What’s Included in Our RCM Services

Eligibility Verification and Prior Authorization
We verify patient insurance benefits, co-pays, and deductibles before the visit, and secure prior authorizations when required. This helps prevent surprise denials and ensures services are covered.

Medical Coding and Documentation Review
Our certified coders review clinical documentation carefully and apply the most accurate ICD and CPT codes to maximize reimbursements while maintaining compliance.

Charge Entry
We ensure that all charges are entered quickly and accurately into your system, reducing delays and avoiding underbilling or missed services.

Claim Submission
We prepare and submit clean claims electronically to all major insurance payers, helping speed up processing and reduce the risk of rejection due to errors or omissions.

Payment Posting
Payments and adjustments are recorded accurately and reconciled against expected reimbursements. This helps ensure complete revenue tracking and accountability.

Denial Management
When a claim is denied, we get to the root cause—whether it’s coding, authorization, or payer error. Then we fix the issue, resubmit the claim, and escalate if necessary.

Accounts Receivable (AR) Follow-Up
We actively follow up on outstanding claims and patient balances. Our team works persistently to recover unpaid revenue and keep your collections healthy.

Patient Billing and Collections
We generate clear, easy-to-understand statements and provide patient-friendly support to encourage timely payments and reduce frustration.

Reporting and Analytics
We give you detailed financial reports with insights into your practice’s revenue trends, aging AR, payer performance, and claim turnaround times. You’ll always know where your revenue stands.