Revenue Cycle Management

Revenue Cycle Management Services to Increase Revenue with Claim x Care

By integrating Coding, Credentialing, Enrollment, and Billing under one HIPAA-compliant structure, you can safeguard your healthcare organization from financial loss.

Boost Patient Experience, Profitability, and RCM Compliance

A better patient experience is guaranteed by effective RCM in addition to optimised cost-reducing procedures and increased income.

As the healthcare sector transitions from a fee-for-service to a value-based care model, a change from a billing-focused strategy to comprehensive RCM is necessary. 

Solutions for Healthcare Revenue Cycle Management for Changing Companies

In an industry that is evolving quickly, healthcare organizations all around the country are adjusting to agile business models to secure their future success. We collaborates with people who wish to stay current by learning the right procedures that will position them for long-term, steady growth.

Create An Industry-Best RCM Blueprint

Master creating workflows, controls, and procedures that promote efficient operation and improved financial results. We provide organizations seeking to grow or optimise their operations with our stand-alone RCM consulting services.

Increase Revenue And Reduce Costs

To increase revenue, use error trend identification and revenue leakage analysis. Clean claims are improved with continuous activities. increased insurance payouts while reducing turnaround times.

Improved Governance And Transparency

Embracing the complete revenue cycle, from the initial point of patient interaction to the final reconciliation, is what front and back-end integration entails. analysis and reporting at every stage of the revenue cycle value chain. Claim x Care facilitates cross-departmental collaboration by enabling comprehensive analysis.

Empowering Revenue Intelligence

Scheduled or on-demand extensive reporting and analysis; flexible key indicators that may be adjusted to best reflect the needs of each particular provider; comprehensive reporting designed to establish a foundation for proactive improvement plans.

End-to-End Revenue Cycle Management Services

Our Revenue Cycle Management Services are designed to provide a comprehensive solution to the complex challenges faced by healthcare organizations. We offer a range of services aimed at optimizing every stage of the revenue cycle, ensuring efficiency, accuracy, and compliance.

Efficient patient scheduling through Claimxcare ensures that healthcare providers can optimize their time, minimizing wait times for patients and enhancing overall productivity. 

Claimxcare’s appointment management strategies reduce patient no-shows by sending timely reminders, fostering increased patient engagement and commitment to their healthcare appointments. 

Claimxcare thorough eligibility verification process improves the likelihood of claims being approved by insurance providers, minimizing claim denials and ensuring a smoother reimbursement process. 

Facilitating the prior authorization process, Claimxcare obtains necessary approvals before services are rendered, expediting claims processing and preventing delays in reimbursement. 

Streamlined patient registration by Claimxcare ensures accurate capture of essential demographic and insurance information, contributing to precise billing, reduced errors, and minimized claim denials. 

Claimxcare ensures accurate and timely charge entry, capturing all billable services to optimize revenue generation. Efficient charge entry minimizes revenue leakage and ensures that healthcare providers are appropriately compensated for the services they render.

Claimxcare conducts comprehensive charge audits to identify discrepancies and errors in the billing process. Charge audits improve billing accuracy, reducing the risk of regulatory issues and enhancing overall compliance. 

Claimxcare offers precise medical coding services, translating complex medical procedures and diagnoses into standardized codes. Accurate medical coding ensures proper reimbursement, reduces claim denials, and facilitates compliance with coding standards. 

Claimxcare performs regular audits of medical coding to identify and rectify errors, ensuring accuracy in claims submission. Coding audits contribute to ongoing accuracy, compliance, and optimization of the reimbursement process.

Claimxcare focuses on enhancing clinical documentation to provide a comprehensive and accurate representation of patient care. Improved documentation supports accurate coding, reduces claim denials, and provides a foundation for optimized revenue capture.

Claimxcare engages in effective negotiation with payors to secure favorable contract terms for healthcare providers. Payor contract negotiation aims to maximize reimbursement rates, optimize revenue streams, and ensure financial sustainability for providers.  

Benefits of outsourcing Revenue Cycle Management (RCM) to Claim x Care

Expertise in the Industry: Our team, with a solid background of 10 years in healthcare billing and RCM, is well-versed in the intricacies of the industry. We keep ourselves abreast with the most recent regulations and coding guidelines to maintain compliance and precision in all RCM facets.

State-of-the-art Technological Solutions: We employ advanced technology solutions to enhance billing processes, boost efficiency, and curtail manual mistakes. We utilize technology, from electronic claim submissions to automated denial management, to fine-tune your revenue cycle.

Tailored Approach: We understand that each healthcare organization has its own unique needs. Be it a large hospital system or a multi-specialty clinic, we customize our services to meet your specific needs.

Unwavering Support: Our team is dedicated to delivering top-notch customer service and support. From the initial implementation to continuous management, we are always ready to address your queries, resolve your concerns, and ensure a smooth experience with our RCM services.

Optimized Revenue Capture: By choosing to outsource your RCM to us, you can anticipate enhanced revenue capture and a boost in cash flow. Our precise billing and coding practices maximize reimbursement and prevent revenue loss.

Our RCM Services Increase the Potential Revenue for Your Healthcare Company

To maximize your revenue cycle, you need to adopt a whole new, comprehensive strategy. However, there is a high and occasionally expensive learning curve, as with any new strategic deployment. We spare healthcare organizations from the drawn-out and excruciating adoption process by giving them access to immediate knowledge and the chance to maximize the revenue cycle.

Boost Patient Experience, Profitability, and RCM Compliance

A better patient experience is guaranteed by effective RCM in addition to optimised cost-reducing procedures and increased income. As the healthcare sector transitions from a fee-for-service to a value-based care model, a change from a billing-focused strategy to comprehensive RCM is necessary. Regretfully, most organizations lack the skills and experience required to fully profit from healthcare revenue cycle management. These are competencies that are critical for success.

Ask an RCM Strategist

Reach out to us for further information about implementing RCM, its advantages, and how to get beyond the obstacles unique to your company.

Accept Total Responsibility for Your Revenue Cycle or Optimise Gradually

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Essential RCM Scope

  • First Contact (Queries, etc)
  • Patient Scheduling
  • Benefit and Eligibility Verification
  • Pre-authorization
  • Encounters between Patients and Providers (information capture, EHR, transcription)

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Advantages and Prior Permissions

  • Avoid Unexpected Charges and Penalties
  • Enhanced prior authorization and benefit verification
  • Encourage patient enrollment and enhance the patient journey

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Credentialing Service

  • Quick Enrollment of Providers and Fast Insurance Medical Credentialing
  • Connections with insurance providers and thorough process understanding
  • expedited service by means of persistent monitoring

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