RCM Services
Frontend meets backend, resulting in end-to-end revenue cycle management. Our compliant, accountable, and transparent services navigate the increasingly complex healthcare payments market, enabling you peace of mind.
HRC covers your entire revenue cycle; from front-end credentialing, accessioning, eligibility checks, preauthorization, medical transcription to payment recovery through billing, claim management, medical coding and denial management.
Pre-Billing
Curbing denials at the front-end of the revenue cycle has a far bigger impact than managing them at the back-end. HRC pre-billing services include background checks on patients (e.g., checking insurance coverage, hidden payer detection, referrals) and credentials management. These assist in ensuring the process of billing is smooth.
- Credentialing
- Patient Access
- Eligibility and Benefits Check
- Referrals and Preauthorization
- Medical Transcription
Billing
HRC takes care of steps needed for timely filing of claims and performs any follow-ups as relevant.
- Coding
- HIM Management
- Charge Entry and Submission
- Rejects Management
- Secondary and Tertiary Insurance Billing
- DDE Support
Posting
On behalf of our clients, we track client daily deposits and reconciliation of payments to each claim. We then post each payment to its corresponding line item, allowing clients to identify payment patterns and improve business practices.
- Cash Applications
- Denial Posting
- Credit Balance Resolution Projects
Collections
HRC monitors outstanding balances on claims for our clients and takes on all post-care efforts and actions needed for our clients to be compensated for the services they provided.
- Denial Management and Root Cause Analysis
- Insurance Recovery
- Appeals
- Aged AR collections
- Cash Acceleration Programs
- Small Balance A/R Recovery
- $0 Balance Reviews
Patient Services
We offer a range of post-care support to patients, improving patient experience and satisfaction as well as our client’s bottom line.
- Patient Billing
- Patient Customer Service Calls
- Self-Pay Early Out Follow Up Services
Outcome based pricing – you only pay for performance
Use of robotic process automation to improve efficiencies
Accessible and intuitive cloud-based dashboard for business intelligence
Access to certified coders and healthcare professionals with over 3 decades of deep domain expertise
Payor discovery tools & automated workflows for missing information management
Quarterly independent audits for coding and compliance best practices
Dedicated local Account Manager and 24/7 global operations team
Specialized team dedicated for credentialling, contracting, appeals and medical records management