RCM Services
Are you frustrated with revenue leaks, prolonged AR cycles, and inefficient billing processes?
Managing revenue cycles is increasingly complex and challenging for healthcare providers in the US, making it harder than ever to operate profitably in a competitive market.
We can help healthcare organizations reduce revenue cycle costs by outsourcing administrative tasks and optimizing processes. This is especially beneficial for small to medium-sized healthcare organizations that may lack the resources to manage parts of the revenue cycle in-house.
Solutions That Grow Your Practice
Eligibility Verification
Numerous issues arise from inadequate eligibility and benefit verification, such as delayed payments, increased errors, unpaid claims, and patient dissatisfaction. To prevent these problems, we offer a remotely hosted solution for Eligibility Verification at hospitals and medical practices. We deploy expert staff who are accessible via a toll-free number and work remotely to deliver high-quality, cost-effective patient insurance eligibility and related services.
Prior-Authorization’s
Our team assigns an expert to work on the Pre-Authorization requests, coordinate with the insurance companies, complete the follow-ups and send the results back to the providers. The team is able to handle escalations with knowledge of procedures and coding and get authorizations for codes added at the last minute.
Insurance Billing & Coding
All medical coders are CPC, CPC-H certified through AAPC & CCS and have minimum of 4+ years experience. In addition they all have a thorough understanding of complex coding and billing rules and related terminology . The coders monitor, analyze and improve documentation for coding which help decrease denials and increase reimbursement.
AR Recovery
Our AR Follow-up services take a proactive approach, dedicated to persistently pursuing outstanding claims. By diligently reducing accounts receivable aging, we ensure optimal cash flow.
Denial Management
Our team assigns an expert to work on the Pre-Authorization requests, coordinate with the insurance companies, complete the follow-ups and send the results back to the providers. The team is able to handle escalations with knowledge of procedures and coding and get authorizations for codes added at the last minute.
Other Data Management Services
We have an experienced team of medical data professionals ready to assist with any data entry tasks such as charge entry, medical records, patient demographic entry, payment posting, medications records and several more, resulting in a substantial reduction in FTE costs.
Comprehensive Reporting
We offer various Daily, weekly and monthly reports, as well as, KPI dashboards providing real-time insight into an organizations entire revenue cycle process.
Offshore Advantage
Allows healthcare providers to reduce costs without compromising quality of service. There is a much larger pool of talented and motivated RCM professionals including certified billers and coders that help augment internal personnel and allow for quicker scalability when required.
Specialty Experience
We can provide domain expertise in both the In-Patient and ambulatory settings. We have experience working with over 30+ specialties in over 38 states in the US.
Platform Expertise
Our team of experts are trained to seamlessly work in any PM/EHR system. Some of the more popular systems we work with are EPIC, Athena, ECW, Cerner, NextGen, Allscripts, AdvancedMD and many more
Revv Pro
Many healthcare facilities are currently utilizing various systems for practice management and EMR/EHR. With RevvPro, there’s no need to disrupt these existing systems if they are working well. RevvPro acts as a transparent layer that overlays the current systems, seamlessly extracting the necessary information to provide clarity to providers through an easy-to-use dashboard and mobile app.
‘It was not an easy task for us to run a physician practice with just 4 physicians. We had a lot of challenges initially when we were trying to do things on our own. We had less focus on patients as we had a lot to do. It was only after we tied up with your company to manage our claims and we could focus more on patient care. Our AR Days are now consistently below 35.”
“I founded this facility and have managed our revenue cycle for 8 years. One of my only regrets is that I didn’t find you sooner. The last two years has been an excellent experience. I have no complaints.”