Revenue Cycle Management
REVENUE CYCLE MANAGEMENT
Maximize Your Revenue Cycle. Improve Your finances.
Effective Revenue Cycle Management involves more than just claim submission; it requires a coordinated process from patient registration and eligibility through to claim submission, payment posting, denial resolution and AR follow-up.
Our Revenue Cycle Management (RCM) solutions provide a complete end-to-end healthcare revenue cycle management process, enhancing efficiency and reimbursement – precisely what practices and healthcare organizations rely on.
Our RCM Solutions
Our revenue cycle management for medical practices is designed to reduce denials and improve all aspects of your revenue cycle, from front-end registration to back-end AR follow up.
Our revenue cycle management for medical practices is designed to minimize denials and optimize all the steps of the revenue cycle, from front to back.
- Patient Registration Support
- Eligibility & Benefits Verification
- Authorization Management
- Charge Entry
- Medical Coding Support
- Claims Submission
- Payment Posting
- Denial Management
- Accounts Receivable Follow-Up
- Patient Balance Support
- Reporting & Revenue Analysis
Why Choose ProActive MBC?
- A single platform that manages the entire revenue cycle, starting with claims submission.
- Ensure root cause denial prevention is the focus, not just resubmission
- Clear reporting on all revenue cycle processes
- Support for solo providers through to multi-specialty groups at all levels of scalability.
OUR PROCESS
How We Work
From the first eligibility check, to the last dollar collected, here is how we take ownership of your revenue cycle.
Revenue Cycle Assessment
We analyze your existing RCM process and determine where all the revenue is slipping away.
Front-End Optimization
Tightened up front eligibility verification and patient registration, to avoid denials before they occur.
Claims & Coding Execution
Our team helps with the charge entry, medical coding support and claims submission for clean, accurate, timely claims.
Continuous AR & Denial Follow-Up
Our focus on high-priority accounts and denials helps to improve healthcare revenue cycle management month in and month out.
Frequently Asked Questions
Find answers to the most common questions healthcare providers ask about our medical billing, coding and revenue cycle management services.
Revenue Cycle Management (RCM) is the financial journey commercial health care organizations go through to obtain reimbursement for care that is delivered, ranging from patient registration to patient eligibility verification, claims submission, payment posting, and AR follow-up.
Key stages include patient registration, eligibility verification, charge entry, coding, claims submission, payment posting, denial management, and accounts receivable follow-up.
A good revenue cycle management decreases denials, speeds up the time to payment, and cuts down on revenue leakage, all of which have a direct impact on cash flow and financial performance.
RCM can help to prevent most denials by confirming eligibility, adding accurate charges and codes and checking authorization requirements before claims are even sent.RCM’s ability to verify eligibility before submission and entering accurate charges and codes, as well as following up on authorization requirements prior to submission, helps to minimize the most common cause of denials.
Good practices involve data collection at the front-end, timely claim submission, denial and AR follow-up, and reporting to address repeat problems in an early stage.
