Revenue Cycle Management

Revenue Cycle Management (RCM) is the financial process, using practice management technology, that healthcare businesses use to track patient care episodes from scheduling and registration, to services rendered, to payment and insurance claim processing, to final balance payment.

Pulse Revenue Cycle Management supports your financial functions with experienced, results focused, certified coders and billing and collections experts. Pulse Revenue Cycle Management is the perfect solution for physician practices that want to focus on delivering healthcare to their patients, while Pulse focuses on the financial health of your practice.

A Midwest Orthopaedic practice using Pulse Revenue Cycle Management is in the top 10% of their specialty, with a 98.7% clean claims submission rate on the first pass. Pulse handles all the follow-up on any claims that are denied or need to be reworked. They have realized an increase in their charges, a significant increase in receipts and fewer days in A/R.

revenue-cycle-management-klas-results

Earn more and get paid faster with Pulse RCM

Because Pulse’s Revenue Cycle Management uses comprehensive claims scrubbing rules, Pulse clients receive optimal billing rates and first time claim acceptance rates that average over 98%. Pulse Revenue Cycle Management clients benefit from higher collection rates, shorter payment cycles and reduced operation expenses. Pulse’s Revenue Cycle Management results are measured against and often exceed MGMA best-practice bench marks.

An easier way to get started

There are no start-up costs, no software licensing fees, no hardware or server investments and no ongoing maintenance or software upgrade fees. The Pulse Revenue Cycle Management cost-sharing model aligns with the success of the practice. Pulse Revenue Cycle Management has been delivering results for more than two decades, continuously striving for improvement through an ongoing process of measuring results, streamlining processes and developing advanced automation tools.

Complex payment processes simplified

The flow of payments between interested parties in the provision of healthcare services consists of a vast network of payers and payees. Even more complex is the relationship between the various parties involved. The complexity of payer rules requires constant maintenance and management for the claimant to receive payments in a timely manner and to maximize payments received. Failure to recognize these complex rules often results in unwarranted rejections of valid claims. Finally, failure to comply with payer rules can result in legal liability for those responsible for billing and collection. Historically, compliance with payer rules was dependent on either the ability or knowledge of the billing and collection specialist, or on the technology available to them.

Pulse puts the best people on the frontlines to work for you — to increase your collections and meet your reimbursement goals. In a 2016 independent study on Revenue Cycle Management services, Pulse ranked #1 across the industry for small practices. Our team of certified coders and billing specialists go above & beyond for our clients, providing weekly and monthly reporting of our results, based on your needs. Along with RCM services, our clients have access to our certified practice management and electronic health record solutions — all for a small percentage of what they collect. Let’s face it, your practice is busy! And with the constant churning of the healthcare landscape, it’s only getting busier. So partner with a company who’s been in the industry for 20 years and provides rapid deployment with the best quality solutions. Pulse Revenue Cycle Management includes:

  • Change coding, entry and review
  • Electronic claims submission
  • Electronic claims status
  • Electronic claims management
    • Payment posting
    • Re-filing of denied claims
    • Appeals of denied claims
  • Managing accounts receivable
  • Workflow and metrics analysis
    • Financial performance
    • Operations efficiency
  • Best practices comparison
  • Provider credentialing and registration with payers
  • Payer performance
    • Rankings
    • Negotiations
    • Compliance
  • Customized patient statements
  • Patient collections

Revenue Cycle Management Performance Metrics

Pulse Revenue Cycle Management supports your practice’s financial functions with experienced, results focused, certified coders, as well as billing and collections experts. Pulse Revenue Cycle Management is the perfect solution for physician practices that want to focus on delivering healthcare to their patients, while Pulse focuses on the financial health of your practice.

Because Pulse Revenue Cycle Management uses comprehensive claims scrubbing rules, Pulse clients receive optimal billing rates and first time claim acceptance rates that average over 98%. Pulse Revenue Cycle Management Services consistently deliver higher collection rates, shorter payment cycles and reduced operating expenses.

Revenue Cycle Management Help Physician Practices Make More Money

Simply put, Pulse Revenue Cycle Management helps physician practices by collecting more money! Pulse Revenue Cycle Management customers experience first time claim acceptance rates that average over 98%. And Pulse RCM customers realize an increase in their charges, a significant increase in receipts and fewer days in A/R — shorter payment cycles mean more money, faster!

Find out why practices have used Pulse for more than 20 years.

An intuitive system that works for you with a dedicated support team that knows you by name. That’s the Pulse difference.

  • Supplying electronic healthcare solutions since 1996
  • Top-ranking Revenue Cycle Management teams to improve your collections
  • Cloud or server-based product applications

 

Revenue Cycle Management

Free RCM Assessment

Identify revenue cycle managment problems with this 10 point assessement (Free, No Risk) worth over $3,500.

Get My Free RCM Assessment

Free RCM Assessment

Identify revenue cycle managment problems with this 10 point assessement (Free, No Risk) worth over $3,500.

 


You Will Also like this free download: Pulse RCM Testimonials


Revenue-Cycle-Management-Testimonials-Case-Study

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