Revenue Cycle Management
Our Revenue Cycle Services Cover
Patient Registration and Eligibility Verification
Transition from on-premises systems to the cloud with a smooth, carefully managed migration process that minimizes risks and downtime, ensuring business continuity.
Infrastructure as a Service (IaaS)
Access on-demand computing resources that are customized to fit your specific needs, allowing for efficient scaling and cost management without the burden of physical infrastructure.
Platform as a Service (PaaS):
Take advantage of ready-to-use development and deployment environments that streamline application workflows, reduce setup time, and empower your team to innovate faster.
Cloud Security:
We prioritize your data’s safety with advanced security protocols, including encryption and access control, to protect your sensitive information and maintain regulatory compliance.
Overview
Optimize your revenue cycle with our expert management services. We streamline processes, identify improvement areas, and ensure timely reimbursements, enhancing your financial performance. Our revenue cycle management includes patient registration, insurance verification, charge capture, claim submission, payment posting, and denial management. We work closely with you to identify and resolve issues that impact your revenue cycle.
Benifits of Cloud Computing
01
Enhanced Flexibility and Scalability
Our cloud solutions grow with your business, allowing you to easily scale resources up or down based on demand, ensuring optimal resource utilization.
02
Cost-Effective Data Management
Reduce infrastructure and maintenance costs with cloud solutions that optimize your data management while eliminating the need for extensive on-premises systems.
03
Secure and Compliant Infrastructure
Protect your data and meet industry compliance standards with a robust, secure cloud setup that’s designed to handle sensitive information responsibly.
04
High Availability and Reliability
Benefit from highly reliable infrastructure with built-in redundancies that ensure your data and applications are accessible whenever you need them.
Why Choose Us for Revenue Cycle Management?
With a focus on efficiency and accuracy, we help streamline your revenue cycle, ensuring smooth financial operations and maximum profitability. Our RCM solutions are designed to support your practice’s growth and financial success.
Verification &
Registration
Consultation
& Treatment Plan
Healthcare providers create a detailed treatment plan based on patient consultations. This plan outlines medical procedures, ensuring accurate billing and coding aligned with the patient's needs.
Verification &
Registration
Medical Coding Estimation Preauthorization
Medical codes are assigned based on diagnosis and procedures, and preauthorization is obtained for services requiring prior approval. This ensures compliance with payer policies and minimizes claim rejections.
Verification &
Registration
Charge Entry, Billing & Patient Contribution
Charges for services are entered into the billing system. Patients are billed for their portion, while claims are submitted to insurers. This step ensures transparency and balances revenue collection.
Verification &
Registration
Coding Claim Review: Technical & Medical
Claims undergo a dual review process—technical checks ensure data accuracy, while medical reviews validate the necessity of procedures, enhancing claim approval rates.
Verification &
Registration
Claim Documentation Submission
All relevant documents, including medical records and codes, are submitted to insurance companies. Proper documentation expedites the claim process and ensures accurate reimbursements.
Verification &
Registration
Claim Adjudication Process
Claims are reviewed by payers to determine their validity, accuracy, and compliance with policies. Approved claims are reimbursed, while discrepancies are flagged for corrections or denial.
Verification &
Registration
Payment to
Provider
This step ensures timely reimbursement for healthcare services rendered. Payments are processed accurately, reflecting the agreed-upon rates, and are vital for maintaining smooth cash flow in healthcare organizations.
Verification &
Registration
Denial Management & Reconciliation
Denied claims are analyzed to identify the root cause, whether technical or medical. Corrective actions are taken to resubmit claims, and payments are reconciled to ensure no revenue is lost.
Verification &
Registration
Verification & Registration
Patient information is collected and verified for accuracy during registration. This includes confirming insurance details, demographic data, and eligibility to streamline the billing process and minimize errors.