Revenue Cycle Management – Healthcare

Our Services

Pre-Encounter

Patient Registration and Scheduling

• Capturing accurate patient information during registration.
• Efficiently scheduling appointments, considering provider availability.

Insurance Verification and Authorization

• Verifies patient's insurance coverage, ensuring that services are eligible for reimbursement and reducing the risk of claim denials.
• Efficiently scheduling appointments, considering provider availability.

Post-Encounter (Phase-1)

Coding and Documentation

• Assigning accurate medical codes to diagnoses and procedures.
• Ensuring proper documentation for billing and compliance.

Charge Capture

• Capturing all billable services and procedures.
• Avoiding missed charges to maximize revenue.

Claim Submission and Scrubbing

• Preparing and submitting accurate insurance claims.
• Ensuring timely submission to expedite reimbursement.

Post-Encounter (Phase-2)

Payment Posting and Reconciliation

• Recording and reconciling payments received from insurance and patients.
• Identifying and addressing any discrepancies.

Denial Management

• Analyzing and addressing claim denials.
• Implementing strategies to minimize future denials.

Accounts Receivable Management (AR)

• Analyzing and addressing claim denials.
• Implementing strategies to minimize future denials.

Patient Billing and Collections

• Generating patient statements for balances owed.
• Managing collections and payment plans.

Reporting and Analytic

• Utilizes reporting tools to analyze key performance indicators, financial metrics, and trends, helping healthcare organizations make informed decisions for process improvement.

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