Healthcare revenue cycle management (RCM) is defined as the flow of provider, patient PHI, clinical, and financial data (PPC$) through people, processes, and a myriad of technologies. From a systems perspective, PPC$ data flows through multiple internal (provider) and external (payer) revenue cycle event-driven process chains (EPCs) via the electronic data interchange (EDI).
Inefficient Medical Billing can lead to overwhelming complexities. Achieving healthy RCM requires a strategy and results-driven implementation. Here is what our 4-step approach to healthy RCM looks like:
In taking a “holistic/cradle-to-grave” approach, our goal is to enable our clients to optimize their provider revenue cycle in achieving the revenue cycle management “triple aim” of improving system performance, accelerating cash flow, and increasing practice profitability in reducing the excessive administrative burdens often associated with medical practice billing.
Our Outcome driven “mini-assessment” of your revenue cycle involving insights into accounts receivables highlighting inefficiencies which might be present in your “upstream processes” such as: credentialing, enrollment, contracting, patient access, encounter processing, claim coding, claims submission, and more.
During our full revenue cycle management audit we review and scope out all of the multiple entry points involved in a provider revenue cycle pipeline. By leveraging process analysis, technology, and flexible reporting applications, we can map, combine, and display information in various forms providing medical practices with the ability to derive information from data, detect data patterns and correlations, and spot trends.
Our certified coders will examine patient encounters/medical records to determine what primary and ancilliary services we performed to determine if the documentation is compliant, medical coding is accurate, and if charges were entered correctly based on your carrier and/or contractor policy requirements. During a medical chart review/audit we can examine:
Reliance®
Reliance®
Reliance®
Reliance®
Reliance®
Certified professionals ensures accurate and compliant medical billing. We leveraging expertise in industry standards delivering comprehensive training in coding and claims submission.
We excel in professional communication, prioritizing clear, compassionate interactions with patients and providing regular updates on claims and billing, addressing any concerns promptly.
Reliance Medical Billing Services enhances billing efficiency with advanced technology, ensuring quick, accurate processing, minimizing errors, and maximizing reimbursements.
Reporting and analytics provide an in-depth analysis of billing performance and financial metrics, offering actionable insights for more informed decision-making and identifying areas for improvement.
Reliance Medical Billing Services greatly improved our payment recovery with careful analysis, smart planning, and persistent follow-up. This has significantly boosted our finances. Their dedication and expertise are invaluable. Highly recommended!
Behavioral Health
Practice
More efficient understanding of RCM management was the goal...The Reliance team made it simple to understand. Don't miss an opoortunity to work with these professionals.
Orthopedic Care
Practitioner
Our experience with Reliance was great. They offer precise ICD-10 and CPT coding, benefiting our pain management clinic with specialty-specific expertise, regular audits, and continuous training, ensuring seamless billing for our staff.
Pain Management
Practice
