Rakvih - RCM

Revenue Cycle Management(RCM)

RCM at Rakvih

At RAKVIH Solutions, we recognize that the financial landscape of healthcare is complex and constantly evolving. Our specialized Revenue Cycle Management (RCM) services empower healthcare providers to optimize their financial performance while focusing on delivering exceptional patient care. By streamlining the entire billing and collections process, we help you improve cash flow, reduce administrative burdens, and enhance overall efficiency.

We specialize in providing outsourced professional medical billing and revenue cycle management services for healthcare providers. As your comprehensive billing partner, we offer expertise in medical billing, coding, and accounts receivable (AR) management to streamline your operations and maximize efficiency.

What Sets Us Apart?

At RAKVIH Solutions, our mission is to empower healthcare providers to achieve financial success while maintaining a focus on patient care. We are committed to providing high-quality RCM services that enhance operational efficiency, reduce administrative burdens, and ensure compliance with industry regulations.

Customized Solutions

We understand that each healthcare provider has unique challenges. Our solutions are tailored to meet your specific needs, ensuring you get the most out of our services.

Transparency and Communication

We prioritize open communication with our clients, providing regular updates and reports on your financial performance. You can rely on us for timely information and insights.

Focus on Compliance

Our processes are designed to meet the highest standards of compliance, helping you navigate the ever-changing regulatory landscape of healthcare.

Streamlining Revenue Cycle Management for Healthcare Success

Discover More

About Revenue Cycle Management (RCM)

Revenue Cycle Management (RCM) refers to the financial process used by healthcare providers to track patient care episodes from registration and appointment scheduling to the final payment of a balance. It encompasses every step in the patient’s healthcare journey, ensuring that providers are reimbursed for their services efficiently and accurately.

Comprehensive Revenue Cycle Management Solutions

At RAKVIH Solutions, we offer a complete suite of RCM services designed to optimize your healthcare organization’s financial performance. Our services include:

End-to-End RCM Services

⯈ We manage the complete revenue cycle process, from patient registration to final collections, ensuring a seamless experience that maximizes revenue.

⯈ Our integrated approach allows for efficient communication and collaboration across departments.

Coding Services

⯈ Our certified coders ensure accurate and compliant coding of all services provided, maximizing reimbursements and reducing compliance risks.

⯈ We stay updated with the latest coding guidelines and regulations to ensure accuracy in billing.

Billing and Collections

⯈ Our billing specialists handle all aspects of the billing process, from generating invoices to following up on unpaid claims.

⯈ We implement best practices to reduce billing errors and improve collection rates.

Denial Management

⯈ Our team analyzes denied claims to identify root causes and implement corrective actions.

⯈ We handle the appeals process to recover lost revenue, ensuring that you receive payment for the services rendered.

Consulting Services

⯈ We provide strategic consulting to help healthcare providers optimize their revenue cycle processes.

⯈ Our experts conduct assessments, identify inefficiencies, and recommend solutions tailored to your organization’s needs.

Reach out

Patient Registration

⮞ Gather accurate patient demographics and insurance information at the time of service to avoid issues later in the cycle.

⮞ Utilize automated tools to ensure that data entry is efficient and precise.

Insurance Verification

⮞ Verify insurance coverage and eligibility before services are rendered to minimize claim denials.

⮞ Keep track of benefits, co-pays, and deductibles, ensuring that patients are informed of their financial responsibilities upfront.

Charge Capture

⮞ Accurately document all services and procedures performed to ensure appropriate billing..

⮞ Implement electronic systems to reduce errors and increase accuracy in charge capture.

Claims Submission

⮞ Submit claims to insurance payers in a timely manner using electronic claims submission systems.

⮞ Follow up on claims to ensure they are processed quickly, reducing the time spent in accounts receivable.

Payment Posting

⮞ Record payments received from both patients and insurance companies accurately and efficiently.

⮞ Reconcile accounts to ensure that all transactions are accounted for and discrepancies are resolved promptly.

Accounts Receivable Management

⮞ Monitor outstanding accounts and aging reports to identify unpaid claims.

⮞ Proactively follow up on unpaid balances with patients and insurance companies to expedite collections.

Reporting and Analytics

⮞ Generate detailed financial reports that provide insights into key performance indicators, revenue trends, and areas for improvement.

⮞ Utilize analytics to identify potential issues and optimize the revenue cycle process continuously.