Revenue Cycle Management (RCM) services

RCM is the financial process that healthcare providers use to track patient care.

From the initial appointment through to the final payment of the balance, RCM ensures you, the healthcare provider, gets paid for your services efficiently. 

The process involves accurately managing the following back office administrative tasks that are associated with claims processing, payment and revenue generation, while the front office manages medical coding and charge capture.

We manage the following tasks at 3x the processing rate at 70% of the cost of the U.S. equivalent, so you can focus on growing your business:

Patient registration:

Collecting patient demographics and insurance details.

Insurance verification:

Confirming the patient’s coverage and benefits.

Claim submission:

Sending the claim to the insurance company.

Payment posting:

Applying received payments to patient accounts.

Denial management:

Resolving denied or rejected claims.

Patient billing and collections:

Billing the patient for any balance due.

Reporting and analytics:

Monitoring performance and identifying areas for improvement.

How can we help you grow?

We look forward to discussing your TPA staffing needs and how we can help your business grow.