Is your revenue healthy?
Strategic outsourcing solutions that leverage experts, proven processes, and technology to maximize revenue for your practice.
Pre-service
- Eligibility & Benefits Verification
- Prior Authorizations
- Credentialing
Charge Capture & Coding
- CPT/ICD Coding
- Charge Entry
- Missing Slips
Claim Generation
- Claim Scrubbing
- Hold Buckets
- Claim Rejections
Payment Posting
- Remittance Processing
- Underpayments
- Zero Payments
- Unpostables
A/R & Denials
- AR Follow-Up
- Denials Management
- Appeals
- Secondary Filings
- Patient AR
Reporting & Process Improvement
- Custom Reporting
- EMR Implementation
- Consulting Services
- EMR Consulting
Healthcare Excellence Through Experience
Our collective expertise spans revenue cycle management and healthcare public policy. We deliver responsive, personalized service through three core pillars that form the foundation of everything we do.
We are committed to ensuring your practice maximizes every dollar of collectible revenue while you focus on providing exceptional patient care.
Skilled Professionals
Dedicated experts with deep industry knowledge and proven expertise in healthcare revenue cycle management.
Robust Processes
Proven workflows that ensure consistency, compliance, and optimal outcomes across all billing operations.
Proprietary Knowledge
Custom workflow infrastructure and institutional knowledge refined over years of healthcare billing expertise.
Expertise on 30+ EMRs
and Billing Platforms
Our team has extensive experience working with leading EMR and billing platforms, ensuring seamless integration and optimized revenue cycle management.
RCM Services
Comprehensive revenue cycle management solutions tailored to your healthcare practice.
Eligibility Verification
Real-time insurance verification and benefits validation with prior authorization management and patient eligibility reporting.
- →Real-time insurance verification
- →Benefits and coverage validation
- →Prior authorization management
- →Patient eligibility reporting
CPT & ICD-10 Coding
Expert diagnostic note interpretation and comprehensive coding accuracy aligned with CPT and ICD-10 compliance standards.
- →CPT and ICD-10 compliance standards
- →Validation of superbill codes
- →Expert diagnostic note interpretation
- →Comprehensive coding accuracy
Charge Entry
24-hour electronic submission with fee schedule verification, patient demographic validation, and same-day rejection resolution.
- →Fee schedule verification
- →Patient demographic validation
- →24-hour electronic submission
- →Same-day rejection resolution
Claims Submission
Streamlined electronic submission with rigorous quality checks and first-pass acceptance optimization to minimize rejections.
- →Streamlined electronic submission
- →Rigorous quality checks
- →First-pass acceptance optimization
- →Rejection minimization protocols
Payment Posting
Daily posting and reconciliation with EFT/ERA enrollment facilitation and detailed tracking and payment trend analysis.
- →EFT/ERA enrollment facilitation
- →Daily posting and reconciliation
- →Detailed tracking and documentation
- →Payment trend analysis
Denial Management
Specialized appeals team with root cause analysis, secondary/tertiary claims expertise, and revenue recovery optimization.
- →Specialized Appeals Team
- →Secondary/tertiary claims expertise
- →Root cause analysis
- →Revenue recovery optimization
Key Performance Indicators
Clear KPI goals are vital for optimizing revenue cycles and maintaining financial stability across your practice.
Specialties We Serve
Deep specialty-specific expertise across the clinical areas that demand the most from your revenue cycle.
Best Practices
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Rev Health
Optimize your revenue cycle, reduce administrative burden, and focus on what matters most: patient care.