Revenue Cycle Management

Our Revenue Cycle Management solution deliver exceptional quality and efficiency, ensuring long-term customer partnerships. We consistently maintain high-quality standards beyond industry benchmarks, reflecting our commitment to excellence. With extensive experience in medical coding and billing, we handle a large volume of charts annually while seamlessly integrating with various electronic medical records (EMR) systems. Our expertise across multiple EMRs allows us to optimize workflows, streamline operations, and maximize revenue for healthcare providers. Partner with us for reliable, high-quality RCM solutions tailored to your needs.

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Key Features

Trusted by major players

Efficient coding

Technology Integration

Faster revenue realization

How It Works

Performance Metrics

  • 95% plus customer retention over years.
  • 98% quality maintained against SLA of 95%.
  • Over 1M + charts coded annually.
  • Experience with over 30EMRs.

Streamlined Revenue Cycle Process

  • Established credibility with top health insurers.
  • Right coding reduces denials and AR.
  • Cloud tools and AI enchance processes.
  • Accelerated claim processing and revenue.

RCM Partnership and Impact Sequence

  • A client was left in the lurch by a previous billing company for over 6 months. We took over the billing and cleared the backlog in 3 months. Increased the collection from 150K to about 300K over a short span.
  • Audited, evaluated and certified continuously over years for HIPAA and ISO 27001:2022 re-affirming our strict adherence to data security, privacy and PHI protection.

ANICA - AI-Powered Medical Coding

  • Lightning-fast coding in seconds.
  • Up to 90% accuracy rate.
  • Support for ICD-10CM, HCC, E/M: CPT, HCPCS, HEDIS, GPRO, MODIFIERS.
  • Real time validation.
  • API integration.
  • Batch processing.

Clinical Documentation & Coding Process

  • Transforms raw clinical documentation by removing PHI.
  • Genrates draft codes and flags ambiguous cases.
  • Conducts audits and ensures compliance.
  • Ensures the quality and accuracy of deindentified documentation.
  • Reviews flagged cases to finalize compliant coding.
  • Provides insights for process improvments and updates.
  • Different navigation for different status.

Revenue Cycle Management Pathways

  • Handles denied claims and initiates follow-up.
  • Collects and verifies patient information and insurance details.
  • Reconciles payments and updates patient accounts.
  • Ensures comprehensive clinical records are maintained.
  • Transmits claims and manages communications with payers.
  • Translates clinical documentation into standardized codes.
  • Assembles and checks claims for submission.
  • Reconciles services renedered with generated codes.

Revenue Cycle Management Process

  • Captures patient demographic data and verifies insurance eligibity.
  • Records detailed clinical encounters and documents diagnosis.
  • Translates documentation into standardized medical codes.
  • Validates and reconciles services with generated codes.
  • Assembles and cleans claim package.
  • Transmits clean claims to payers.
  • Posts and reconciles incoming payments.
  • Analyzes and categorizes claim denials.
  • Geneartes invoices and mangages billing inquires.
  • Different navigation for different status.

Smarter RCM, Stronger Revenue

Optimize reimbursements and improve financial performance with seamless revenue cycle management.

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“Transform your revenue cycle—streamline billing, cut denials, and boost collections effortlessly.”

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