Back-End RCM Services (Focus on Claim Submission & Initial Processing)

Scope: Focuses on post-service financial processes, ensuring efficient claim management and payment recovery.

Key Features:

• • 📤 Claim Submission: Ensures accurate and timely submission of claims.

  • 💳 Payment Posting: Matches payments to corresponding claims with precision.

  • 🔄 Denial Management: Handles denied claims to recover revenue.

  • 📬 Patient Billing: Generates and manages patient statements.

  • 📊 Reporting: Provides detailed reports on financial performance.

Benefits:

• ⚙️ Ideal for providers with robust front-end processes.

• 🎯 Focused expertise on optimizing revenue collection.

• 💡 Cost-effective solution for smaller practices or those with in-house front-end teams.

Front-End + Back-End RCM Services (Full-Service RCM for Maximum Revenue Optimization)

Comprehensive RCM Solution

Scope: Handles the entire Revenue Cycle Management process, ensuring seamless coordination and optimized performance.

Key Features:

• • 📋 Patient Registration and Scheduling: Accurate capture of demographic and insurance details.

  • ✅ Insurance Verification: Real-time eligibility checks and prior authorizations.

  • 💰 Charge Capture: Recording all billable services.

  • 📤 Claim Submission: Submission of clean claims with reduced errors.

  • 💳 Payment Posting: Applying payments from payers and patients.

  • 🔄 Denial Management: Resolving rejections and resubmitting claims promptly.

  • 📬 Patient Billing: Managing statements, collections, and payment plans.

  • 📊 Analytics & Reporting: Tracking KPIs for actionable insights.

Benefits:

• 🏋️ Reduced administrative burden for providers.

• 💸 Enhanced cash flow with fewer delays.

• 🔧 Streamlined operations and improved patient satisfaction.