Maximize Revenue. Increase Efficiency.
Healthcare Revenue Cycle Management
Transform your revenue cycle with effective RCM solutions designed to streamline operations, accelerate cash flow, and reduce administrative burden.
Transform your revenue cycle and strengthen your bottom line
Revenue Cycle Outsourcing
Proven services that optimize performance across the full revenue cycle—staffed by industry experts who treat your goals like their own.
RCM Technology
Scalable, HFMA Peer Reviewed® software to streamline billing, improve visibility, and simplify workflows for your team.
AR Recovery Services
Maximize returns on aging accounts with our specialized recovery service that blends automation with experienced collections staff.
Patient Access & Financial Clearance
Ensure accurate upfront collections and eligibility with tools and processes that improve the patient experience and reduce denials.
Revenue cycle complexity is rising. We make it manageable.
Optimize your revenue cycle with HFMA Per Reviewed solutions that boost efficiency, cut costs, and empower your tam to focus on patient care.
Billing and Invoicing
Streamlines healthcare business operations for consistent revenue and efficient cash flow, freeing up time for essential tasks.
Claims Management
Automates error identification, ensuring a 97% first-pass clean claim rate, and frees up staff for other projects.
Contract Management
Ensures accurate claims, streamlining reimbursement monitoring and validation for improved contract control, workload efficiency, and cash flow.
Denial Management Solutions
Identify and eliminate claim denials’ root causes, ensuring a streamlined revenue cycle and maximizing cash collection.
Medical Clearing House Claims
Guarantees error-free, fast reimbursement by electronically transmitting prescreened medical claims data to insurers in HIPAA-compliant secure connections.
Medical Coding Services (HFMA Peer Reviewed)
Expert medical coding with 95% accuracy, swift turnaround times and customizable solutions to improve cash flow.
Patient Access
Streamlines provider tasks with a comprehensive suite for scheduling, referrals, estimates, propensity to pay, and self-pay collections.
Revenue Cycle Assessment and Analysis
Delivers a swift, non-disruptive financial audit, revealing hidden issues and threats, along with a custom plan for immediate implementation.
Revenue Cycle Management
FAQ
-
Revenue cycle management begins at the time of patient scheduling or pre-registration, when insurance verification and patient information collection first occur. This is one reason why good EHR practices can enhance your RCM. The cycle then progresses through medical coding and charge capture, through claims processing and payment capture.
-
An organization can improve revenue cycle management by streamlining patient registration, verifying insurance early, using accurate coding and billing practices, automating claims processing, reducing denials through proactive follow-up, and regularly analyzing performance metrics to identify areas of revenue leakage. Further, tailoring rcm to your specific needs and business size is important, along with following the latest best practices and trends.
-
Revenue cycle management is essential in healthcare because it ensures providers are paid accurately and promptly for their services. Given the number of steps and external parties involved in healthcare billing and collection, a streamlined process is essential to keep cashflow healthy and improve the overall patient experience in the process. It helps maintain financial stability, reduces billing errors, minimizes claim denials, and improves the overall patient experience by making billing more transparent and efficient.
-
Outsourcing revenue cycle management allows healthcare organizations to reduce administrative burden, improve billing accuracy, accelerate reimbursements, and gain access to specialized expertise and technology. It can also lower operational costs and allow staff to focus more on patient care.
-
End-to-end revenue cycle management refers to the complete process of managing a patient’s financial journey—from appointment scheduling and insurance verification to coding, billing, claims processing, payment collection, and final account resolution. It ensures every step is optimized to maximize revenue and improve efficiency.
-
Effective revenue cycle management improves patient satisfaction by ensuring accurate billing, transparent pricing, faster claims processing, and fewer billing errors or surprises. When the financial experience is smooth and clear, patients are more likely to trust and return to their healthcare provider.
Sweetwater Hospital Strengthens Billing Performance
Sweetwater filled a critical knowledge gap in its business office, stabilized cash flow, and saw measurable results almost immediately. With TruBridge’s deep understanding of their EHR and a long-standing partnership built on trust, Sweetwater transformed its revenue cycle operations and gained new confidence in financial forecasting.
Resources
