Key SERVICES

Eligibility Verification and Pre-authorization: Highlight services that help verify patient eligibility and secure pre-authorization to prevent claim rejections.

Medical Coding and Billing: Emphasize the use of accurate medical coding (ICD-10, CPT, etc.) to ensure precise billing.

Claims Management: Detail services related to claim submission, tracking, and appeals to maximize claim approval rates.

Accounts Receivable (AR) Management: Explain how your team manages unpaid claims and follow-ups to reduce AR days.

Denial Management: Focus on identifying root causes of denials and providing actionable solutions to reduce denial rates.

Patient Billing and Collections: Describe your approach to managing patient billing, collections, and handling queries.

Compliance and Quality Assurance

Highlight adherence to HIPAA, compliance with payer requirements, and quality assurance processes to maintain confidentiality and accuracy.

Technology and Analytics

Mention any technologies, software, or analytics tools used to track KPIs, optimize workflows, and provide insights on financial performance.

Benefits of Your RCM Services

Improved Cash Flow: Demonstrate how your services reduce AR days and improve overall cash flow.

Enhanced Compliance and Reduced Errors: Explain how coding expertise and compliance measures help reduce costly errors.

Better Patient Experience: Emphasize improvements to the patient experience by minimizing billing issues.