Revenue Cycle Management

About RCM

Revenue Cycle Management Solutions

Supported by Intelligent automation, proven methods and experienced professionals, our RCM solutions are designed to help you increase your revenue, decrease your cost, reduce billing errors, and ensure billing compliance. With so many changes impacting physicians and revenue cycle management today, a partnership with a qualified, ICD-10 compliant Revenue Cycle Management partner may be the solution to many of the issues practitioners are experiencing today.

Why Choose Us?

Whether choosing an end-to-end engagement or a targeted solution for the front, middle or back, we help reduce total cost to collect, improve net patient revenue and enhance patient experience.

Expertise

Our RCM division is represented by experienced billers & Coders with AHIMA and AAPC certifications. We provide a full array of RCM services including inpatient & outpatient Coding, AR Follow up, Payment Posting and Risk Adjustment Services.

Access

We utilize the latest technology in the field of medical coding which allows staff to access required systems remotely & securely through electronic record interface and virtual private networks. Hence, we never have to report downtimes to clients.

Quality

In view of our tireless efforts in delivering quality, we often exceed the internal accuracy levels set at >95%, and never compromise on clients expectations.

Service Levels

We ensure that our team, meets and often exceeds the agreed service levels which inturn helps our clients to meet their DNFB and Collection targets.

Our RCM Solutions and Transition approach

Patient Registration
Scheduling Appointments
Eligibility Verification
Prior Authorisation

Medical Coding across ambulatory and post acute care settings
Charge Capture (Charge Entry and Posting)
Chart Audits
Clinical Document Improvement

Billing
cash Posting
A/R Follow up
Collections
Denial Management
Appeals

HCC Coding Review (Prospective and Retrospective)
HEDIS Review

Initiate :This is about initiation of the requirement to transition new or change existing services. It includes a new service for existing/new customer and change in scope of existing services for new/existing customer. Both changes require an update in Service Catalogue.
Plan and Design: This includes evaluating need for additional resources like human, technological, physical, connectivity, access to information, expectation of customers if any, budgeting, approvals required, planning any knowledge transfer, communication, training and so on
Execute: The identified Service Line team and enabling function executes the plan in this phase.
Stabilise: The timelines, schedules, responsibilities are firmed up in this phase and assigned to people as required.

Risk free transition
consistent quality throughout transition
SLA adherence
Zero disruption to client / current process
Continuous process improvements
Reporting