Optimize Your Financial Flow with Complete RCM Support
Smooth claims, efficient follow-up, and clear billing—this is the core of our RCM service suite. It combines automation, expert analysis, and process-driven workflows to ensure your financial operations are seamless and scalable.
Key RCM Services:
- Medical Claims Processing: High accuracy, on-time submission across outpatient and inpatient claims, minimizing denials for faster reimbursements.
- Accounts Receivable (AR) Management: Includes invoicing, real-time payment tracking, aging follow-up, and advanced AR reporting to reduce DSO.
- Insurance Eligibility & Benefits Verification: Pre-treatment eligibility checks that minimize denials and patient billing surprises.
- Denial Management & Appeals: Fast and precise correction of claims, appeals filing, and overall denial recovery.
Denial Analysis & Optimization:
- Identification of root causes behind denials
- Recognition of denial patterns and systemic trends
- Feedback reports with financial impact, process improvement recommendations
- Claim correction and re-submission with additional documentation as needed
Additional Services:
- AR Conversion & Legacy Cleanup: Digitize and reconcile old AR, improving financial visibility and closing cash gaps.
- Payment Posting & Reconciliation: Automated posting of insurer and patient payments, ensuring matched ledgers and fewer errors.
- Healthcare Payer Engagement: NHIF liaison support, private insurer audits, reconciliation, and negotiation for better reimbursements.
- Targeted Dental RCM: Specialized coding, filing, and dispute resolution for faster dental revenue recovery.
- Patient Billing Experience: Clear, simplified statements and communication to reduce confusion and improve patient relations.
Revenue Cycle Analytics: Power BI dashboards and analytics for revenue forecasting, bottleneck detection, and decision support.