Revenue Cycle Management

Provider credentialing is a detailed process that reviews a provider’s qualifications and career history including education, training, residency, and licenses, as well as any specialty certificates.

Insurance eligibility verification is an important process where in a provider’s practice or healthcare facility checks into a patient’s insurance coverage to learn what services or treatment will be covered by insurance to offer better consultation and care.

Medical categorization or medical coding is the method of converting medical diagnoses reports and dealings into a collective list of assigned medical code numbering.

The number of denied or rejected claims is reduced drastically when you incorporate successful claims scrubbing that detects and eliminates errors in billing codes before submission.

Accounts Receivables (or AR) is money owed to the provider based on the different patient accounts for services rendered. AR is payable by insurance firms and patients.

A high percentage of claims put forth by patients or providers are denied by insurance companies due to incomplete claim forms, wrong diagnosis code, incorrect modifiers, and more.

Your registration process will capture your patients’ information, including insurance information. Ensuring an optimized process ensure you get paid faster for services rendered.

One of the fastest ways to ensure positive cash flow is to improve your process that generates and mails patient statements. Expedite patient payment collections with automated processes.