Revenue Cycle Management Services

Our comprehensive revenue cycle management services provide numerous benefits like HIPAA compliance, up to 60% in cost savings, and stringent security policies

Are you finding it difficult to achieve a smoother administrative experience and generate better revenues? Is your organization falling short of trained resources to handle your medical revenue cycle management requirements? Are you finding it difficult to handle your claims processing, payments, and revenue generation. Then, the best option would be to outsource your requirements to an experienced revenue cycle management company.

We provide high-quality and cost-effective RCM solutions to global customers. We can help you collect payments on submitted claims, increase the revenue from underpaid claims, and follow up with insurance companies for quick settlements. Additionally, we can also help with your revenue cycle management system, including coding tasks as well as complete patient registration and eligibility verification. Leveraging our expertise can help you improve your collection ratio, increase the probability of payments, and increase revenues.

Our Healthcare Revenue Cycle Management Services

Whether you are a healthcare provider or an individual physician, we can provide comprehensive revenue cycle management services that will meet your exact needs. Our wide range of revenue cycle management solutions include -

1. Insurance Eligibility Verification

   

   Checking the eligibility of the patients can be time-consuming because it is a resource-intensive task. These RCM services are completely taken care of by our trained professionals who will check all medical documents, verify the patient coverage, follow-up with patients if there is a shortfall in the supporting documents. The final report will be filed for faster processing.

2. Medical Claims Processing Services

   

   We can manage both electronic claims submissions as well as submission of paper claims. Our experienced team prepares the Explanation of Benefits (EOBs) and submits the claims to the insurance company as part of our RCM services.

3. Healthcare Collection Services

   

   We provide clients with accurate and high-quality healthcare collection services with the help of our years of experience and expertise. By using the latest tools and technologies, we aim to deliver top-notch RCM services.

4. Denial Management Services

   

   Insurance claim denials are a major pain point for healthcare businesses around the world. We can help you analyze, correct, and resubmit denied claims. This process includes identifying denials by revenue coding and CPT/HCPCS codes. Thereafter, the reason for the denials is analyzed and a detailed denial management report is prepared. This process can help you effectively manage claim denials.

5. Payment Posting Services

   

   With our RCM services, we can ensure quick and accurate posting of all payments into your billing system. We also do regular auditing of all posted payments, which helps to reduce errors.

6. Accounts Receivable Follow-up

   

   We take care of all discrepancies that result in delayed or denied receivables. Our AR professionals work towards identifying the issues and following up with the shortcomings to ensure that healthcare providers are paid on time. Our team will follow up on pending claims, initiate collections, and track down overdue payments to maximize the cash flow.

7. AR Calling Services

   

   Our AR Calling Services are equipped with the expertise to follow up and handle delays in the payments. We identify the unpaid dues that are causing a bottleneck in your RCM system and follow up with delinquent patient accounts. We ensure to courteously engage patients, make them feel comfortable and urge them to make timely payment of pending dues. We also call the insurance companies to send details about rejected claims.

8. Accounts Receivables Services

   

   We can help you identify patient accounts that require follow-ups and take the requisite action to collect unpaid/underpaid claims. Our services include -

   • Accounts receivable analysis
   • Identification of the grounds for claims denials
   • Follow-ups on pending claims

We can also prepare monthly reports that can help you manage your cash flow and increase profitability. These include reports related to -

• Aging A/R
• Charges, payments, and adjustments
• Payment punctuality for different Payers
• Payer mix

In this way, we provide a range of hospital revenue cycle outsourcing solutions that can help you achieve better operational efficiency.

1. Medicare Reimbursement Services

   We help you successfully optimize compliant Medicare reports, which is challenging, especially when the federal and state regulations are continually changing. We have expertise in comprehending multi-layered legislation and applying it to ensure the most optimum Medicare reimbursement on an ongoing basis.

2. Medical Claims and Encounter Processing Services

   As one of the leading RCM companies, we assist clients in submitting encounter data to the respective agencies. Our encounter processing services are HIPAA compliant and manage end-to-end testing and certification logistics. We receive, transform, and transmit full and compliant encounters.

3. Revenue Improvement Services

   We have the requisite expertise to provide high-end revenue improvement services and help you cut out from the manual or traditional management of back-end functions.

4. MIPS Quality Reporting Services

   Our team has the required skills and expertise to provide clients with high-quality and error-free MIPS quality reporting services. We leverage the latest MIPS quality reporting software and tools while delivering top-notch services to clients around the globe.

5. Healthcare Due Diligence Services

   We provide comprehensive healthcare due diligence services to help businesses gain useful insights on healthcare supply chains. Our services include financial due diligence, legal due diligence, and regulatory due diligence services, among others.

6. Accounts Receivable Conversion Services

   Our team comprises some of the most experienced and skilled accounts receivable conversion experts on board who can take care of all your RCM healthcare requirements. We leverage the latest tools and technologies while delivering the best quality services.

7. Health Insurance Recovery Services (HIRS)

   We provide specialized services related to health insurance claims follow-up and insurance claims denials. Working closely with the hospitals and healthcare services, our experienced and trained professionals enable healthcare providers to efficiently address claims denials. This facilitates increasing cash flow and reducing or eliminating write-offs.

8. Payment Accuracy Services

   If your bottom line is seeing a dip due to payment errors and issues in data validation, it is time you opt for RCM outsourcing services. Let us be your efficient payment accuracy services provider and resolve the payment issues within a tight TAT. We take prudent measures to avoid errors and fix older bugs to resolve the payment error.

9. Dental RCM Services

   If you are still stuck with traditional dental RCM, your revenue stream is likely in need of optimization. If so, outsource dental RCM to accelerate payment and improve the bottomline of your practice.

10. Healthcare Revenue Integrity Services

    With our comprehensive and detailed healthcare revenue integrity services, we use standard and ethical business processes and practices to meet the three most important elements of operational efficiency, compliance, and optimal reimbursements. We focus on all the three together and make them work in tandem resulting in the healthy development and operations of practices.

11. Policy Owner Services

    We assist individuals, private firms, public companies, and government organizations to make changes to their existing policies by contacting and working with policy carriers. We help with every minute detail right from choosing a new policy up until the relevant payment on maturity. Our professionals conduct a thorough analysis of all the policies and carriers available and provide you with high-quality consultation services.

12. PPO Health Insurance Claims Repricing Services

    We are a preferred PPO health insurance claims repricing service provider because of its extensive experience in this field. We work with a large team of experts who have the skillsets and knowledge to help you with the process of PPO health insurance claims repricing, thus helping you save time, cost, and effort.

13. Health Risk Assessment Services

    We can tell how much of your workforce is exposed to physical and mental health risks by conducting a detailed study of demographic data, behavior, occupation, lifestyle, and more so that you can implement safety measures to ensure sustenance of business operation.

14. Patient Financial Clearance Services

    We are a leading provider of patient clearance services and help small, medium, and large healthcare providers to improve their revenue generation upfront and provide a more seamless and effective customer experience to their patients. We leverage the latest technology and predictive analytics capabilities to simplify the prior authorization and eligibility verification process to help patients understand their fiduciary responsibilities.

15. Provider Lifecycle Management (PLM) Services

    We can help you build PLM solutions upon various enterprise SFA and BPM platforms. We help you with a unified platform that makes it possible to modernize different aspects of your provider relationships.

16. Patient Registration

    We can help you process your patients' personal, demographic, and all insurance-related information. At each step of the process, we ensure that we verify and validate patient information. During this step, easy identification of insurance mismatch, wrong provider details, etc. can help you avoid losses down the line.

17. Medical Coding

    Strict regulations and increasing instances of self-pay have led to increased risk in medical coding. Our accurate medical coding services can help you create and streamline patient records within a short period of time, while accelerating physician payments. Our team is comprised of Certified Professional Coders (CPCs) accredited by the American Academy of Professional Coders (AAPC) which works in accordance with the updated standards and methodologies laid down by CMS, Medicare contractors, AMA, medical societies, and federal organizations.

18. Charge Capture

    Charge capture is extremely important since it helps doctors accurately record the entire information of services provided. This information is then sent to different payers and insurance companies for quick and timely reimbursement. We can process charges for multiple specialties within a short turnaround time. We have extensive experience in handling -

    • Medicare
    • Third Party Liability
    • Medicaid
    • Managed Care
    • Preferred Provider Organizations
    • Indemnity Insurers
    • Workers Compensation

19. Custom Reporting

    If you a healthcare service provider who wants a 360-degree outlook of your RCM system and how it is affecting your bottom line, we are the right company to outsource to. We create custom reports through powerful dashboards which you can access from any location and device. Our services consist of -

    • Charge and Payment reports
    • Procedure frequency and diagnosis reports
    • Payment reimbursement reports
    • Lockbox reconciliation reports
    • Payor analysis reports

Our Revenue Cycle Management Solutions Process

Being a leading revenue cycle management company, our team believes in providing quality services to clients within a quick turnaround time. This is possible by making use of a systematic and streamlined process which involves the following steps -

Medical Revenue Cycle Management Services Software We Use

Having been in the healthcare industry for over 19 years now, we understand the exact requirements of clients and provide RCM healthcare services accordingly. We leverage some of the best and latest tools and technologies to deliver quality RCM solutions to clients. Some of the tools we make use of include -

Some of the main reasons why global healthcare providers choose us as their partner include -

• Compliance

  Leverage our HIPAA compliant processes for better revenue collection.

• Data Security

  Highly secure services and rest assured all your data is completely safe with us.

• ISO-certified

  We are an ISO/IEC 27001:2013 ISMS certified organization that ensures that all your data is completely safe.

• 100% Coverage

  With us, you get to have 100% coverage of your unpaid accounts while being able up to follow up on hanging payments easily.

• Fast TAT

  Our 24/7 services ensure faster turnaround times.

• Cost-effective solutions

  We provide affordable and improved cash flow as payor accounts are settled in time. Save up to 60% in costs.

Additional Services You Can Benefit From

Client Success Stories

Healthcare Account Receivable Services

A leading client was looking for a partner who could help them with accurate account receivable services. Our team provided the services within a quick time.

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Insurance Eligibility and Verification Services

A leading birth control telemedicine provider was looking for a service provider who could help them with insurance eligibility and verification services. Our team provided the services in no time.

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Outsource Revenue Cycle Management Services to Us

We are a pioneer in providing high-quality revenue cycle management services. We are committed to building lasting relationships with our customers. We have extensive experience working with global clients, which gives us the knowledge that can help you achieve accelerated growth and improved process efficiencies. With us, you receive -

• Peace of mind knowing that your requirements are being professionally met
• Quick turnaround times
• Reduced costs of operation

Outsource revenue cycle management services to us and reap the benefits.