M Y S T E F O

RCM Services

Our Revenue Cycle Management Services

We provide end-to-end solutions to streamline your billing processes and maximize revenue collection.

Patient Registration & Eligibility

Comprehensive patient data collection and insurance eligibility verification to ensure accurate billing.

Medical Coding

Accurate ICD-10, CPT, and HCPCS coding by certified professionals to maximize reimbursement.

Claims Submission

Timely electronic claims submission with scrubbing to reduce denials and accelerate payments.

Denial Management

Proactive denial prevention and management to recover lost revenue and reduce write-offs.

Payment Posting

Accurate and timely payment posting with reconciliation to ensure proper revenue tracking.

Analytics & Reporting

Comprehensive reporting and analytics to identify revenue opportunities and operational improvements.

The Revenue Cycle Management Process

Understanding the complete revenue cycle is essential for optimizing financial performance in healthcare.

Patient Pre-registration

Collecting patient demographic and insurance information prior to the appointment to ensure accuracy and eligibility.

Registration & Check-in

Verifying insurance coverage, collecting copays, and updating patient information at the time of service.

Charge Capture

Documenting services provided and translating them into billable charges using appropriate medical codes.

Claims Submission

Preparing and submitting clean claims to insurance payers electronically with all required documentation.

Remittance Processing

Receiving and processing Explanation of Benefits (EOBs) or Electronic Remittance Advice (ERAs) from payers.

Insurance Follow-up

Tracking claims status, resolving denials, and appealing rejected claims to ensure maximum reimbursement.

Patient Billing

Generating and sending patient statements for balances after insurance payment, with clear explanations.

Payment Posting

Recording payments from both insurance companies and patients, reconciling accounts, and posting adjustments.

Benefits of Our RCM Services

Partner with us to transform your revenue cycle performance and financial outcomes.

Increased Revenue

Maximize collections with reduced denials and faster payment turnaround.

Reduced Costs

Lower operational expenses by eliminating billing staff overhead and technology investments.

Faster Payments

Accelerate cash flow with efficient claims processing and follow-up.

Compliance Assurance

Stay current with changing regulations and coding requirements.

Focus on Patient Care

Free up your staff to concentrate on providing quality healthcare services.

Actionable Insights

Gain valuable data and analytics to make informed business decisions.

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