Here’s what our end-to-end RCM services encompass:

• Phase What We Do Why It Matters
  Patient Registration & Scheduling Capture accurate demographics, insurance data, appointment booking, reminders Prevents data errors that cascade into billing issues.
• Eligibility Verification & Benefit Analysis Verify coverage, co pay, deductible, coinsurance, benefit limits Clarifies patient financial responsibility before service
  Charge Capture & Coding Map services to correct ICD 10 / CPT / HCPCS codes, apply modifiers, scrub charges Ensures compliant, optimized billing.
• Claims Submission & Scrubbing Clean claims prepared and submitted electronically, pre validation, payer-specific rules Reduces rejects and accelerates reimbursements.
• Denial Management & Appeals Root cause analysis, appeals drafting, resubmission, trend tracking Recovers revenue and prevents repeat denials.
• Accounts Receivable (A/R) Follow-Up Monitor aging claims, prioritize, follow up with payers, escalate as needed Reduces days in A/R and unlocks dormant revenue Payment Posting & Reconciliation Post payments/EOBs, reconcile adjustments and discrepancies Maintains accounting integrity Revenue Leakage Audits & Process Improvement Identify missed charges, underpayments, process gaps Seals revenue gaps and strengthens workflow Reporting, Analytics & Insights Dashboards, KPIs, trend analysis, forecasting Enables data-driven decision making.
• Patient Statements & Collections Clean, clear patient billing, multiple payment options, outreach & support Improves patient collections and experience.
• Support & Account Management Dedicated account manager, continuous support, client communication Ensures alignment and responsiveness