FIND HOW WE HELP YOU
TRUSTED PARTNER TO BOOST YOUR REVENUE
Know More
At Revenue Cycle Management, a leading Revenue Cycle Management Company, we are dedicated to revolutionizing revenue cycle management for businesses across industries. With a proven track record of optimizing financial processes, we leverage cutting-edge technology and industry-leading expertise to ensure our clients maximize their revenue potential.
Our team comprises seasoned professionals in healthcare finance, billing, and technology, driven by a singular mission: to simplify and enhance revenue cycle operations. We understand the complexities that come with managing finances and prioritize tailoring our solutions to meet the unique needs of each client.
WHAT WE DO
Healthcare Services We Specialized
PRE-AUTHORIZATION
When a patient comes in, they undergo pre-authorization. The physician’s office pre-approves the patient of certain treatments and prescription drugs by this process.
INSURANCE ELIGIBILITY & VERIFICATION
The process is downright demotivating over the phone because it demands a lot of patience. Therefore, a set function must be a part of the revenue cycle management (RCM) software to cater to it.
ICD CODING AND CHARGE POSTING
When the patient checks in at the office, the visit transforms into a set of codes. There is a high probability of human error in these codes, which is why professional medical coders are the go-to people for it.
CLAIMS SUBMISSION
Submission of claims is the vital stage in the overall process because the reimbursement directly depends on it. If it is flawed, the chances for reduced payments or outright denials increase.
DENIAL MANAGEMENT
For the claims which suffer rejection, they are resubmitted soon after they are scrubbed for coding mistakes. The resubmissions or the process of appeals demands critical screening with a finger on the pulse of the latest coding guidelines.
PATIENT COLLECTIONS
When there is reduced reimbursement from the payers, it means the health plan does not cover all the services. So, the billers have to send those outstanding payments to the patient and follow-up.
REIMBURSEMENT FOR THE SERVICES RENDERED
It is time for the insurance company to pay up. The payers match the procedures with their charges under the coverage limit.
OUT OF POCKET (CO-PAYMENTS AND DEDUCTIBLES)
Every health plan comes with a deductible and a co-payment. Some have high and some have low deductibles.