The work betweenthe visit and the payment.
Five services, each with a defined scope. Most providers start with denied claims recovery, then decide what else to hand over.
Contents
- 01Denied Claims RecoveryWe re-work denied and rejected claims, file appeals, and follow each one until it’s paid or closed.Success-based
- 02Full Revenue Cycle ManagementWe run billing end to end — from eligibility checks to posted payments — as an extension of your team.Percentage of collections
- 03Eligibility & Pre-authorisationWe check cover and secure approvals before the visit, so claims don’t fail for reasons you could have caught.Retainer or included
- 04Receivables Follow-up & ReportingWe chase unpaid and underpaid claims on a schedule and show you exactly where your money is.Success-based or retainer
- 05Medical Coding ReviewWe review coding against documentation to catch errors, missed charges and patterns that trigger denials.Fixed fee or retainer
How they fit together
Each one coversa part of the claim.
Recovery fixes what has already gone wrong. Eligibility and coding review stop it happening again. Receivables follow-up keeps money from ageing. Full revenue cycle management is all of the above, run as one process.
01Before the visit02Coding03Submission04Payment05Denials & ageing
03Eligibility & Pre-authorisation05Medical Coding Review04Receivables Follow-up & Reporting01Denied Claims Recovery02Full Revenue Cycle Management- Eligibility & Pre-authorisation
Covers: Before the visit
- Medical Coding Review
Covers: Coding
- Receivables Follow-up & Reporting
Covers: Payment · Denials & ageing
- Denied Claims Recovery
Covers: Denials & ageing
- Full Revenue Cycle Management
Covers: Before the visit · Coding · Submission · Payment · Denials & ageing
Where to start
Most providers start with an audit of their denials. It costs nothing, and it tells you which of these you need.
Request a free claims audit