Revenue cycle Management (RCM) is the process that includes the management of all the administrative and clinical functions that contribute to the capture and management of claims processing, payment and revenue generation for patient services.

The revenue cycle includes the following:

Patient registration and appointment scheduling

Confirmation of Insurance verification and authorization

Clinical documentation

Medical coding and Billing

Insurance claim creation/submission

Payment posting and collections

Denial Management and appeals

Account reconciliation and closure

Understanding each stage of the revenue cycle management is the first step toward achieving and maximizing revenue return for your practice. The success of your practice RCM process is critical for financial health, as any inefficiencies or errors can result in lost revenue and decreased profitability.

For quite some time, healthcare organizations and medical practices have understood medical billing as a function that begins after the patient leaves, however the revenue cycle initiates with patient registration and appointment scheduling. Our team has the capacity to manage every aspect of your practice revenue cycle management entirely. From the initial point of patient registration and appointment scheduling to claim creation, submission and reimbursement; we ensure all claims are appropriately processed to minimize the cost of resubmission for denied claims.

The claim submission process; ensuring all patient information is accurate to initiate a claim, verification of eligibility and authorization, and the handling of all other documentation in between until payment reimbursement is successful.

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Process and posting of accounts receivable; appropriately documenting A/R which initiates with creating an invoice, tracking the invoice, recording payment and follow-up on pending and outstanding claims.

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We have the knowledge, experience and we utilize today’s best technology to closely monitor and coordinate with insurance companies, patients and other payers to ensure that your practice is reimbursed for all services rendered. We are revenue cycle management experts; we can manage all your billing operations efficiently and effectively whether you are a single or multi-specialty practice and or multi-facility practice.

Denial Management is simply rejected and denied claims. So many practices and healthcare organizations lose revenue resulting from denied and rejected claims along with high administrative costs to recover denied claims. With our assistance with denial management services, practices and healthcare organizations can avoid unfortunate revenue loss. Our partnership will allow you to provide full attention to patient care while we ensure the health of your finances. 

Accurate RCM has the capacity to maximize your cash flow; as our denial management will focus on resolving your rejected and denied claims using our proven analytical workflow and today’s best industry tools.  We understand that each denied claim is unique which is why we use a systematic approach to recover revenue and avoid future losses. 

A medical account receivable refers to unresolved reimbursement payable to providers for treatments and services rendered, whether the financial obligation falls to the patient or their insurance company. Accurate RCM, we leverage our expertise with data analytics to identify where providers confront their major AR complications.

As patient collections continues to increase as a portion of your practice’s A/R, it’s important to have the right tools to collect what you are owed. Accurate RCM offers four ways to get statements out to your patients quickly along with an option for online bill pay. Use these tools to reduce your patient billing cycle and increase revenue.

Send Text Balance Reminders : Kareo’s actionable text balance reminders ensure patients receive alerts regarding outstanding balances while their visit is still top of mind. Send Electronic Statements: Before you spend time and money on mailing patient statements, send your patients an electronic statement. From the electronic statement, the patient reviews the balance and can make a quick, convenient, and secure payment online. If no payment is made, you can automate the printing and mailing of paper statements using the workflow within our software.

With Accurate RCM we elevate practices and healthcare organization of the challenges that come with medical coding. We use advanced technology, specific ICD-10 diagnosis codes as well as appropriate CPT/HCPCS billing codes to scrub each claim to ensure accurate and up to date coding for all your medical billing. We work to maximize reimbursement to absolutely impact your revenue cycle management.

Physician Credentialing can be burdensome; whether you’re just starting up your practice or healthcare organization, adding a new physician or enrolling with a new payer, we are here to minimize those challenges. Our credentialing services are commissioned to facilitate the payer enrollment process for you so that you can get improved revenues.

Accurate RCM utilizes the best integrated EHR system, cloud-based with a suite of applications for everything you need with ease of use. There are no challenges with configuration, you can connect your practice or healthcare organization seamlessly and your EHR will be ready for use. EHR Integration gives us the ability to capture all rendered service charges, guarantee code accuracy, mechanically resubmit denied claims immediately, avoiding any administrative errors through revenue and accounts receivable cycles.