Tailored
Revenue Cycle
Management Solutions
That Deliver

Patient Scheduling – scheduling appointments via phone, portal, or referral

Patient Registration – collecting demographic and insurance information

Insurance Verification and Eligibility – confirming active coverage and benefits

Pre-Authorization/Prior Authorization – providing approval from the payer for specific services

Patient FinancialCounseling – estimating costs and setting up payment plans

Point-of-Service Collections – collecting co-pays, deductibles, and deposits at check-in

Charge Capture – logging all services provided to the patient

Medical Coding – translating diagnoses and procedures into ICD-10, CPT, and HCPCS codes

Clinical Documentation Integrity (CDI) – ensuring records support accurate coding and risk adjustment

Utilization Review/Case Management – ensuring services are medically necessary and authorized

Claims Submission – sending electronic or paper claims to payers

Payment Posting – applying payments (insurance and patient) to accounts

Denial Management – reviewing and appealing denied claims

Accounts Receivable (AR) Follow-Up – tracking unpaid claims and resolving delays

Patient Billing and Collections – sending statements and collecting patient balances

Credit Balances/Refunds – reconciling overpayments and issuing refunds

Revenue Integrity – guaranteeing accuracy, compliance, and prevention of revenue leakage

Analytics and Reporting – monitoring KPIs (i.e., days in AR, net collection rate, denial trends)

Compliance and Auditing – confirming regulatory and payer policy adherence

RCM Technology and Tools – including EHR, practice management software, coding tools, and clearinghouses