Electronic Gateway
Between Payers & Healthcare Providers

REVENUE CYCLE MANAGEMENT

The healthcare revenue cycle relates to all of the processes, sub processes and enabling technologies associated with the initial patient registration through the collection of the amounts due. The impacted areas are inclusive of:

  • Pre-Registration/Registration
  • Financial Counseling/Insurance Verification
  • Charge/Visit Processing
  • Third-Party/Patient Bill Qualification/Billing
  • Account Follow-Up/Inquiry
  • Utilization Review/Case Management
  • Correspondence
  • Data Request Compliance
  • Payment Processing/Posting
  • Allowance (and Voucher/Remittance) Processing
  • Bad Debt Management
  • Management Reporting/Usage
  • E-claims
  • Reduced rejections
  • Real time validation
  • Real time eligibility
  • Integration with HIS & Practice management system (PMS)