Revenue Cycle Services for Hospitals and Healthcare Systems

The complexity in generating and collecting revenue is ever-increasing as the market transforms from volume to value. From coding to proving quality outcomes, getting paid is more difficult than ever for Healthcare Providers. Increased regulation, clinical documentation requirements, rising patient payment responsibility, and the ability to understand the changing metrics, are leving unprecedented pressure to Hospitals and Health Systems. On top of that, the rising consumerism means that patients are demanding more transparency in terms of their care and payment responbility.

We provide expert services to health systems and hospitals to transition the value-based care despite these industry challenges. Our solutions include:

  • End-to-end Revenue Cycle Management services
  • Efficient medical coding
  • Clinical documentation improvement
  • Improved visibility to metrics
  • Applications services to optimize workflow
  • Improved KPIs and metrics

The complexity increases exponentially in managing revenue cycle processes for your team of physicians working on varied specialities, and modes of care delivery. We provide services to reduce these complexity and enhance your ability to maximize revenue, enable better patient experiences, and free up resources.

  • Appointment & Schedule
  • Patient Registration
  • Referral Management
  • Eligibility & Benefits Verification
  • Prior-Authorization

Pre Visit

pre visit
  • Medical Coding & Audit
  • Charge Entry & Audit
  • Claims Submission
  • Payment/Denial Posting
  • Account Receivables Management
  • Denial Management
  • Denial/AR Follow-up
  • Claim Dispute Verification

Post Visit

post visit
  • Claims Corrections and Refiling
  • Provider Enrollment/Credentialing
  • Adjustments, Insurance/Patient
  • Credit Balance, Insurance/Patient
  • Patient Statement/Credit Processing
  • Collection Letter Processing
  • Bad debt and write-offs
  • Small Balance Adjustment

Supports

support

Our services helps to improve your collections, streamline processes, improve governance and reduce costs through Robotic Process Automation technologies.

We provide the full cycle of revenue cycle processes to help medical groups, hospitals, and healthcare systems:

  • Improve collections
  • Reduce total costs of process
  • Reduce days in A/R
  • Improve eligibility verification and prior authorization
  • Improve medical coding accuracy
  • Improve compliance
  • Manage daily revenue cycle and business operations

Contact Us

We are Interested to meet with you!

What is 4 + 4

We are available to answer your call from 8am to 8pm (EST). You can drop a mail to us anytime.