Revenue Cycle Management Services

Revenue Cycle Management Services

Maximize revenue collection, minimize risks, and refocus resources on core activities. Our revenue cycle management services ensure compliance, accuracy, and reduced claim denials.

In the healthcare sector, maintaining financial stability while delivering exceptional patient care can often feel like walking a tightrope. The complexities may lead to errors, delays, and admin overheads. In addition, regulatory changes and high claim denial rates further impact the bottom lines of the healthcare centers. Our solutions, that includes medical billing, coding, and accounts receivable management, are geared to effectively address these challenges.

Our consultants navigate billing regulations, payer requirements, and best practices to ensure compliance. We stay updated with regulations and adhere to stringent measures for data security and confidentiality, with 100% HIPAA-compliant processes and certifications including ISO 27001 and SOC2. We specialize in accurate coding, documentation, and efficient claims management, increasing revenue collection and financial stability. Our track record of 99%+ quality and 98% of claims paid on the first pass highlights our efficiency.

We effortlessly manage any workload fluctuation, thus enabling you to handle demand spikes and our familiarity with practice management systems ensures seamless integration with your infrastructure. Outsource RCM services to us today to eliminate overheads, save resources, and enhance reimbursements. Contact us now for an initial, no-obligation consultation.

Client Success Stories

FWS Provided Cost-effective Revenue Cycle Management Services

Healthcare Account Receivable Services

A leading client was looking for a partner who could help them with accurate account receivable services. Our team provided the services within a quick time.

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FWS Provided Insurance Eligibility Verification to a Telemedicine Provider

Insurance Eligibility and Verification Services

A leading birth control telemedicine provider was looking for a service provider who could help them with insurance eligibility and verification services. Our team provided the services in no time.

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Clients Speak

A client was extremely happy with the medical billing revenue cycle management (RCM) services our team offered. They were able to spend more time taking care of their patients, while we took care of essential, complex tasks.

Your team has been doing a phenomenal job, and we really appreciate the load they are taking from us so that we can better focus on patient care.

Physical Therapy Business, Syracuse, Utah

Healthcare Revenue Cycle Management Services We Offer

We offer an array of specialized services tailored to meet the unique needs of billing companies, revenue cycle management firms, and other organizations in the healthcare sector. Our comprehensive solutions allow your organization to overcome revenue challenges, enhance patient care, and achieve operational excellence -

  1. Medical Claims Processing Services

    Medical Claims Processing Services

    Seamlessly navigate the intricate world of medical claims with our expert processing services. Our skilled team ensures accurate claim submissions, reducing denials and accelerating reimbursements.

  2. Accounts Receivables Services

    Accounts Receivables Services

    Enhance financial stability and cash flow with our dedicated accounts receivable management. Our proven strategies optimize collections and reduce outstanding balances.

  3. Insurance Eligibility Verification

    Insurance Eligibility Verification

    Minimize claim rejections and denials by leveraging our insurance eligibility verification services. We ensure accurate patient information and coverage details, enabling a smoother claims process and improved reimbursements.

  4. Denial Management Services

    Denial Management Services

    Tackle claim denials head-on with our comprehensive denial management solutions. Our experienced team identifies root causes, implements corrective measures, and ensures a higher percentage of claims get paid on the first pass.

  5. Accounts Receivable Conversion Services

    Accounts Receivable Conversion Services

    Transform your accounts receivable process for greater efficiency and accuracy. Our conversion services streamline data entry and billing, leading to reduced errors and improved overall revenue cycle performance.

  6. Payment Posting Services

    Payment Posting Services

    Ensure accurate and timely posting of payments with our dedicated services. We streamline the payment posting process, reducing discrepancies and ensuring your financial records are up-to-date.

  7. Healthcare Payer Services

    Healthcare Payer Services

    Partner with us for expert management of payer relationships. Our services encompass contract negotiations, fee schedule analysis, and payer compliance, ensuring optimal reimbursements and sustained financial growth.

  8. Healthcare Collection Services

    Healthcare Collection Services

    Navigate the challenging terrain of healthcare collections with confidence. Our experienced team employs ethical and strategic collection methods, reducing outstanding balances and improving overall financial health.

  9. Dental Revenue Cycle Management Services

    Dental Revenue Cycle Management Services

    Tailored specifically for dental practices, our RCM services optimize revenue collection, streamline claims processing, and enhance patient experience.

  10. Accounts Receivable Follow-up

    Accounts Receivable Follow-up

    Accelerate revenue realization with our diligent accounts receivable follow-up services. Our team tirelessly pursues outstanding payments, reducing aging accounts and improving cash flow.

  11. Patient Experience

    Patient Experience

    Elevate patient satisfaction and loyalty through our patient experience solutions. By streamlining billing processes, improving communication, and ensuring accurate statements, we enhance patient interactions and overall satisfaction.

  12. Revenue Cycle Analytics

    Revenue Cycle Analytics

    Unlock valuable insights into your revenue cycle performance with our advanced analytics. Make informed decisions, identify trends, and optimize strategies for enhanced financial outcomes.

Process Flow for Streamlined RCM Services

Navigating the complexities of revenue cycle management in the healthcare sector requires a strategic approach that ensures accurate claims processing, timely reimbursements, and minimized denials. We have streamlined this process to provide you with comprehensive and efficient revenue cycle management solutions. Here is how our services work -


01. Patient Pre-authorization

Initiating the revenue cycle with pre-authorization ensures a smooth billing process, minimizing delays and denials down the line.


02. Insurance Eligibility and Verification

Our experts handle the entire claims submission process, from accurate coding to timely submissions, optimizing your reimbursement potential.


03. Insurance Claims Submission

Our experts handle the entire claims submission process, from accurate coding to timely submissions, optimizing your reimbursement potential.


04. Payment Posting

Efficient payment posting and reconciliation processes guarantee accurate financial records and improved cash flow.


05. Denial management

Our dedicated denial management team identifies and addresses claim denials promptly, maximizing revenue collection.


06. Reporting

Gain valuable insights into your revenue cycle performance through comprehensive reporting, enabling data-driven decision-making and continuous improvement.

RCM Services Software We Use

NextGen healthcare Kareo Billing & EHR eClinicalWorks AdvancedMD brightree medisoft Athenahealth MediTouch athenahealth Billing & EHR AdvancedMd Billing Epic Billing AdvantX Billing CareCloud Billing Centricity Lytec Billing Misys Modernizing Medicine Billing & EHR Nex-tech Billing & EHR Proclaim Pulse SequelMed TotalMD Billing

The Strategic Benefits of RCM Services for Healthcare Providers

Experience unmatched precision in financial management with our RCM services, meticulously designed to optimize claim reimbursements and reduce operational costs for healthcare providers. By leveraging our data-driven insights and regulatory expertise, we ensure healthcare providers achieve superior billing accuracy and compliance, directly impacting their bottom line with measurable results.

  • Beyond Standard Eligibility

    Harness advanced analytics and comprehensive patient data reviews to transcend standard eligibility checks, ensuring optimal coverage verification and financial clarity before services are rendered.

  • Coding Assistance

    Utilize our expert coding support to navigate the complexities of ICD-10, CPT, and HCPCS, reducing errors and streamlining the coding process for maximum reimbursement accuracy.

  • End-to-end Collections

    Implement our robust end-to-end collections strategy, which meticulously tracks every charge from initial capture to final payment, optimizing revenue and reducing days in accounts receivable.

  • Claim Status

    Leverage real-time claim status updates powered by sophisticated tracking systems, enabling proactive management and swift resolution of pending claims to accelerate the revenue cycle.

  • Custom Reporting

    Gain strategic insights with our custom reporting tools, designed to provide actionable intelligence tailored to your organization’s unique metrics and performance goals, driving informed decision-making.

Why Choose Us as Your Revenue Cycle Management Company?

Our solutions are designed to provide you with a seamless path to financial stability and success. By choosing us as your revenue cycle management service provider, you make a strategic decision that goes beyond mere outsourcing – it is a partnership that delivers tangible results. Benefits of our revenue cycle management outsourcing services include -

  • Lower Overheads

    Our services eliminate the need for extensive in-house resources and extensive infrastructure, reducing your operational costs significantly and freeing up valuable resources for core activities.

  • High Quality of Services

    Experience exceptional quality and accuracy in every aspect of revenue cycle management, ensuring meticulous documentation, claims processing, and compliance.

  • Reduced Operational Challenges

    Unburden your organization from complex revenue cycle challenges, allowing your top management to concentrate on strategic business growth initiatives.

  • Familiarity with Top Practice Management Systems

    Benefit from our deep understanding of diverse practice management systems, enhancing operational efficiency and accuracy in every aspect of revenue cycle management.

  • Short Turnaround Time

    Experience prompt and efficient service delivery with our average Turnaround Time (TAT) of 24 hours or less, ensuring timely claim submissions and reimbursements.

  • 100% HIPAA Compliant Processes

    Rest assured knowing that our services adhere to strict HIPAA compliance standards, safeguarding patient data and maintaining confidentiality.

  • Security Certifications Including ISO 27001/SOC2

    We prioritize data security with top certifications, including ISO 27001 and SOC2, offering you peace of mind in an era of increasing data vulnerability.

  • Scalability

    Experience operational flexibility with our ability to scale up or down based on your changing requirements, ensuring consistent service delivery regardless of volume fluctuations.

Additional Services You Can Benefit From

Medical Transcription Services

We provide HIPAA-compliant medical transcription solutions and services to healthcare providers worldwide.

Medical Billing Services

If you are looking for accurate and reliable medical billing support for your company, we have got you covered. We provide 100% reliable coding services.

Medical Coding Services

Our medical coding services are provided by seasoned healthcare professionals with a firm grasp of the concepts in their field.

Pharmacy Business Services

If you are looking for support for your pharmacy business, you are in the right place. We provide comprehensive services for all requirements.

Healthcare Claims Adjudication Services

We have significant experience and expertise in handling all types of medical claims. We ensure that all claims are processed and payments received.

EMR Services

We can remotely manage your EMR and EHR records so that they are spotlessly clean and can be relied upon to make informed decisions.

Telehealth Services

If you are looking to partner with a pioneering provider of telehealth services, you are in the right place. We use digital technologies to make healthcare accessible to all.

Medical Animation Services

We have been designing and creating medical animations for over 20 years. Our seasoned animators have created animations of devices and complex concepts.

Outsource Revenue Cycle Management Services to Us

Maximize your financial health and streamline operations by outsourcing your Revenue Cycle Management (RCM) to our expert team. With a focus on strategic growth and operational excellence, we equip healthcare entities with state-of-the-art RCM services that drive revenue, enhance patient satisfaction, and maintain compliance with evolving healthcare standards. Our sophisticated analytics and customized technology solutions are engineered to tackle the full spectrum of RCM challenges, from patient registration to final payment reconciliation.

By partnering with us, you gain access to a dedicated team of industry professionals, leveraging their deep expertise to optimize your billing processes, reduce claim denials, and ensure a steady cash flow. Our commitment to excellence and continuous improvement in RCM makes us the ideal partner to elevate your organization's performance and profitability.

Ready to transform your RCM process? Connect with us today and take the first step towards financial optimization and sustainable growth.

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Flatworld Solutions

116 Village Blvd, Suite 200, Princeton, NJ 08540


Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000

KSS Building, Buhangin Road Cor Olive Street, Davao City 8000

Our Customers

  • Movement Mortgage
  • Alcon
  • ARI
  • Maximus
  • Redwood E-Learning Systems

AHIMA Healthcare Convention 2016 Read More

Frequently Asked Questions (FAQs)

What advantages do healthcare providers gain by outsourcing RCM services?

By outsourcing RCM services, healthcare providers benefit from reduced operational costs, enhanced claim reimbursement rates through expert coding and billing, and streamlined administrative processes. This allows providers to concentrate on delivering quality patient care, leveraging outsourced expertise to navigate complex payer landscapes and regulatory compliance, improving their financial health.

What criteria should guide the selection of a reputable RCM services provider?

Selecting a reputable RCM services provider involves evaluating their compliance track record, including HIPAA adherence and certification standards like ISO 27001 and SOC2. Assess their technological capabilities, domain expertise, performance metrics such as claim resolution rate and turnaround time, and client testimonials to ensure they align with your organization's needs.

Is comprehensive support provided through your RCM services?

Yes, our RCM services provide comprehensive support, encompassing the entire revenue cycle from patient access, charge capture, and claim submission to payment posting, denial management, and accounts receivable follow-up, ensuring a cohesive and efficient revenue management process.

Which technological tools are employed in your RCM services?

Our RCM services utilize a suite of advanced tools including electronic health record (EHR) integration, medical billing software, coding interfaces, AI-driven analytics for predictive modeling, and automated denial management systems to optimize the revenue cycle process.

What is the cost structure for your RCM services?

The cost of our RCM services is structured to provide value and return on investment, typically based on a percentage of collections or a fee-per-claim model, ensuring alignment with client success. We offer scalable pricing models to accommodate the varying needs and sizes of healthcare organizations.

What is the expected timeline for transitioning to your RCM services?

The transition to our RCM services is designed for minimal disruption, typically ranging from a few weeks to a couple of months, depending on the complexity of the current system, the extent of services required, and the level of customization needed for seamless integration.

Are your RCM services equipped with mobile and patient engagement tools?

Yes, our RCM services are equipped with mobile compatibility and patient engagement tools, such as patient portals, mobile billing applications, and communication platforms, to enhance patient experience, facilitate on-the-go access, and improve overall engagement and satisfaction.