Healthcare providers are known for managing patients health with atmost care. In order to do this efficiantly day in and day out every healthcare organization should have efficient practices, processes and policies for staying financially healthy. Healthcare revenue cycle management is one such process that defines the scussess of the healthcare organization.
The revenue cycle can be defined as, all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue.
Errors in the reimbursement process can lead to healthcare provider receiving delayed payments or no payment at all. With ever changing regulatory requirements the RCM is a complex process. We handle this complex process with qualified, specialized agents and proprietary technologies and our expert revenue cycle management team ensures that billing errors are reduced so that reimbursements from the insurance companies are maximized.
We strive to make healthcare more affordable by minimizing the inefficiencies of reimbursement. Experience services you can trust from a company that cares.
What we offer
10+ Years in business = Team + Process + Learning The Entire Revenue Cycle, You Pick and Choose Service Lines.
Credentialing
Benefits Verification
Eligibility Verification
Coding
EMR/LIS Data Migration
Charge Validation
EMR/LIS Cross-Update
Charge and Demographic Entry
Remit Retrieval / Batching
Claim Submission
Claim Scrubbing (Clearing House Level)
Claim Scrubbing (PM Level)
Monthly Report Generation and Distribution
Patient Statement Submission
AR – Aging Work
AR - No Response Work
AR – Denial Work
Manual Payment Posting
ERA Posting
Data Security
- US Data Center
- Thin Client Model
- Facility Security
- Workflow Controls
- Access Control
Our Differentiators
- Transactional Cost Control
- Turn Fixed Costs Into Variable Costs (Like a Utility)
- No “Productivity” Risk
- Revenue upside is all yours
- Anchored in Proprietary Workflow Software
Service Level Control
Pegged Productivity Expectations (Bell Curve Supported)
Turn Around Time – 48 Hours or 24 Hours (Automated Work Distribution).
98% Accuracy (Statistical Sampling vs Error Hunting).
Exception % (How good do our teams work together?).
Quality Assurance & Control
Character to Character Verification
Periodic process review
Quality control Process
Testing deliverables and root cause analysis
Process improvement / re-engineering
Incorporating customer feedback
Weekly/monthly monitoring of productivity reports .
Internal quality audit of client deliverables & review reporting
Communication
In an organisation communication facilitates the flow of information and understanding between different people and departments. This flow of information is vital for managerial effectiveness and decision making.
Management Communication
- Daily Status Reports
- Monthly Summary Reports
- Granular Monthly Cost Breakdowns
Operational Communication
- Dedicated Points of Contact
- Management Redundancy
- Transition Communication
- Weekly Check in Calls
- Daily Exception Feedback Loop