RCM Services - End-to-End Revenue Cycle Management
We manage every stage of your revenue cycle with precision and efficiency:
Patient Access & Registration:
- Accurate patient data collection/ Demographic updates: Ensuring accurate collection and timely updates of patient demographics to maintain up-to-date and error-free medical records, facilitating seamless billing and patient management.
- Insurance verification and benefits checks: Verifying patient insurance coverage and benefits prior to appointments, confirming co-pays, deductibles, and in-network status to ensure accurate billing and minimize claim denials.
- Patient scheduling and Appointment management: Efficient scheduling of patient appointments with automated reminders, rescheduling options, and real-time updates to ensure optimal provider time and reduce patient no-shows.
Medical Transcription Services:
- Physician Dictations: Transcription of daily patient notes, consultation reports, progress updates, and treatment plans.
- Operative Reports: Accurate transcription of surgical procedures, including preoperative and postoperative documentation.
- Diagnostic Reports: Fast and clear transcription of lab results, radiology reports, and imaging interpretations.
- Discharge Summaries & Referral Letters: Properly transcribed discharge summaries and referral letters that ensure smooth patient transitions and continued care.
- Patient History & Physical Exams: Comprehensive documentation of patient histories, physical examinations, and assessments.
- Voice-to-Text Integration: Voice-to-text systems that enable healthcare professionals to record and automatically transcribe patient interactions for quicker turnaround times.
Coding & Billing Services:
- Charge Entry and Charge Audit: Accurate entry of charges into the system, followed by thorough audits to ensure that all services rendered are captured correctly, reducing errors and maximizing revenue.
- ICD-10 and CPT Coding Compliance: Ensuring precise and up-to-date ICD-10 and CPT coding to comply with current healthcare regulations, minimizing coding errors and improving claim accuracy.
- Medical Coding Audit: Comprehensive review of medical codes for accuracy and compliance with regulatory standards, identifying discrepancies and ensuring that coding practices meet industry guidelines.
- Claim Submission (Clean Claims): Submission of error-free, clean claims to insurance providers, ensuring all necessary information is included for timely reimbursement and reducing claim rejections.
Claims Management & Follow-up:
- Denial Management: Proactive identification and resolution of denied claims, analyzing reasons for denials and implementing corrective actions to reduce future rejections and improve revenue cycle efficiency.
- Appeals Process: Efficient handling of claim appeals, preparing and submitting necessary documentation to contest denials, and ensuring the timely overturning of claims to secure rightful reimbursements.
- Payment Posting and Reconciliation: Accurate posting of payments received from insurers and patients, followed by thorough reconciliation to ensure payments match billed amounts, and identifying any discrepancies for further action.
Patient Collections:
- Patient Statements and Payment Reminders: Timely and accurate generation of patient statements, along with automated payment reminders to ensure patients are informed of their financial responsibilities and reduce outstanding balances.
- Payment Plan Management: Customized management of patient payment plans, ensuring clear communication of terms, timely payments, and reducing financial barriers to care while maintaining cash flow.
- Patient Support for Billing Inquiries: Dedicated support to address patient billing inquiries, providing clear explanations of charges, insurance coverage, and payment options to resolve concerns and improve patient satisfaction.
Our Services Work Smoothly with a Wide Range of EHRs
