HealthcareRCM — Revenue Cycle Management • Credentialing

HealthcareRCM Medical Revenue
Cycle Management Service

Medical Revenue Service by HealthcareRCM, generates and collects payments for the services a provider provides to their patients. It's a complete RCM solution managing end-to-end RCM operations like patient registration, insurance verification, coding, billing, and collections. Our RCM billing company optimizes revenue cycle for better financial outcomes of the physician's medical center.

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Importance of Choosing HealthcareRCM Revenue Cycle
Management Service in Medical Billing

Doctor reviewing medical revenue cycle information

Managing a medical practice's finances is complex. Between evolving regulations, strict insurance policies, and patients with expectations higher than Mt. Everest – it's a recipe for revenue leakage, cash flow disaster, and operational chaos.

Luckily, the medical revenue cycle management (RCM) experts at HealthcareRCM can restore your practice to full financial health. Our certified coders ensure accurate billing and coding to stop revenue leakage. Our enrollment specialists secure contracts with top commercial payers to expand your patient pool. And our billing experts work diligently to collect every dollar your practice earns.

So don't let medical finances frustrate you. HealthcareRCM Medical Revenue Service has the cure for what ails your practice's finances. Call today to experience how we align a provider's whole revenue cycle process to maximize collections while delighting patients.

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HealthcareRCM offers revenue cycle care, with billing at its core

Our unique approach to medical billing is how HealthcareRCM RCM Service delivers measurable improvements to the revenue cycle process. The SmartClaim system we developed in-house analyzes billing codes and clinical documentation to catch issues before claim submission. This technology achieves first-time acceptance rates upwards of 98%, putting money back in our providers’ pockets faster.

Click here to book HealthcareRCM medical billing RCM service →
Medical billing reports being reviewed by a healthcare team

Achieve revenue cycle success via HealthcareRCM coding excellence

HealthcareRCM’s medical revenue service boosts revenue cycles through expert medical coding. Our acclaimed BellCoding technology reviews medical charts and identifies high-value codes. Our coders, armed with CPC certifications, then examine each chart to find revenue escalation opportunities algorithms miss. Through this man-machine symbiosis, HealthcareRCM delivers an RCM solution that promises more revenue for your healthcare facility.

Click here to book HealthcareRCM medical coding RCM service →
Doctor reviewing medical coding information

Optimize your revenue via HealthcareRCM’s audit and insight

Our audit specialists utilize the HealthcareRCM Revenue Integrity process to analyze your current revenue cycle, uncovering exactly where coding and billing improvements will have the biggest impact. Our billing consultants then design targeted solutions to resolve those defects. We treat your revenue cycle as a whole and prescribe the best healthcare revenue cycle management remedies to make it stronger.

Click here to book HealthcareRCM medical revenue service →
Healthcare professionals reviewing revenue charts
RCM ROI Case Study

Up To 30% Revenue Increase In Next 12 Months With
HealthcareRCM's Medical Revenue Service (Case Study)

In-House Billing
HealthcareRCM RCM
Results
Charges (on average)
$142,000.00
$142,000.00
Gross Collection Rate (GCR)
$60,000 (42%)
$77,000 (54%)
12% Increase in Gross Collection Rate
Billing Costs
$6,000
$4,000
$2,000 Decrease in monthly cost of RCM service

$197,000

Yearly Net Benefit
(monthly gross collection * 12 months)

≈ 30%

Overall collection increase

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*Disclaimer

End-to-End RCM Service Features by HealthcareRCM

You have nothing to lose and everything to gain with HealthcareRCM Medical Revenue Cycle Management features. This means our healthcare RCM service is the partner you can trust for your revenue cycle success.

Charge Entry Feature

  • Claim creation, validation, and transmission
  • Entering valid super-bill information
  • Claim approval confirmation
  • Claim status tracking

Remittance Processing Feature

  • Processing of payments from the payers
  • Processing of adjustments and denials
  • Reconciling payments to the provider’s claims

Insurance Follow-Up Feature

  • Following up with payers for unpaid claims
  • Following up with payers for underpaid claims
  • Contact payers on a provider’s behalf
  • Negotiating and resolving claim disputes

KPI Reporting & Analytics

  • Monitors your key performance indicators
  • Analyzes days in accounts receivable
  • Analyzes claim denial rate and collection rate
  • Comprehensive and customizable reports
  • Advanced data visualization tools

Patient Collections Feature

  • Collecting patient payments
  • Managing initial statement + final notice
  • Sending clean bills and reminders to patients
  • Convenient payment options for patients

A/R Management Feature

  • Reduces the aging of outstanding A/R
  • A/R workflow optimization
  • Claim approval confirmation
  • Collecting A/R collections from the payers and patients

Coding and Documentation

  • Coding provider’s services compliantly
  • Using the latest coding standards and guidelines
  • Capturing relevant details that support a provider’s claims
  • Justifying a provider’s reimbursement for their services
  • Performing medical bill audits

Charge Capture Feature

  • Capturing and validating the service charges
  • Leveraging charge sheets and EHRs
  • Ensuring charges are consistent with coding and documentation
  • Reconciling your charges with your claims
  • Reconciling charges with your contractual agreements with the payers

Contract Management

  • Managing contractual agreements with the payers
  • Determining how much you get paid for your services
  • Reviewing and negotiating your contracts
  • Monitoring the contracts’ compliance
  • Analyzing the contract performance
  • Using metrics like contract yield and case mix index (CMI)

Let HealthcareRCM RCM Service seal cracks in your revenue cycle...

We identify opportunities to boost your revenue through enhanced billing, coding, denial management and more.

Schedule Consultation
Claims ManagementDenial PreventionAR OptimizationImproved Collections

HealthcareRCM RCM Medical Billing Has Got The Solutions For Providers' Revenue Growth

Poor Cash Flow

Providers struggle with maintaining a steady and predictable cash flow due to various factors such as bad debt and underpayments.

Better Cash Flow

Our med RCM service reduces the bad debt and underpayments by ensuring accurate and timely claim submission and follow-up.

Mishandled A/R

Providers face challenges in managing their accounts receivable (A/R) due to the complexity and variability of the process.

Managed A/R

Our healthcare RCM solution provides visibility into A/R performance, such as days in A/R, A/R aging, and A/R turnover.

Misaligned Payer Compatibility

Providers struggle complying with multiple payers, as well as different claim types, like fee-for-service, value-based, and capitated.

Aligned Payer Compatibility

Our flexible and scalable RCM platform adapts to the changing payer requirements and maximizes provider’s reimbursements.

High Denial Rates

Providers experience is a high rate of denials from payers, that give negative impact to their revenue and also to their cash flow.

High Recovery Rates

Our proactive and preventive approach resolves the root causes of denials to boost denial recovery rates and revenue integrity.

More Admin Workload

Denials reduce the provider’s revenue collection and increase their workload as they have to appeal and resubmit the claims.

Automated Process

Our RCM experts and EHR platform automate the manual work and perform claim submission with utmost accuracy.

Unsatisfied Patients

Patients are becoming more empowered consumers of healthcare services, so providers find it hard to ensure patient satisfaction.

Satisfied Patients

Our RCM service offers a patient-centric platform to improve the patient-payer relationship via telehealth features.

Complicated Patient Management

Providers struggle with the increasing patient financial responsibility due to high deductible health plans (HDHPs) and self-pay patients.

Automated Patient Management

Our medical billing platform automatically estimates and communicates the patient’s out-of-pocket costs before the service.

Reporting & Analytics Features

Choose HealthcareRCM RCM Billing Company For Complete RCM Reporting

Data Insights

See the key metrics and trends of the revenue billing process in a comprehensive and interactive analytics dashboard. You can compare your performance with industry benchmarks and identify areas for improvement.

Quick Feedback

Communicate with our RCM experts, your patients, and the insurance payers instantly through the integrated chat system. You can ask questions, share feedback, and resolve issues in real time.

Detailed Reports

Drill down into the details of your revenue cycle with our customizable and granular reports. You can filter, sort, and export your medical billing data according to your needs and preferences.

Revenue cycle analytics dashboard
Revenue cycle reporting dashboard

Multi-Specialty Support

Manage multiple facilities and locations with our RCM reporting dashboard. You can view and compare the data of different sites and groups in one place. Dedicated dashboard for each specialty.

Data Security

You can rest assured that your data is safe and secure. We use the latest encryption and authentication technologies to protect your data from unauthorized access and breaches.

Data Integration

You can integrate your data with other systems and platforms with HealthcareRCM’s RCM reporting dashboard. We support various formats and standards to ensure seamless data exchange and interoperability.

Testimonials

Dr. Julia Will***

Licensed Professional Counselor

I would like to send out a heartfelt appreciation for all of your hard work in helping my Health Counselling clinic take care of our billing and credentialing needs. You have made my job as a practice owner much easier.

Dr. Gennaya Matt***

Plastic Surgeon

We are more than satisfied with HealthcareRCM and would highly recommend them to anyone searching for an efficient billing company. Working with HealthcareRCM has felt effortless and we are vastly thankful for their services.

Dr. Mike Lan***

Internal Specialist Medicine

HealthcareRCM has been a phenomenal asset to our company. Assisting with billing, credentialing and enrollment, HealthcareRCM has been consistently reliable from the first day of our relationship.

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Frequently Asked Questions

Revenue cycle management is the process of managing the financial aspects of a healthcare provider’s or facility’s operations. It involves billing, coding, collecting, and reconciling payments from patients and insurance companies.

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FAQ

Frequently Asked Questions

Common questions about revenue cycle management.

RCM is the end-to-end financial process of a healthcare visit — from verifying insurance and capturing charges to coding, billing, and collecting payment.

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