Our robust ecosystem for cost and process optimization solutions will provide a reliable revenue stream for healthcare providers. Our partnership with your healthcare organization improves and accelerates reimbursements, prevents denials, fixes revenue leakage, and enhances patients' administrative experience. The extent of our services helps to:
- Reduce payroll & operational costs
- Accelerate cash & maximize shareholder value
- Improve patient & physician relationships
- Significantly reduce staffing issues and training time
- Holistically maximize business efficiencies
The transformation in your revenue cycle management is enabled by our cutting-edge technology and driven by reflective analytics; enabling physician practices, hospitals, and revenue cycle intermediaries to function with ease.
Revenue Cycle Management
One of the core facets of running a healthcare facility is effectively managing the revenue cycle. A smoothly running administrative department hugely helps a medical facility to continuously upgrade to world-class levels.
AT ONE GLANCE
The healthcare industry is an ever-evolving space and we complement that with our ever-expanding services that are tailored to your needs. Our team of experts have designed RCM solutions to facilitate patient care and significantly drive down unnecessary costs.
Denial and AR Management
With our timely AR follow-ups, expedite all collections; speed up the process with EOB processing that helps with ease of access to digital documents for denials. Receive improved and detailed reporting data.
Benefit & Eligibility Verification
Our unparalleled expertise in effective due diligence enables swift patient registrations, verification of benefits, patient insurance coverage, claim submission, and other details.
We review patient encounter documentation and translate it into precise Procedure (CPT) and Diagnosis Codes (ICD10). Outsourcing the work to us will enable you to improve patient care as our team continuously stays updated to maintain accurate code data.
Charge Capture, Posting, and Billing
Strengthen the core of the medical billing system and accelerate revenue growth through a process that comprehensively manages payments and significantly reduces denials.
To ensure that a medical billing functions effectively, there are a few RCM metrics that should perform at or above the baseline:
- Reimbursements received per week
- Days of payment
- Rate of denial, and
- Accounts Receivable from Insurance and Patients over 60 days
CIVXDATA, 2033 San Elijo Ave, #138 Cardiff by the Sea, CA 92007