Revenue Cycle Management for Healthcare Practices

Revenue Cycle Management for Healthcare Practices

Overview

Revenue Cycle Management (RCM) is the backbone of a financially healthy medical practice. By streamlining everything from patient eligibility and coding to AR follow-ups and collections, RCM ensures that healthcare providers focus more on patient care and less on paperwork. At EZ Settle Solutions, we provide full-spectrum RCM services tailored to the unique needs of medical practices across specialties.

Key Benefits

• Significant reduction in claim denials and rejections through accurate charge entry and coding
• Enhanced collections and revenue optimization using advanced analytics
• Improved turnaround time with automated submission and payment posting processes
• End-to-end support including credentialing, preauthorization, and compliance
• Seamless integration with your existing EMR/EHR systems and technology stack

Revenue Cycle Management Services

Our comprehensive RCM services cover every step of the revenue cycle:

• Eligibility Check and Benefit Verification: Beyond standard eligibility, uncover hidden coverage barriers early
• Coding: Certified AAPC and AHIMA coders ensure accuracy and compliance across all specialties
• Claim Submission and Transmission: Boost clean claim percentage with automated checking and scrubbing
• Payment Posting: Accelerated cash flow with timely and accurate posting of payments
• Denial Management: Effectively decrease denials and recover underpaid or ignored claims
• Accounts Receivable Management: Strategic AR follow-up to slash outstanding balances

End-to-End Collections

Our end-to-end collections strategies leverage AI-driven workflows, automated RCM bots, and a specialized team to increase net collections and reduce aging AR. Focused efforts on underpaid claims and secondary payers ensure no revenue is left behind.

Coding Assistance

Our coding assistance utilizes 1500+ certified coders with deep expertise in specialties including orthopedics, gastroenterology, mental health, radiology, and ophthalmology. Each coder is trained to interpret medical necessity and payer-specific rules, providing compliant and optimized code sets.

Additional Benefits

• Dedicated client success managers and support for multi-location practices
• Credentialing and preauthorization workflows built around payer requirements
• Real-time analytics and dashboards to track key metrics and goals
• Compliance with HIPAA, ANSI 837 formats, and evolving payer rules
• Scalable infrastructure with coverage across 40 states and 3 global delivery centers

Results You Can Trust

With over 45 million successful transactions and $17 billion in processed claims, EZ Settle Solutions delivers measurable outcomes. Our clients consistently report improvements in reimbursements, reduced AR days, and streamlined workflows. Visit our insights hub to read more about the success we’ve helped practices achieve.