Revenue Cycle Management (RCM)
Medical Billing & Coding
Medical Billing & Coding ensures accurate coding, efficient billing, compliance, error reduction, and optimized revenue.
- Accurate Coding – Translates medical procedures into standardized codes.
- Billing Efficiency – Streamlines claims processing for faster payments.
- Regulatory Compliance – Ensures adherence to healthcare billing laws.
- Error Reduction – Minimizes claim denials and billing mistakes.
- Revenue Optimization – Improves financial management for healthcare providers.
Claims Management
Claims Management streamlines processing, reduces errors, ensures compliance, detects fraud, and speeds up payouts.
- Efficient Processing – Speeds up claim submissions and approvals.
- Error Reduction – Minimizes mistakes to prevent claim denials.
- Regulatory Compliance – Ensures adherence to insurance and healthcare laws.
- Fraud Detection – Identifies and prevents fraudulent claims.
- Faster Payouts – Accelerates reimbursements for patients and providers.
Payment Posting & Reconciliation
Payment Posting & Reconciliation ensures accuracy, detects errors, speeds processing, maintains transparency, and ensures compliance.
- Accurate Transactions – Ensures correct recording of payments.
- Error Detection – Identifies discrepancies in financial records.
- Faster Processing – Speeds up payment verification and posting.
- Financial Transparency – Maintains clear and accurate financial data.
- Regulatory Compliance – Adheres to financial and healthcare billing standards.
Denial Management & Appeals
Denial Management & Appeals analyzes denials, corrects errors, processes appeals, recovers revenue, and ensures compliance.
- Claim Analysis – Identifies reasons for claim denials.
- Error Correction – Resolves billing and coding issues.
- Appeal Processing – Submits and tracks claim appeals efficiently.
- Revenue Recovery – Ensures maximum reimbursement for providers.
- Compliance Assurance – Adheres to insurance and regulatory guidelines.
