Medical Revenue Cycle Management Service

Highview Billing offers a full-service Medical Revenue Cycle Management (RCM) solution that handles everything from patient registration to insurance verification, coding, billing, and collections. Our comprehensive RCM service ensures a seamless process, optimizing your revenue cycle for better financial outcomes. With our expert team managing every step, you can focus on delivering exceptional care while we handle the financial details.

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Importance of Choosing Highview Billing Revenue Cycle Management Service in Medical Billing

Managing the finances of a medical practice can be overwhelming. With ever-changing regulations, strict insurance policies, and rising patient expectations, it's easy to see how revenue loss and financial chaos can occur.
Fortunately, Highview Billing's revenue cycle management (RCM) experts are here to restore your practice's financial health. Our certified coders ensure accurate billing and coding, eliminating revenue leakage. Our enrollment team secures contracts with top commercial payers, expanding your patient base. And our billing specialists are committed to collecting every dollar your practice earns.
Don't let financial worries hold you back. Highview Billing's Medical Revenue Cycle Management service streamlines your finances, maximizes collections, and keeps patients happy. Contact us today to see how we can help.

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Highview Billing offers revenue cycle care, with billing at its core

At Highview Billing, we provide comprehensive revenue cycle care, with billing at the heart of everything we do. Our innovative approach includes the SmartClaim system, developed in-house, which analyzes billing codes and clinical documentation to identify potential issues before claims are submitted. This technology ensures a first-time acceptance rate of over 98%, getting money back in our providers' pockets faster and more efficiently. Trust us to streamline your revenue cycle and improve your financial outcomes.

Achieve revenue cycle success via Highview Billing coding excellence

Achieve revenue cycle success with Highview Billing's coding excellence. Our advanced BellCoding technology reviews medical charts to identify high-value codes, while our certified coders (CPC certified) dive deeper into each chart, uncovering revenue opportunities that algorithms might miss. This powerful blend of technology and expertise ensures we deliver an RCM solution that boosts your healthcare facility's revenue. Let us help you unlock the full financial potential of your practice.

Optimize your revenue via Highview Billing audit and insight

Achieve revenue cycle success via Highview Billing coding excellence

Medical revenue service boosts revenue cycles through expert medical coding. Our acclaimed BellCoding technology reviews medical charts and identifies high-value codes. Our coders, armed with CPC certifications, then examine each chart to find revenue escalation opportunities algorithms miss. Through this man-machine symbiosis, HIGHVIEW delivers an RCM solution that promises more revenue for your healthcare facility.

End-to-End RCM Service Features by Highview Billing

With Highview Billing's Medical Revenue Cycle Management features, you have nothing to lose and everything to gain. Our healthcare RCM service is the trusted partner you need to ensure the success of your revenue cycle. Let us handle the complexities while you focus on providing exceptional care.

Charge Entry Feature

Our service handles the entire claim process, from creation and validation to transmission. We ensure accurate super-bill information is entered, confirm claim approval, and track claim status, keeping you informed every step of the way. Let us manage your billing, so you can focus on what matters most—your patients.

Remittance Processing Feature

We manage the whole payment lifecycle, so you don’t have to worry: once a claim is accepted, we process payments from payers (insurance or patients), handle any adjustments or denials, and post the payments. We then reconcile those payments against the original claims to make sure everything matches.

KPI Reporting & Analytics

We monitor your key performance indicators to give you a clear, ongoing view of your revenue cycle. We track metrics such as days in accounts receivable, claim‑denial rate, and collection rate, helping spot slow payments, denials, and inefficiencies early. Using comprehensive, customizable reports and advanced data‑visualization tools, we transform complex billing data into clear, actionable insights for your practice.

Contract Management

We manage your payer contracts end‑to‑end — negotiating, reviewing, and monitoring them to ensure you get paid what you're owed. We determine the correct reimbursement rates for your services, review contract details, and renegotiate when needed to keep terms favorable. We continuously monitor compliance and track performance using metrics such as contract yield and service

Patient Collections Feature

We collect patient payments and manage the full patient‑billing cycle for you. We handle initial statements and final notices, send clear bills and reminders, and offer convenient payment options so patients can pay easily.

Insurance Follow-Up Feature

We reach out to payers for you — for unpaid claims, under‑paid claims, or any payment discrepancies. We contact payers on your behalf, negotiate when needed, and work to resolve disputes until you get full and fair reimbursement. This ensures no revenue slips through the cracks.

A/R Management Feature

We help you reduce outstanding accounts receivable (A/R) and speed up cash flow. Our service optimizes your A/R workflow, confirms approved claims, and manages collections from payers and patients — so your billing stays efficient and on track.

Coding and Documentation

We code your services with full compliance and accuracy, following up‑to‑date coding standards and guidelines. We capture all relevant clinical details to support your claims and justify reimbursement. Our team performs thorough medical‑bill audits to ensure documentation and coding remain correct and defensible.

Charge Capture Feature

We capture and validate every service charge accurately — using charge sheets and EHR documentation. We ensure all charges align with coding and clinical documentation. Then we reconcile your charges with submitted claims, and cross‑check them against your payer contracts to ensure full compliance and accurate billing.

Let Highview Billing RCM Service seal cracks in your revenue cycle...

  • Claims Management
  • Denial Prevention
  • AR Optimization
  • Improved Collections
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Frequently Asked Questions

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Revenue cycle management is the process of managing the financial aspects of a healthcare provider’s or facility’s operations. It involves billing, coding, collecting, and reconciling payments from patients and insurance companies

RCM services can help you improve your cash flow, reduce administrative costs, increase patient satisfaction, and comply with regulatory requirements.

We have a robust and proactive system to handle claim denials and appeals. We first monitor and analyze the reasons for claim rejections and denials. Then, correct and resubmit the claims as soon as possible. We also follow up with the payers and negotiate on your behalf to get the maximum reimbursement. We keep the provider informed of the status and outcome of the claim denials and appeals.

We charge for our RCM services based on a percentage of your collections. This means that you only pay us when you get paid by the payers and patients. We do not charge any upfront fees, hidden fees, or long-term contracts. We believe that this pricing model is fair and transparent, and it aligns our interests with yours.

We take the security and privacy of your data very seriously. We comply with all the relevant laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) and the General Data Protection Regulation (GDPR). We use encryption, firewalls, backups, and other measures to protect your data from unauthorized access, loss, or damage.

We measure and improve our RCM performance using various metrics and indicators, such as:

Days in accounts receivable (DAR): the average number of days it takes to collect the payments from the payers and patients

Claim acceptance rate: the percentage of claims that are accepted by the payers without any errors or rejections

Denial rate: the percentage of claims that are denied by the payers for various reasons

Collection rate: the percentage of the total amount billed that is collected from the payers and patients

Net collection ratio (NCR): the percentage of the total amount allowed by the payers that is collected from the payers and patients

Our medical billing company has the expertise, technology, and resources to handle all aspects of your RCM process. We can help you with:

  • Coding and submitting accurate claims to payers
  • Tracking and following up on claim status and denials
  • Posting and reconciling payments from payers and patients
  • Managing patient accounts and statements
  • Providing reports and analytics on your financial performance