Healthcare Revenue
Cycle Services

Accurate claims preparation, clean claim submission, payer follow-up, and reimbursement tracking.

• Claims preparation and submission
• Clean claim optimization
• Payer follow-up and status tracking
• Reimbursement monitoring

CPT, ICD-10, and HCPCS coding support to improve claim accuracy and reduce denials.

• CPT, ICD-10, and HCPCS coding
• Coding audit and review
• Documentation review for code accuracy
• Denial prevention through accurate coding

End-to-end RCM from patient registration through final payment, optimizing every step of the cycle.

• Patient registration and eligibility
• Charge entry and claim submission
• Payment posting and reconciliation
• A/R management and reporting

A/R aging review, unpaid claim follow-up, denial review, underpayment identification, and recovery support.

• A/R aging analysis and review
• Unpaid claim follow-up
• Underpayment identification
• Recovery support and resolution

Denial analysis, root cause identification, appeal preparation, and payer follow-up to recover earned revenue.

• Denial analysis and trending
• Root cause identification
• Appeal preparation and submission
• Payer follow-up on disputed claims

Provider enrollment, re-credentialing, payer applications, CAQH updates, and insurance participation support.

• Provider enrollment and applications
• Re-credentialing management
• CAQH profile updates
• Insurance participation support

Authorization tracking, documentation support, insurance verification, and payer follow-up.

• Prior authorization tracking
• Documentation support
• Insurance eligibility verification
• Payer follow-up on authorizations

Professional patient balance follow-up, statement support, payment communication, and collection workflow support.

• Patient balance follow-up
• Statement processing support
• Payment communication
• Collection workflow management

Accurate payment posting, EOB review, payment reconciliation, and discrepancy identification.

• Payment posting and EOB review
• Payment reconciliation
• Discrepancy identification
• Adjustment and write-off management

Financial reporting, KPI dashboards, trend analysis, and actionable insights for practice performance.

• Financial reporting and summaries
• KPI dashboards
• Trend and performance analysis
• Actionable revenue cycle insights