Revenue Cycle Management

As per the study by the American Medical Association (AMA), almost $15,000 per year is spent on investigating, reviewing and reworking the denied healthcare claims. Patient’s insurance eligibility issues are one of the most common reasons for claim denials. Insurance eligibility verification is the process of checking a patient’s health coverage and insurance eligibility to know the patient’s capacity to avail healthcare treatments and consultations.Our RCM services are customized with advanced patient insurance eligibility verification module. It helps providers to track the insurance eligibility in real-time for all private health plans, Medicaid and Medicare. To streamline healthcare revenue cycle management, we can include claims scrubbing module to identify errors in CMS1500 submissions. With custom healthcare RCM, a payer rule engine in compliance with HIPAA and health plan guidelines is made possible. Our healthcare revenue cycle management services help to automatically verify procedure-specific coverage, perks, and all out-of-pocket costs.

A revenue cycle for healthcare without advanced reporting module may have hidden problems that may grow worse with the time. Most healthcare revenue cycle management companies fail to focus on reporting that have long-term adverse effects on medical practice. HiTech Health can build a made-to-order healthcare revenue cycle analytics that has custom reports, including financial data, management information and key performance metrics to see if your business is meeting benchmarks.Our healthcare revenue cycle analysis solutions are capable of analyzing clinical and financial data from the data repositories, practice management systems, hospital information systems, medical billing systems and more. With in-depth healthcare revenue cycle analysis, you can find missed revenue opportunities, common coding errors, inadequate patient data capture, poor patient engagement and more. The healthcare revenue cycle analytics ensures intuitive data visualizations to understand the reports quickly.