In the healthcare sector, maintaining the revenue cycle while delivering exceptional patient care can often feel like a complex and challenging task. The complexities of intricate billing procedures may lead to errors, delays, admin overheads, regulatory changes, and high claim denial rates that might further impact the cash flow and hinder your organization’s financial health. Any lapse in non-clinical activities like medical billing, coding, revenue cycle management, or medical record indexing can lead to scenarios that can cause distrust in your customers toward your brand. Delegating or outsourcing such non-core operations to a reliable BPO service provider enables you to refocus on patient outcomes effectively.
Suma Soft’s comprehensive Revenue Cycle Management (RCM) services are designed to streamline your billing processes, increase reimbursements, and free up your valuable resources so they can focus on core activities of growing revenue and patient care. With 24 + years of expertise in healthcare BPO services, our medical billing, coding, and accounts receivable management solutions are equipped to effectively address these challenges and increase revenue collection and financial stability.
Experience the Suma Soft difference:
-
99% Claim Accuracy : Our Revenue Cycle Management Services minimize denials and ensure timely reimbursements.
-
98% of Claims Paid on First Pass : Our efficient claims submission processes ensure faster business cash flow.
-
Reduced Overhead Costs : Free up your resources to focus on patient care, not billing, by outsourcing your RCM needs.
From claim submission to denial management, we understand how vital a healthy revenue cycle is to your organization. Our healthcare Revenue Cycle Management services are tailored to address the specific needs of billing companies, revenue cycle management firms, and other healthcare organizations. Organizations can overcome revenue challenges, improve patient care, and achieve operational excellence with our wide range of services -
Front-End Revenue Cycle Services :
Patient Scheduling and Appointment Management
Minimize lost revenue opportunities with on-time scheduling. Our revenue cycle management service offers smooth appointment scheduling, reducing missed appointments for healthcare organizations.
Prevent billing errors and claim denials! Our revenue cycle management services offer patient insurance coverage verifications and upfront benefits for healthcare organizations.
Prior Authorization
Our revenue cycle management services streamline the prior authorization process, ensuring timely approvals for covered services.
Patient Registration/Patient Demographics (Medical Data Entry Services)
The revenue cycle management service team manages registration efficiently, ensuring accurate billing and prompt claim submission. Managing charge entry and audit processes while providing precise coding and timely claim submission.
Mid-Revenue Cycle Services :
Medical Coding Services
With certified coders, our revenue cycle management services ensure maximum reimbursement by assigning accurate codes to medical procedures based on the latest guidelines.
Revenue Integrity
Safeguarding revenue by conducting regular audits and reviewing billing processes and claim submissions.
Minimize denials and maximize reimbursement! Our revenue cycle management service team identifies and rectifies coding errors before claim submission.
Clinical Documentation Improvement
Our revenue cycle management services help improve clinical documentation to support accurate coding, ensuring compliance with regulations and reducing denials.
Back-End Revenue Cycle Services :
Remittance Processing
By efficiently processing remittance advice and EOBs (Explanation of Benefits), our revenue cycle management services ensure accurate and timely payment posting.
Our expert revenue cycle management service team handles accounts receivable, ensuring timely follow-up and collections to improve your cash flow.
Denial Management Services
We identify root causes of denials, take corrective measures, and ensure a higher percentage of claims. Our revenue cycle management services manage claim denials and appeals, ensuring maximum reimbursement and minimizing revenue loss.
Credit Balance
We manage credit balance accounts efficiently, ensuring timely and accurate refunds for patients.
Consultative Support :
Provider Enrollment and Credentialing Services
Our revenue cycle management service team issues provider enrollment and credentialing with insurance companies, ensuring compliance and timely reimbursements.
Medical Billing Specialists
From claim submission to follow-up and collections, our medical billing service specialists manage all aspects of medical billing.
Suma Soft’s Revenue Cycle Management Services offer a holistic approach to managing your revenue cycle, ensuring optimal performance, and maximizing financial return. Our streamlined process provides comprehensive and efficient revenue cycle management solutions to achieve timely reimbursements and minimized denials -
Patient Pre-Authorization
Our revenue cycle management services streamline the billing process by securing pre-authorization for services.
Insurance Eligibility and Verification
Verifies insurance coverage before rendering services, preventing claim denials at a later stage.
Insurance Claims Submission
Our revenue cycle management service team handles everything from coding to timely submission for efficient claim processing.
Payment Posting
Businesses can benefit from faster cash flow with our accurate and timely payment posting and reconciliation processes.
Denial Management
Our dedicated team promptly identifies and addresses claim denials, minimizing revenue loss.
Reporting and Analytics
Gain valuable insights into your revenue cycle performance with detailed reports that allow you to make data-driven decisions for continuous improvement.
Suma Soft’s revenue cycle management services help enhance your revenue cycle process through efficient workflows, advanced technology, and best practices, from capturing patient information to final billing and payment. With a deep understanding of the issues that lead to inaccurate billing and coding, our experts identify and eliminate bottlenecks in your process, providing support that covers every stage.
Lower Overheads
Our revenue cycle management services help businesses reduce administrative costs and allow their staff to focus on core business activities like patient care and satisfaction.
Quality Assurance
Our team of experienced professionals and our commitment to quality assurance provide expertise at every step of the revenue cycle.
Reduced Operational Challenges
Streamline your billing processes, reduce errors, and improve efficiency.
Familiarity with Top Practice Management Systems
Ensure seamless integration from our well-versed team in popular practice management systems.
Short Turnaround Times
Experience faster claim processing and improved cash flow with our efficient workflows.
100% HIPAA-Compliant Processes
We ensure complete data protection strictly following HIPAA regulations.
Security Certifications Including ISO 27001
Benefit from our robust security measures and certifications, ensuring the confidentiality and integrity of your sensitive data.
Scalability
Our revenue cycle management services are scalable to accommodate the growth of your practice, ensuring ongoing support as your needs evolve.
Reduced Administrative Burdens
Undivided focus on patient care while revenue cycle management services handle billing complexities.
Improved Cash Flow
Faster reimbursements and improved financial stability by optimizing your revenue cycle.
Enhanced Practice Efficiency
Revenue cycle management services streamline operations and minimize administrative overhead.
Data-Driven Decision Making
Make informed decisions and drive improvements by analyzing valuable insights from revenue cycle management services.
Peace of Mind
Experienced professionals commit to accuracy and compliance while handling your billing process.
Related Case Studies
Software TestingCrafted and tested a customized home automation system to deliver maximum performance at cost-effective rates.
Built a responsive customer care service structure for a leading Indian food delivery portal.
