End-to-End RCM Services

Full Scale RCM Services

What's Included in Our RCM Service Suite

Our end-to-end RCM services encompass every aspect of the revenue cycle, from patient registration and coding to claims management and reimbursement. With a comprehensive approach, we streamline processes, ensure accurate billing, and enhance financial performance for your practice. Our medical billing and coding services are designed to optimize your practice’s workflow, regardless of its size. Clients we have served have experienced faster reimbursements (up to 30% quicker) and improved operational efficiency (up to 50%)

Our team handles the entire billing process, from creating and submitting claims to aggressive follow-up, denial management, appeals, payment posting, and reporting. We employ an advanced, integrated cloud-based platform to optimize RCM and provide real-time visibility into your financial performance.

First Pass Claim Rate
0 %
Reduction in Denials
0 %
Collection Ratio
0 %
Increase in Revenue
0 %

Stages of End-to-End RCM​

Patient Registration

  • Demographic Data Collection: Accurate gathering of patient information.
  • Insurance Verification: Confirming insurance coverage and eligibility before services are rendered.

Charge Capture

  • Service Documentation: Recording all services and procedures performed during the patient visit.
  • Coding: Assigning the appropriate ICD, CPT, and HCPCS codes for diagnoses and procedures.

 

Claims Submission

  • Claim Preparation: Ensuring claims are complete and accurate.
  • Electronic Submission: Sending claims to payers via electronic systems or clearinghouses.

 

Payment Posting

  • Payment Reconciliation: Matching payments received with the billed amounts.
  • Adjustment Processing: Handling denials, underpayments, and adjustments as needed.

Denial Management

  • Denial Analysis: Identifying reasons for claim denials and implementing corrective actions.
  • Appeal Management: Preparing and submitting appeals to resolve denied claims.

 

Accounts Receivable Management

  • Follow-Up: Contacting payers and patients to collect outstanding balances.
  • Collections: Managing overdue accounts and setting up payment plans if necessary.

 

Financial Reporting

  • Revenue Analysis: Tracking financial performance and identifying trends.
  • Custom Reports: Generating reports on key metrics like collection rates and claim denials.

 

Compliance and Auditing

  • Regulatory Compliance: Ensuring adherence to healthcare regulations and payer requirements.
  • Internal Audits: Regularly reviewing processes for accuracy and compliance.

 

Patient Billing and Support

  • Statement Generation: Creating and sending patient bills.
  • Customer Service: Addressing patient inquiries and resolving billing issues.

 

Technology and Integration

  • EHR/EMR Integration: Seamlessly integrating with electronic health records for streamlined operations.
  • System Updates: Keeping billing software up-to-date with industry changes and technological advancements.
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