Revenue Cycle Management

Optimizing financial performance for healthcare providers through expert RCM services.

Our end-to-end RCM services cover the entire financial journey, from pre-service to post-service.

Service:

* Clinical Documentation Education: Providing physicians and staff with education on best practices for documentation to support accurate coding.

* Coding Services: Expert coding services to ensure claims are coded accurately and in compliance with all regulations (e.g., ICD-10, CPT).

* EHR System Provider: a powerful tool designed to streamline your practice and improve patient care. We know that managing patient information, appointments, and billing can be complex, and our goal is to simplify it all for you. Our platform provides a comprehensive view of a patient's health history, from lab results and imaging studies to progress notes and medication lists. This centralized system allows you to access critical information instantly, helping you make informed decisions quickly.

Beyond patient records, our EHR includes a suite of integrated features to manage your day-to-day operations. Our scheduling tool is intuitive and flexible, allowing you to easily book appointments, manage provider calendars, and send automated reminders to patients. The built-in e-prescribing feature helps you write and send prescriptions directly to pharmacies, reducing errors and saving time. We also understand the importance of secure and efficient billing. Our system includes robust billing and coding tools to help you submit claims accurately, track payments, and manage accounts receivable.

Our EHR is designed to adapt to your specific needs, whether you're a small clinic or a large hospital system. We're committed to providing the technology and support you need so you can focus on what matters most: your patients.

Post-Service:

* Billing & Claims Submission: Prompt and accurate claim submission.

* Denial Management & Appeal: Proactive identification of denial reasons and a comprehensive appeals process to recover lost revenue.

* Accounts Receivable (A/R) Management: Diligent follow-up on unpaid claims and a systematic approach to A/R.

* Payment Posting: Accurate and timely posting of payments and adjustments.

* Patient Collections: Compassionate and compliant patient collections strategies.

Pre-Service:

* Patient Registration: Accurate and complete data collection at the point of registration.

* Insurance Verification & Authorization: Timely verification of patient insurance and securing necessary pre-authorizations to prevent denials.

* Patient Advocacy Call Center: A patient-friendly call center to address billing inquiries and provide financial counseling.

* Credentialing & Enrollment: Physician and provider enrollment and credentialing services to ensure timely reimbursement.

Analytics & Reporting:

* Monthly Financial Reporting: Customized and comprehensive reports on key RCM metrics.

* Payer Performance Reporting: Analysis of payer performance to identify trends and opportunities.

* Strategic Advisory: Partnering with clients to develop strategies for improving financial performance and adapting to new regulations.