Insurance and RCM

1. Insurance Verification

Verifying patient insurance coverage to ensure accurate billing and reimbursement.

2. Claims Processing

Managing the submission, processing, and tracking of insurance claims to ensure timely reimbursement.

3. Denial Management

Investigating and appealing denied claims to maximize reimbursement and minimize revenue loss.

4. Payment Posting

Accurately posting and reconciling insurance payments and patient payments in the healthcare organization's billing system.

5. Patient Billing and Collections

Generating and sending patient bills, managing payment plans, and pursuing collections when necessary.

6. Coding and Documentation Review

Ensuring accurate and compliant coding and clinical documentation to support proper reimbursement and minimize claim denials.

7. Compliance Monitoring

Helping healthcare organizations stay in compliance with insurance regulations and requirements to minimize penalties and billing errors.

8. Revenue Cycle Analytics

Analyzing and reporting on key performance indicators (KPIs) to identify trends, improve financial performance, and optimize revenue cycle processes.

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