1. Patient Registration & Insurance Verification Accurate data entry at the beginning of the patient’s journey, ensuring insurance coverage is verified and eligibility is confirmed to avoid claim rejections.
2. Medical Coding & Charge Entry Our team assigns the correct medical codes for procedures and services, ensuring precise charge entry into the system to minimize errors and optimize billing accuracy.
3. Claims Submission We ensure clean, compliant claim submissions to payers through automated, streamlined processes, reducing delays and increasing first-pass approval rates.
4. Denial Management If claims are denied, our experts quickly identify the root causes and address them, resubmitting accurate claims for approval while preventing future denials.
5. Payment Posting & Reconciliation Payments from payers are accurately posted, and discrepancies are immediately reconciled, ensuring transparency in revenue flow.
6. Patient Billing & Collections Clear and transparent patient billing is ensured, and outstanding balances are collected with sensitivity and professionalism, supporting patient satisfaction.
7. Reporting & Analysis We provide detailed analytics on revenue cycle performance, helping hospitals identify trends, optimize cash flow, and make data-driven financial decisions.
Our RCM process supports hospitals in maximizing their revenue potential while minimizing the administrative burden on healthcare