Comprehensive Revenue Cycle Management Services

Ensuring enhanced cashflow management of your practice

Patient Registration & Validation

  • Patient demographics validation
  • Underage guarantor registration
  • Insurance details capture
  • Medicaid / Medicare and tertiary insurance category capture
  • Secondary insurance verification

Detailed Reporting

  • Alpha aged analysis
  • Revenue analysis by doctor
  • Revenue analysis by doctor / summary class / facility
  • Custom reports by request

Timely Charge Posting

  • Ensure codes / modifiers are marked appropriately
  • Insurance and personal payments
  • Mark any items not paid that need further research

Insurance Processing

  • Run insurance to process new charges
  • Process pending claims
  • Follow through with demanded claims

Research Claims Rejection

  • Follow-up for rejected claims
  • Rectify issues and re-submit claims

Tighter AR Controls

  • Manage month end processes and reconciliations
  • Run billing services
  • Process charges for new month

Collections

  • Ensure all outstanding charges are processed
  • File delinquent accounts for collections
  • Manage accounts

Refunds Management

  • Request personal refunds
  • Research insurance related credits and refunds

Validate Payment Credentials

  • Primary / Secondary, Medicaid / Medicare insurance verification
  • CC verification