REVENUE CYCLE
MANAGEMENT
REVENUE CYCLE MANAGEMENT
From insurance verification and prior authorization to the final payment of a balance, we can help you simplify your revenue cycle management
REVENUE CYCLE SERVICES THAT ENSURE ACCURACY AND RESULTS
Healthcare providers rely on Health Sapiens outsourced RCM services to ensure their claims are completed accurately and fully paid on time for maximum revenue and cash flow:
REVENUE CYCLE MANAGEMENT (RCM)
CREDENTIALIZING
Starting or expanding, we’ve got your back. Our credentialing process is quick and professional. We will keep you informed on the status of the paperwork.
BILLING AUTHORIZATION
Support with the coding of complex cases for risk adjustment, such as HCC coding.
BILLING DENIAL EDITS AND APPEAL
Review of coding-related denials to identify coding errors, perform necessary coding edits, and manage the appeals process for both professional and hospital coding.
INSURANCE / PAYER NEGOTIATION
Assessment will be provided after reviewing your current insurance enrollment plan. We will provide personalized recommendations for updated fee schedules and reimbursement terms and ensure ongoing monitoring throughout the negotiation process.
PROFESSIONAL BILLING/CODING
Expert coders use custom proprietary workflow tools for better, smarter, and faster coding.
PROFESSIONAL BILLING/CODING
Expert coders use custom proprietary workflow tools for better, smarter, and faster coding.
CLINICAL DOCUMENTATION INTEGRITY
Thorough review of clinical documentation to identify missing information, place physician queries, and recommend improvement opportunities.
SEAMLESS EHR INTEGRATION
Your EHR should work for you, not the other way around. We will advise on proper integration ensuring seamless interoperability with our billing services. It’s about simplifying, not complicating.