Expert RCM
Guidance
Leverage the deep knowledge of our revenue cycle specialists to uncover inefficiencies, enhance workflows, and improve performance across the entire revenue cycle for measurable results.
Tailored Solutions for Targeted Success
Flexible and results-driven teams, specifically tailored to achieve your goals, enhance efficiency, and drive success.
Expert RCM
Seamless System Integration
Maximize the value of your existing infrastructure with seamless integration into current systems, ensuring a smooth transition that preserves operational continuity and minimizes disruption.
Advanced Prioritization Model
Organize accounts by key factors like high dollar value, timely filing limits, and untouched status to enable daily prioritization and drive greater efficiency in managing accounts receivable.
Comprehensive
AR Solutions
- Denials Management – Identify, appeal, and prevent denials to recover revenue.
- Legacy AR Conversion – Resolve outstanding accounts during system transitions.
- Clinical Appeals & Post-Pay Audits – Manage clinical denials and audit responses effectively.
- Aged AR Resolution – Collect on long-outstanding balances to reduce bad debt.
- Document Imaging – Digitize and organize records for faster, easier access.
- Charge Entry & Payment Posting – Accurately input charges and apply payments to maintain clean accounts.
- Insurance Follow-Up – Track and resolve unpaid claims for timely reimbursement.
End-to-End Solutions
Complete revenue cycle management with optimized workflows to maximize revenue.
Front-End
- Financial Clearance
- Financial Counseling
- Orders & Referrals
- Registration
- Scheduling
- Medicaid Eligibility
- Case Management
- Utilization Management
Mid-Cycle
- Charge Capture
- Charge Compliance
- Coding
- Coding Audits
- Strategic Pricing
- Charge Description Master (CDM) Optimization
- Clinical Documentation (CDI)
Back-End
- AR Management
- Cash Posting
- Claims Submission
- Credits/Refunds
- Denials Management
- Collections Support
- Management and Operational Reporting
Revenue Cycle Management
Real Solutions.
Real Results.
Healthrise provides outsourced account management and AR services that drive cash collection and cost reduction.
