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Revenue Management Services

RCM Services

For more than 12 years we’ve been perfecting our Brand under RCM Services for our clients. Now we use the same expertise and know how to deliver best practices, metrics, and analytics to help our healthcare clients monitor their success and resolve their Revenue Cycle Management issues.

Eligibility & Benefits Verification

Eligibility and Benefits verification of insurance is vital to ensuring accurate and timely receipt of information regarding insurance coverage and determining the patient’s responsibility to pay for healthcare services.

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Prior Authorization & Retro Authorization

Prior authorization is a health plan cost-control process by which health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment.

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Medical Coding

Our Skillful coder helps healthcare providers and facilities to navigate the complexities of the many laws, regulations, and guidelines to succeed.

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Charge Entry

Charge entry helps you improve your productivity and reduce the time you spend with routine data entry of your charges and typing errors.

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Claims Submission

A number of technical protocols and industry standards must be met for insurance claims to be delivered expediently and accurately.

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Payment Posting

Payment posting is a crucial step in billing process, accurate and efficient payment posting process is indispensable for Physician’s office.

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Payer Rejections

Rejected claims can’t be processed by insurance. This type of claims can be resubmitted once the errors are corrected in a timely manner.

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Denial Management

This helps in preventing denials and revenue losses in the first place. But if you do have denials from the past, our Billers will get them paid easily.

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AR Follow-up

Our team identify the category of denial and payer combinations and work on resolving the mix that results in the best possible collections.

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Credit Balance

Our team collaborate with insurance and patient and help them validate credit balances and optimize the account without hassle.

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Why Choose Us?

Dedicated Account Managers

To ensure that the processing and grievances are promptly and efficiently handled. This ensures stability and improves financial control by minimizing the time you on each account.

Focused on HIPAA Compliance

To ensure the stringent adherence and maintenance of the compliance and security plans as well as making the employees aware of the consequences of any security violations.

Certified Offshore Development Centres

To ensure the centre’s excellence through simplified communication and effective management which in turn yield successful results for our clients.

Business Continuity Plan

To ensure empirical and cost effective solutions to our clients by a consistent assessment of their requirements and developing apt business continuity strategies, focusing on total US Healthcare RCM.

Focused on Quality

To ensure the continuous maintenance of the efficiency of the organization we maintain high standards into talent sourcing and ensuring all our team are trained and deployed for the right work functions and sub-tasks. We are also equipped with QMS platforms where our coders are tested for quality and compliance.

Certified Workforce

To ensure that compliance and efficiency is sustained throughout. We offer professional medical coding solutions via organizations such as AAPC, AHIMA. We specifically deploy only AAPC (American Academy of Professional Coders) certified medical coding specialists who will adhere to all payor and government rules and regulations.

CPC certified coders

To ensure that our physician and facility coding services cater to the specific needs of the everchanging healthcare community through highly skilled and trained professionals in CPT, E/M, DRG, HCPCS-II, ICD-9-CM, ICD-10 Coding Services and ICD-10-CM coding practices.

80% Cost-Effective Services

By adequately leveraging our people, process, and technology and a special focus on practice automation & medical software, we ensure to keep your internal FTE costs low. Our aim is to maximize revenue, optimize the reimbursement cycle and gain visibility in all departments of your practice.

Highly experienced Management Team

To focus on open channels of effective communication with our clients and partners so as to minimize operational flaws and reduce technology costs. To achieve this we deploy the right talent for all the tasks involved from daily denial management to on-time AR follow-ups.

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