Hospital Revenue Cycle Management

Patient Registration & Eligibility Verification – Ensuring accurate patient data collection and insurance verification for smooth claims processing.

Medical Coding & Charge Capture – Using ICD-10, CPT, and HCPCS-compliant coding to prevent errors and optimize reimbursement.

Claims Management & Denial Prevention – Scrubbing claims for errors, submitting them electronically, and proactively managing denials.

Accounts Receivable (A/R) Optimization – Reducing aging accounts, improving collections, and maintaining steady cash flow.

Billing & Payment Posting – Processing payments accurately and reconciling discrepancies for transparent financial reporting.

Patient Financial Engagement – Providing cost estimates, payment plans, and financial counseling to enhance the patient experience.

Audit & Compliance Management – Ensuring adherence to HIPAA, CMS, and payer regulations to prevent compliance risks.