Revenue Cycle Management Outsourcing

Glossary

How much money are you losing to timely filing? PulseRCM can stop the flow of lost revenue. If you’re looking into revenue cycle management outsourcing, Pulse has you covered. You can count on our medical billing system to carefully track patient care visits from the time they enter your system to their final payment.

An RCM Company Like No Other

What makes Pulse unique is that we offer end-to-end solutions. That means we handle everything from transcription to payroll, ensuring information transfer doesn’t get spotty between multiple outsourcing companies. That’s right—we handle the denials as well as mailing the bills. We also minimize the need for your internal employees to process payments, so you can  focus on delivering high quality care. We don’t just talk the talk though; we offer a contractual guarantee to boost your collected revenue!

Revenue Cycle Management Outsourcing operation with doctors

Why Revenue Cycle Management Outsourcing?

Think about the hours you invest in your current revenue cycle system. Now, imagine being able to allocate that time to more important things (like building patient relationships) while still receiving first-time claim acceptance at a 98% rate. PulseRCM provides comprehensive claims scrubbing rules and optimal billing rates to ensure you get paid on time. Our advanced medical billing technology covers:

  • Payment automation
  • Denial management
  • Status checking to payer
  • Dashboards/analysis
  • Proactive timely filing

RCM marries the business and clinical sides of healthcare; our software collects administrative data such as insurance provider information and aligns it with the patient’s treatment information and healthcare data. With all this data in one place, we can easily reach out to health insurance companies with the patient’s care summary and correct coding. From there, we send a bill for the difference to the patient. Let your employees focus on patient relations and leave the RCM process to expert automation.

revenue-cycle-management-klas-results

What is Revenue Cycle Management?

Good question! Revenue Cycle Management is composed of charge capture, claim submission, coding, patient collections, preregistration, registration, remittance processing, third-party follow up and utilization review. Phew, that seems like a lot! We’ll go through each of these steps to help you better understand the services you’ll be able to take advantage of with revenue cycle management outsourcing.

Charge capture is rendering medical services into billable charges. It helps groups of billers and coders stay on top of insurance verification and review medical documentation. Because of this streamlining, you maximize revenue potential and get the most accurate and specific ICD-10 codes. In a nutshell, charge capture cuts down on lost or missed charges, eliminates face sheets, and speeds up the revenue cycle.

Claim submission is submitting claims of billable fees to insurance companies. This is done electronically, so papers don’t get lost in the mail. When the claim has been received for processing, the insurance company will make sure the patient’s policy matches for eligibility. If it’s determined that these services are covered, the insurance will pay that amount of the bill.

Coding – Part of RCM is properly translating diagnosis and procedures into universal medical alphanumeric code. These codes are taken from medical record documentation (such as a transcription of notes). Those who specialize in medical coding ensure the codes are accurately applied during the billing process. This procedure requires abstracting info from documentation, assigning the correct codes and creating a claim. This claim is then paid for by insurance carriers. For a private practice to get paid, they must code accurately. That’s where we come in!

Patient collections involves determining the patient’s balances and collecting this payment from them.

Preregistration is the process of collecting preregistration information, like insurance coverage, prior to a patient’s arrival.

Registration is the process of collecting subsequent patient information during patient onboarding to confirm a medical record number and meet regulatory, financial and clinical requirements.

Remittance processing is the processing and clearing of payments associated with paying a bill. With our software, you’ll be able to increase cash flow, have easy access to payment data, and reduce float time if you have payments coming from remote offices.

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
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