Revenue Cycle Management +

RCM+ Lifecycle

Registration & Scheduling
Scheduling
Demographics/Insurance
Automated Eligibility Checks
Prior Authorizations
Clinical
Service Provided
Document Medical Record
Quality Reporting Documentation
Superbill Options
System Integration
Coding
Import/Interface with EHR
Charge Entry
Claim Submission
Pre-processing edits
Electronic filing daily
Claim submission confirmation
EDI rejections worked
Payment Capture
Electronic Remittance Advice (ERA)
Accurate Payment Posting
Fee schedules loaded for reimbursement rate verification
A/R & Denial Management
Timely follow-up of unpaid claims
Denials worked
Appeals sent and monitored
Patterns and potential issues identified
Customer Service
Patient statements
Answer patient billing questions
Proactive communication with client staff on payer, coding, and billing changes
Analytics
Ongoing analysis and communication of financial status of practice
Monthly Key Practice Indicators Summary
Client access to patient ledgers and reports
Customized reports
RCM+
Registration & Scheduling
Scheduling
Demographics/Insurance
Automated Eligibility Checks
Prior Authorizations
Clinical
Service Provided
Document Medical Record
Quality Reporting Documentation
Superbill Options
System Integration
Coding
Import/Interface with EHR
Charge Entry
Claim Submission
Pre-processing edits
Electronic filing daily
Claim submission confirmation
EDI rejections worked
Payment Capture
Electronic Remittance Advice (ERA)
Accurate Payment Posting
Fee schedules loaded for reimbursement rate verification
A/R & Denial Management
Timely follow-up of unpaid claims
Denials worked
Appeals sent and monitored
Patterns and potential issues identified
Customer Service
Patient statements
Answer patient billing questions
Proactive communication with client staff on payer, coding, and billing changes
Analytics
Ongoing analysis and communication of financial status of practice
Monthly Key Practice Indicators Summary
Client access to patient ledgers and reports
Customized reports