analyze and appeal denied claims, reducing the risk of lost revenue and improving cash flow. Regularly managing accounts receivable processes, ensuring timely and accurate billing and collections, and handling denials efficiently.
180+ Day Denials
Address aged accounts receivable (180+ days) with targeted strategies to recover overdue payments and minimize write-offs.
Pre-Collections Calling
Contact patients and insurance companies before accounts reach collections to improve payment rates and maintain positive relationships
Patient Billing and Collections
Follow up on outstanding claims, ensure timely payment, and resolve any issues to improve cash flow and reduce revenue loss.
Patient Engagement
Communicate constantly with patients during the collection process to build stronger relationships and maximize revenue.
Revenue Cycle Analytics
Use revenue cycle data to gain key insights and improve performance. First, analyze the data to spot trends and find areas for improvement. This helps you make smart choices to boost the revenue cycle. Also, keep an eye on these insights to adjust quickly and meet financial goals. Using data this way makes processes smoother and helps your organization grow.
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Frequently Asked Questions
Revenue cycle management covers a stepwise process to manage healthcare processes associated with claims processing, payment, and revenue generation, from creating a patient account to collecting payment.
RCM ensures that providers follow policies and practices to streamline billing and collection cycles, maintaining financial health.
The healthcare RCM process includes patient enrollment/registration, insurance eligibility verification, prior authorization, medical coding, medical billing, payment posting, accounts receivable management, and reporting.
Outsourcing RCM reduces operational costs, minimizes billing errors, improves regulatory compliance, and streamlines financial processes.
Many states require debt collectors to be licensed. Verify the agency's information with the state attorney general or state regulator to ensure they have the right to collect.
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