Accelerate Your Cash Flow with Adean RCM Services

At Adean Medical Billing, we understand that maintaining a healthy cash flow is crucial for the success of your healthcare practice. Our Revenue Cycle Management (RCM) Services are specifically designed to accelerate your cash flow by optimizing every step of the revenue cycle. From patient registration to final payment posting, we employ advanced technologies and proven methodologies to ensure timely and accurate billing. Partner with Adean RCM Services to streamline your revenue cycle and focus on what you do best—providing exceptional patient care.

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	In House Billing	Adean Billing	Results
Charges	$150,000	$150,000
Gross Collection Rate	$75,000	$97,500 (65%)	15% increase in gross Collection
Billing Costs	$6,000	$3,500	25,00 descrease in monthly cost for billing

Revenue Cycle Management

What is Revenue Cycle Management for Healthcare Providers?

Revenue cycle management (RCM) for healthcare providers refers to the process of managing the financial aspects of a patient’s visit to a healthcare Practices, from Patient appointment scheduling to claims processing and payment collection. It covers everything from a patient’s initial appointment to the finalized payment by the payer.

The RCM process involves multiple steps, including, Patient Registrations, Pre-authorizations, submitting medical billing claims to insurance companies, assigning appropriate medical codes to procedures, converting medical services into billable charges, and collecting payments from patients for any outstanding balances. Further details about the RCM process are provided later in the article.

HealthCare RCM

Revenue Cycle Management Process

Finding a best and efficient RCM services provider is a big headache for healthcare Professionals. Thousands of Medical Billing companies are operating in the USA. Adean Medical Billing Solutions LLC is a company that has already rendered the problems you might be facing. Just Talk with us if you want to achieve handsome revenue each month, We are the best to Develop Health care business. Our Experts knows the basic requirements to healthcare Business growth. We have initiated our process through which you can take the idea of how we get on to your goals. Our RCM process is demonstrated below for your assistance:

Appointment Scheduling

The first step in the revenue cycle management process is scheduling an appointment with the patient. This involves collecting their personal and medical information, such as name, date of birth, insurance details, and reason for the visit.The demand for virtual assistants continues to increase, and appointment scheduling is one area where virtual receptionists excel.

Patient Registration

After scheduling an appointment, the patient must complete registration forms that include their demographic and medical information. This data is used to verify eligibility and benefits, as well as to provide accurate billing.

Eligibility and Benefits Verification

Healthcare providers must verify patients’ insurance coverage and benefits to determine their payment responsibility. This involves checking the patient’s insurance plan for co-pays, deductibles, and other payment details.

Utilization review

Utilization review ensures that healthcare services provided to patients are medically necessary and meet insurance coverage criteria. This review is conducted to prevent unnecessary treatments that may result in claim denials or non-payment.

Referral and Authorization

Some insurance plans require a referral or authorization from a primary care physician or insurance company before receiving specialty care or services. The healthcare provider must ensure that the patient has obtained the necessary referral or authorization before rendering services

Patient Registration

Healthcare providers must provide a detailed description of the charges incurred during a patient’s visit. This includes services rendered, medications prescribed, and any medical devices used.

Coding and Billing

The coding and billing step involves assigning appropriate codes to medical procedures and services, ensuring that the claim accurately reflects the care provided. This process helps to avoid claim denials or incorrect payments.

With the continuouschanges in billing codesand administrative practice personnel under constant pressure, ideal conditions are created where revenue can leak from the practice. This is where revenue cycle management specialists like Neolytix remain focused due to their extensive resources and expertise

Charge Posting

Healthcare providers first submit charges to the patient’s insurance company.
Any remaining balance after insurance pays is then billed to the patient.

Submitting Claims

After providing care, healthcare providers record the services and charges.
Once this is done, the claim is submitted to the patient’s insurance company.
This claim details the services provided and the associated costs.

Clearinghouse Denials

Clearinghouses act as intermediaries between healthcare providers and insurance companies.
They help manage the claims process, including tracking and addressing claim denials.
This helps providers improve efficiency and increase the chances of successful claims.

Payment Posting

After the insurance company approves the claim, the payment is posted to the patient’s account. This step ensures that the patient’s account balance reflects the payment received.

Denial Management

Denial management involves resolving any claim denials or issues that may arise. Healthcare providers must identify the cause of the denial and take the necessary steps to resubmit the claim for payment.

Secondary filing

If the initial claim is denied, the healthcare provider may need to file a secondary claim with the patient’s secondary insurance provider. This step ensures that the healthcare provider receives payment for the services rendered.

Accounts Receivable

The accounts receivable step involves managing the patient’s outstanding balances. This step ensures that the patient’s account remains up-to-date and that the healthcare provider receives payment for the services rendered.

Patient Billing Collections

The final step of the revenue cycle management process is patient billing collections. This step involves sending out statements or invoices to patients for outstanding balances. The healthcare provider may also work with a collection agency to collect payment

Why you Choose Adean Medical Billing Services?

Get Paid Faster with Cost-Efficient
100% HIPPA Compliance
We ensure 99.9 % successful claim acceptance.
We offer result-oriented medical billing solutions.
Decrease Aging
We provide customized billing solutions at affordable rates
We can optimally handle billing processes of more than 50 specialties.
We can manage and reclaim your denied or rejected claims.

What is revenue cycle management (RCM)?

Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance to ensure proper identification, collection and management of revenues from patient services

How do you manage RCM?

Improve Appointment Scheduling.
Automate Patient Eligibility Verification.
Verify Payment Processes Up Front.
Modernize Claims Processing.
Outsource Medical Billing.
Manage Claim Denials.
Track & Follow Up on Claims.

What is the process of RCM?

The following activities are involved in the revenue cycle: charge capture, claim submission, coding, patient collections, preregistration, registration, remittance processing, third-party follow-up and utilization review.

What is healthcare revenue cycle management?

Why is Revenue Cycle Management Important?

Revenue Cycle Management (RCM) is crucial because it ensures that healthcare providers get paid for the services they deliver. Effective RCM streamlines the billing process, reducing errors and delays in payment. It helps manage claims efficiently, minimizes denials, and ensures accurate reimbursement. RCM also improves financial stability by maintaining consistent cash flow, which is essential for the operational viability of healthcare facilities. By optimizing revenue collection, RCM enables providers to focus on patient care, enhancing overall healthcare quality.

Can Adean's RCM services integrate with existing practice management systems?

Yes, Adean's RCM services are designed to seamlessly integrate with existing practice management systems. This allows for efficient data exchange and collaboration between different components of the revenue cycle, ensuring a smooth workflow and accurate financial reporting.

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Accelerate Your Cash Flow with Adean RCM Services

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Boost Profitability Up to 30%In Next 12 Months With Adean's Medical Revenue Service

What is Revenue Cycle Management for Healthcare Providers?

Revenue Cycle Management Process

Appointment Scheduling

Patient Registration

Eligibility and Benefits Verification

Utilization review

Referral and Authorization

Patient Registration

Coding and Billing

Charge Posting

Submitting Claims

Clearinghouse Denials

Payment Posting

Denial Management

Secondary filing

Accounts Receivable

Patient Billing Collections

Why you Choose Adean Medical Billing Services?

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