revenue cycle
management
Optimize financial results and profitability by enhancing cash flow and improving staff efficiency, all while elevating the patient experience.
Patient Access
- Registration
- Insurance eligibility
- Payer authorizations
- Referrals
- POS collections
Charge Capture & Coding
- Electronic & manual charge entry
- Charge entry edits
- Electronic and manual coding
- Charge reconciliation
- Compliance
Billing & Follow-Up
- Claim edit management
- EDI payer enrollment
- Claim submission process – primary & secondary
- Denials/appeals workflow
Cash Posting
- Cash application process – automated and manual
- Adjustment process
- Lockbox reconciliation
- Unapplied payment process
Patient Communications
- Inbound patient calls
- Outbound collections
- Correspondence
- Return mail process
- Patient statement workflow
- Credits/refunds
