Stronger Revenue Starts with Smarter RCM

From patient registration to final payment, our end-to-end RCM services streamline your financial workflow, improve collections, minimize errors, and maximize practice profitability.

We Manage the Cycle, You Manage the Care

🧩Key Components of Our RCM Services🧩

            We assist in validating insurance eligibility, benefits, and pre-authorizations before the patient encounter. This helps eliminate claim denials due to coverage issues and ensures financial transparency upfront.

Real-time verification with major U.S. payers

1.Patient Scheduling & Insurance Verification

Copay

and deductible

estimation

Prior authorization

Support

              Our certified coders (CPC, CCS) accurately assign ICD-10, CPT, and HCPCS codes based on your documentation — ensuring compliance, specificity, and maximum reimbursement.

Specialty-specific coding (Internal Medicine, Cardiology, Ortho, etc.)

2.Medical Coding & Documentation Review

Regular audits to ensure documentation alignment

Modifier usage and risk-adjusted coding (RAF/HCC) for value-based care

                       We ensure timely and accurate entry of charges based on coded documentation and submit clean claims electronically to all major private and government payers.

24–48 hour turnaround for charge entry

3.Charge Entry & Claim Submission

Claim scrubbing and validation before submission

Real-time claim tracking and clearinghouse integration

                We reconcile ERAs, EOBs, and paper checks to ensure every dollar is accounted for and posted accurately in your practice management system.

Auto-posting and manual reconciliation

4.Payment Posting & Reconciliation

Secondary claim submission

Patient balance processing

                Our team follows up on outstanding claims, aged A/R, and denied charges to recover lost revenue and reduce aging buckets.

Dedicated A/R specialists

5.Accounts Receivable (A/R) Management

Denial tracking and trend analysis

Resubmissions and appeals with supporting documentation

                Every denied claim is an opportunity for revenue recovery. We identify root causes, correct issues, and submit timely appeals.

Root-cause analytics

6.Denial Management & Appeals

Customized appeal letters

Prioritized reprocessing based on payer policies

                We provide detailed financial reports, KPIs, and dashboards to help you make informed decisions and track your performance over time.

Weekly and monthly customized reporting

7.Revenue Analytics & Reporting

Aging summaries, collection rates, and productivity dashboards

Consultation on revenue optimization strategies

Why Our RCM Stands Out?

📍 U.S.-focused workflows and payer expertise

🔒 Operated by medical professionals, not just clerks

🔐 HIPAA-compliant systems and 24/7 data access

📈 Proven results: 98% clean claim rate | 20–30% revenue improvement