Revenue Cycle Management

Claims Processing and Denial Management

Ensure timely submission and efficient processing of insurance claims, while also minimizing denials through meticulous review and follow-up.

Payment Posting and Reconciliation

Accurately record and reconcile payments received from insurers and patients, ensuring transparency and financial integrity.

Patient Billing and Collections

Facilitate transparent and timely billing processes for patients, while also managing collections to optimize revenue and maintain positive patient relationships.

Scheduling

Streamline appointment scheduling processes to ensure efficient utilization of resources and maximize revenue potential.

Benefits and Eligibility Verification

Verify patients' insurance coverage and benefits to facilitate accurate billing and minimize claim denials.

Prior Authorization

Obtain necessary authorizations from insurers for medical procedures and treatments to ensure timely reimbursement and avoid payment delays.

Surgery Scheduling

Coordinate surgical procedures and scheduling to optimize operating room utilization and revenue generation.

Referral Management

Manage referrals from primary care physicians and specialists, ensuring proper documentation and authorization for services rendered.

Rx Refills

Facilitate prescription refills for patients, ensuring compliance with insurance requirements and timely medication delivery.

Revenue Cycle Analysis and Optimization

Conduct comprehensive analysis of the revenue cycle to identify bottlenecks and inefficiencies, implementing strategies to optimize revenue generation and streamline processes.