Revenue Cycle Management
Pro RCM Solutions provides a furnished end-to-end revenue cycle management services for hospitals, professional billing, and ambulatory surgery centres. Utilizing our deep knowledge and insight of best practices in revenue cycle management, we deliver high-quality and cost-effective solutions for our clients. Our highly specialized team work to streamline operations, decrease insurance claim denials or revenue loss and maximize revenue while maintaining compliance with industry regulations. With turnaround time of 24-48 hours, our clients are assured of accurate, timely, and balanced results.
With a powerful blend of people, processes, and technology-enabled solutions, combined with an never give up commitment to our clients, we provide the necessary tools that give your organization a step ahead over the competition.
Our Customized Revenue Cycle Management Solutions Include:
- Credentialing
- Eligibility and benefit verification
- Patients’ demographic entry
- Prior authorization services and automation
- Medical coding
- Charge entry.
- Claims edits or scrubbing
- Claims rejection management
- Payment posting
- Credit balance review.
- Correspondence and denial management
- Automation using Technology
- Risk adjustment management.
- Charge capture optimization.
- Coding audits
- Clinical documentation improvement
- Consultation services
Patient Registration
Verification
Charge Capture
Medical Coding
Claim Submission and Denial
Resolution
Remittance Processing
Patient Collections
Review
