Revenue Cycle Management
Whether you are a standalone provider, a provider group or a healthcare institution, with our end-to-end Revenue Cycle Management services, your practice gains access to a dedicated account manager.
We help you to improve and accelerate reimbursements, prevent denials, seize revenue leakage, and improve the patient experience. We help you get your revenue cycle back on track while reducing costs and streamlining revenue.
From front end to back end, our services cover the complete revenue cycle and include:
FRONT-END REVENUE CYCLE
Patient Scheduling
and Appointment Management:
Our team helps you manage patient appointments, ensuring timely scheduling and reducing no-shows
Eligibility
Verification:
We verify patient insurance coverage, eligibility, and benefits, ensuring accurate billing and reducing claim denials
Prior Authorization/ Pre-Authorization:
We manage the prior authorization process, ensuring approvals are obtained for required services.
Patient Registration/
Patient Demographics:
We manage patient registration and demographic data, ensuring accurate billing and timely claims submission.
MID-REVENUE CYCLE SERVICES
Charge Entry & Charge Audit:
We manage charge entry and audit processes, ensuring accurate billing and timely claims submission
Medical Coding Services:
Our certified medical coders assign accurate codes to medical procedures, ensuring timely reimbursements and reducing claim denials.
Revenue Integrity:
We help ensure revenue integrity by conducting regular audits and reviews of billing processes and claims submissions.
Medical Coding Audit:
Our team performs medical coding audits to identify and rectify coding errors, ensuring timely reimbursements and reducing claim denials.
Clinical Documentation Improvement:
We help improve clinical documentation to support accurate coding, reduce claim denials, and ensure compliance with regulations
BACK-END REVENUE CYCLE SERVICES
Remittance Processing:
We process remittance advice and EOBs, ensuring timely and accurate payment posting.
Accounts Receivable:
Our team manages accounts receivable, ensuring timely follow-up and collections.
Denial Management
We manage claim denials and appeals, ensuring maximum reimbursement and reducing revenue loss.