Revenue cycle management (RCM) services:
Provider Enrollment
-Credentialing
-Payer Contracting
Charge Capture
- Accurate documentation of services provided
- Coding services with appropriate medical codes (CPT, ICD-10)
Claims Submission
- Management of claim rejections
Accounts Receivable Management
- Collecting on outstanding and aged balances
- Follow-up on unpaid and underpaid claims
Denial Management
- Analyzing and appealing denied claims
- Implementing strategies to reduce future denials
- Out of network claims reimbursement expertise
Compliance and Regulatory Management
- Ensuring adherence to healthcare regulations (e.g., HIPAA, CMS)
- Conducting regular audits and assessments
Reporting and Analytics
- Providing financial reporting on revenue performance
- Analyzing trends and identifying areas for improvement
Technology Integration
- Implementing RCM software and tools
Consulting Services
- Advising on best practices for optimizing revenue cycle processes
These services help healthcare providers optimize their revenue cycle, improve cash flow, and enhance overall operational efficiency.