Revenue Cycle Services

Revenue Cycle Management

End-to-end Revenue Cycle Management that connects every step — from patient intake to final payment — into one accountable, transparent workflow.

• Front-to-back revenue cycle ownership
• KPI dashboards and monthly performance reviews
• Workflow automation to reduce manual errors
• Dedicated account manager for your practice

Insurance Eligibility Verification

Verify coverage, benefits, and authorization requirements before the visit to prevent front-end denials.

• Real-time benefit and coverage checks
• Prior authorization tracking
• Copay, deductible & coinsurance confirmation
• Visit and session-limit verification

Charge Entry & Claim Submission

Accurate charge capture and clean, compliant claim submission on the first pass.

• ICD-10, CPT & HCPCS coding accuracy
• Clearinghouse scrubbing before submission
• Electronic (EDI) and paper claim handling
• First-pass clean-claim optimization

Denial Management & Appeals

Root-cause analysis on every denial, with structured appeals to recover revenue you've already earned.

• Denial trend analysis and prevention
• Timely, documented appeals & resubmissions
• Payer-specific rule tracking
• Reduced write-offs and lost revenue

Accounts Receivable Follow-Up

Persistent, prioritized A/R follow-up that keeps your days-in-A/R low and cash flow steady.

• Aging-bucket prioritization
• Insurance & patient A/R follow-up
• Escalation workflows for stalled claims
• Transparent status reporting

Payment Posting & Reconciliation

Precise ERA/EOB posting and reconciliation so your books always match the money received.

• Electronic (ERA) and manual (EOB) posting
• Line-item reconciliation
• Underpayment identification
• Patient balance transfer accuracy

Medical Coding

Certified coding that keeps you compliant and correctly reimbursed for the care you deliver.

• ICD-10-CM, CPT & HCPCS coding
• Specialty-specific procedure coding
• Coding audits & documentation review
• Compliance with payer & CMS guidelines

Patient Billing & Support

Clear statements and courteous patient support that protect collections and your reputation.

• Easy-to-read patient statements
• Payment plans & self-pay handling
• Billing inquiry support
• HIPAA-compliant communication