US Medical Billing RCM Process

US Medical Billing & RCM Services

At RAKVIH Solutions Private Limited., we offer end-to-end US Medical Billing and Revenue Cycle Management (RCM) services designed to streamline your operations, maximize reimbursement, and minimize financial risk. Our comprehensive suite of services is tailored to meet the unique needs of each client, ensuring that your practice or healthcare organization runs efficiently and stays compliant with ever-changing regulations.

Our US Medical Billing & RCM Services Include:

Patient Registration & Verification

We ensure accurate patient demographic information, insurance verification, and eligibility checks before services are provided. This reduces claim denials and speeds up the billing process.

Coding & Documentation

Our certified coding specialists follow the latest CPT, ICD-10, and HCPCS guidelines to ensure proper coding. We work closely with healthcare providers to ensure that all medical records and documentation are accurate, complete, and compliant.

Charge Entry & Claim Submission

We accurately enter charges into your billing system and submit claims to insurance companies, government programs, or payers. Our team ensures that claims are submitted promptly, and any errors are addressed before submission to reduce the chance of denials.

Denial Management & Appeals

We specialize in identifying and addressing claim denials. Our team proactively handles appeal processes, working with payers to resolve issues and secure maximum reimbursement. We stay up-to-date with payer policies to ensure accuracy in all claims.

Payment Posting & Reconciliation

We track and post payments to your system and reconcile them with your bank deposits. This ensures that your practice is paid timely and accurately, helping you to identify any discrepancies or missing payments.

Patient Billing & Collections

We handle patient billing with precision, ensuring that bills are clear, accurate, and easy to understand. Our team manages patient collections efficiently and professionally, ensuring timely payments while maintaining strong patient relationships.

Reporting & Analytics

Our team provides detailed reports on key performance indicators (KPIs) for your practice. We offer insights into revenue cycles, payer trends, and financial performance, helping you make data-driven decisions to improve your bottom line.

Compliance & Risk Management

RAKVIH Solutions ensures all billing and coding processes comply with HIPAA, CMS, and other regulatory standards. We keep your practice protected from audits and penalties by maintaining strict compliance with healthcare billing laws.

At RAKVIH Solutions, we work as an extension of your team, providing the support you need to focus on patient care while we manage the financial side of your business. Whether you’re a small practice or a large healthcare facility, we offer flexible, scalable solutions that are designed to grow with your business.