Our Revenue Cycle Management Expertise

Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance to ensure proper identification, collection and management of revenues from patient services. Financial stability is critical for healthcare organizations to stay in the business of helping patients. To ensure profitability and financial viability, they must properly collect and manage revenue. Equally important is having full visibility of their revenue cycle and revenue generation practices and processes, including billing, payment and claims processing. That's where revenue cycle management comes in.
RCM is the process of managing all revenue-generation functions in a healthcare organization. It requires an understanding of the revenue cycle and begins when a patient seeks the organization's medical services and ends when the organization has collected all payments from the patient and/or their insurer. In healthcare, the revenue cycle includes all the administrative and clinical functions that contribute to the capture, management and collection of patient service revenue. The following activities are involved in the revenue cycle: charge capture, claim submission, coding, patient collections, preregistration, registration, remittance processing, third-party follow-up and utilization review. They can also provide reports about healthcare costs and patient satisfaction to insurers, increasing the chances of receiving full reimbursement from payers and minimizing the chances of claim denials.