Health Care Services
Health Care Services
Revenue Cycle Management is the process used by healthcare industry in the United States to track the revenue from Insurance company and / or patient.
In the complex world of healthcare, effective Revenue Cycle Management plays a pivotal role in ensuring financial stability and operational efficiency for medical practices. Revenue cycle management in medical billing encompasses several crucial components, including patient registration, insurance verification, coding, claims submission, payment processing, and denial management.
- The Revenue Cycle Management process begins when a patient schedules an appointment and it ends when the healthcare provider has accepted all payments.
- Errors in Revenue Cycle Management can lead to the healthcare provider receiving delayed payments or no payment at all.
Why is RCM Important in Healthcare?
- Reduces claim denials & improves cash flow
- Ensures accurate reimbursement for services provided
- Minimizes administrative burden through automation
- Improves patient experience with transparent billing
- Helps providers stay compliant with evolving regulations
Services We Offer
Our services span across the entire revenue cycle, from front-end to back-end, including:
- Front-End Revenue Cycle
- Mid-Revenue Cycle Services
- Back-End Revenue Cycle Services
- Consultative Support
Steps we Follow
- Patient gets appointment with the health care provider.
- Heath care provider verifies the patient's insurance plan
- Patient takes the treatment and checks out
- Medical biller prepares claims and check compliance
- Medical claims have to be submitted electronically and manually
- Adjudication or rejection of claim
- Biller prepare a statement for the patient on what could be claimed
- Follow up and balance payment collection from the patient
- Financial Reporting & Analytics
Softwares we work with:
Our Associates: Ethosys
Location : League City, TX 77573