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End-to-End RCM
Transform Your Revenue Cycle
Revenulytics end-to-end revenue cycle management solution relieves healthcare providers from the burden of the administrative toil so that they can focus on what matters most, helping patients and growing their business. Whether you are looking for a complete end-to-end RCM solution or need support with one of the particular steps of revenue cycle management we’ve got you covered!
Driving financial success through expert partnership
Technology & Tools
Our billing experts manage your entire revenue cycle so you collect more without doing any of the heavy lifting.
Thrive Through Change
As the regulatory environment continues to evolve. Our team and expertise can assist with adherence to compliance.
Expand Your Business
Whether you're a start-up, mid-size or large enterprise we can immediately add resources to ensure continual success.
Streamline Your RCM
Credentialing
Credentialing specialists augment our automated process when necessary to gather additional information and review final submission packages. After credentialing submission Revenulytics will continuously monitor, follow up for status updates, and respond to additional requests until approval. Additionally, Revenulytics will manage your providers’ re-credentialing schedule on an ongoing basis.
Eligibility & Verification
Verifying patient insurance eligibility is the first and arguably most important step in the revenue cycle. Our team specializes in payer outreach to ensure active insurance and to verify specialty-specific coverage for your patients. We work with patients to obtain information on all active policies to correctly identify coordination of benefits for prompt and accurate filing of your claims. Revenulytics expects a 98% clean claim rate and it all starts with eligibility verification.
Prior Authorization
When certain payers require authorization for a procedure, service, or medication, the time and effort needed from your staff increases significantly. Our team specializes in payer outreach to obtain these authorizations, allowing you to prioritize other tasks in the office. We work with your staff and payers to coordinate medical records requests and continue following up periodically until the authorization is finalized and documented.
Coding
Thorough and precise coding is critical to clean claims and complete reimbursement for your practice. Our highly experienced and trained coders work within the scope of services being offered and are able to identify and assign the appropriate CPT, ICD-10, and HCPCs codes. Our Certified coders also work to stay up to date and keep ahead of coding changes and trends, ensuring timely continuing education to our team and keeping our coding standards ahead of the curve.
Claim Submission
Clean claim submission rates vary across the country, but best practice is to have a clean claim rate of at least 90%. That means 90% of your claims going through your clearinghouse the first time without errors, preventable denials, or a complete rejection. Studies show that between 50% and 65% of denials remain unworked because staff does not have the time or knowledge to resolve them. Our team has a 98% average clean claim rate and with over 1 million claims processed per year. You can depend on Revenulytics to help you increase your reimbursement.
Payment Posting
Proper understanding and application of incoming payments is essential for accurate accounting and financials. With over $50 million dollars in payments posted over the past year, our team is highly trained and experienced in interpreting multi-specialty insurance and patient payments. Our team works to apply these payments to the correct accounts and invoices, the first time, every time. We have found that over 95% of practices experience a recovery of lost revenue, some of which could be from misallocated funds from payment posting.
Denial Management
Are you seeing a decrease in reimbursement from insurance payers due to denials? Revenulytics can help increase your collections by identifying root causes and implementing processes to proactively prevent future denials. This step assisted our clients to decrease their days in AR and increase realized revenue from payers. Our team specializes in appeals and resolving various denials including under payments.
Patient Billing
We at Revenulytics try to help both patients and our clients by assisting their patients to resolve their balances. We understand that some patients have a hard time paying their balances for various reasons, so we work with patients to provide flexible payment options and even assist in applying for Hardship programs if they meet the program requirements.
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