Revenue Cycle Management
Maximum Reimbursement, Reduce Denials, and Unlock Potential Revenue.
Overwhelmed by Complex Billing Processes? - Choose the level of RCM services for your specific needs.
Are you Struggling with High Claim Denial Rates? Facing Inefficiencies in Payment Posting? Losing Revenue Due to Poor Patient Collections? Or frustrated with any of the many challenges in Healthcare Revenue Cycle Management? – Let our managed RCM services experts ensure you get maximum reimbursement, reduce denials, improve collections, and enhance the overall performance of your revenue cycle.
What Does This Mean for You?
✔ More time for patient care – Focus on your patients, not billing headaches.
✔ Improved cash flow – No more chasing payments or worrying about slow reimbursements.
✔ Less stress – Our expert team handles the complexities of medical billing for you.
Revenue Cycle Management Services:
- Collecting and verifying patient demographic information (name, date of birth, insurance details, etc.).
- Ensuring accurate entry of patient data into electronic health records (EHR) or billing systems.
- Maintaining confidentiality and compliance with HIPAA regulations.
- Verifying patient insurance coverage and eligibility before medical services are provided.
- Determining co-pays, deductibles, and coverage limits to avoid claim denials.
- Checking for pre-authorization requirements for certain procedures.
- Charge entry refers to the process of entering the coded information into your billing system.
- Accurate charge entry is essential to minimize the chances of claim denials, as well as to prevent underbilling or overbilling issues.
- Preparing and submitting insurance claims electronically or manually to payers (insurance companies, Medicare, Medicaid).
- Ensuring claims meet payer-specific guidelines to prevent rejections or delays.
- Handling claim submissions for multiple insurance plans, including primary, secondary, and tertiary payers.
- Recording payments received from insurance companies and patients.
- Applying payments accurately to patient accounts.
- Identifying and addressing any discrepancies in payments, such as underpayments or overpayments.
- Analyzing reasons for claim denials or rejections and correcting errors.
- Re-submitting corrected claims promptly to recover lost revenue.
- Communicating with insurance companies and patients to resolve discrepancies.
- Filing appeals for denied claims to maximize reimbursements.
- Gathering supporting documentation, such as medical records, to strengthen appeals.
- Following up with payers on the status of appeals.
- Sending invoices or statements to patients for outstanding balances.
- Offering multiple payment options to patients, such as online payments, checks, or credit cards.
- Managing collections for unpaid patient bills, including reminders and negotiations.
- Providing detailed financial and operational reports to healthcare providers.
- Generating reports on revenue cycle metrics like claim rejection rates, collection rates, and account aging.
- Offering insights to improve financial performance and efficiency.
Why Choose our Revenue Cycle Management Services
Faster Payments, Higher Revenue
97% first-pass claims rate for faster, accurate reimbursement. Expert denial management, recovering up to 20% more on denied claims.
Transparent Processes & Powerful Reporting
Advanced real-time analytics provide full visibility into your revenue cycle. Actionable insights help you make informed financial decisions with confidence.
Comprehensive Insurance Verification
Errors are caught before they happen with our real-time eligibility verification, reducing claim denials and ensuring timely reimbursements.
Patient-Friendly Billing & Collections
Clear statements and various payment options enhance patient collections. Trained specialists handle sensitive financial discussions.
Customizable to Practice Needs
Whether you’re a solo provider or a multi-specialty group, our RCM services are customized to fit your needs. As your practice grows, our solutions scale with you.
100% HIPAA Compliant & Secure
CareTracker is built on cutting-edge, Tier III infrastructure, ensuring your data is safe, secure, and always accessible.
Registration and Eligibility Verification
Collect patient information, verifying insurance coverage in real-time, and obtaining necessary pre-authorizations before rendering services to prevent claim rejections and delays.
Claims Processing and Management
Minimizes errors, reduce denials and ensure faster reimbursement by verifying the accuracy of claims, ensuring compliance with payer requirements, and submitting them promptly.
Denial Management and Appeals
Ensure timely appeals and address root causes to prevent future denials. Proactively identify denial trends, correct errors, and resubmit claims quickly to maximize revenue recovery.
Patient Billing and Collections
Enhance patient satisfaction by providing clear, accurate billing statements, offer multiple payment options, and employ patient-friendly billing practices to improve collections.
Payment Processing
Streamline payment processing and boost cash flow with our integrated solutions, including electronic payments, patient billing, and real-time payment posting to maximize cash flow.
Analytics and Reporting
Gain actionable insights with our robust analytics and reporting tools. Track KPIs, monitor financial trends, and make data-driven decisions to optimize your revenue cycle.
What Our Customers Say About Us
For the past 23 years, my billing services have been expertly managed by a dedicated team. Their work has consistently met the highest standards, and I appreciate the quality and friendliness of their people. I recommend this excellent medical billing service without reservation.
We chose Harris CareTracker for our office because of its cost-effectiveness and since changing to them, we have seen a significant increase in our monthly savings. The standout feature has been the excellent customer support and training!
Harris CareTracker has transformed my ability to manage operations effectively across the Front Office, Billing, and Clinical workflows. Thanks to the detailed personalized training and ongoing support from the CareTracker team, I now navigate the system confidently and efficiently, greatly enhancing our practice’s capabilities.
It’s really easy to use Harris CareTracker Practice Management. Very easy to learn.
We have used Harris CareTracker in our practice for 5 years, and it has been a wonderful experience. The trainers and on-going support teams are knowledgeable, accessible, and quick to respond to queries. They provided easy-to-follow step-by-step guidance for using the software. They never failed me. I highly recommend CareTracker for practices of any size.
Get Started Today
At Harris CareTracker we believe in building relationships that extend beyond mere transactions. We view our services as a partnership, aiming to be an integral part of your practice’s success. Our team is dedicated to your growth, offering not just services but a platform for continuous improvement and success.
Ready to optimize your returns and shorten your revenue cycle. Contact us today to learn more about our Revenue Cycle Management services and discover if our services is the right fit for you.