Medical Revenue Cycle Management Service

Medical Revenue Service by Highview Billing, generates and collects payments for the services a provider provides to their patients. It’s a complete RCM solution managing end-to-end RCM operations like patient registration, insurance verification, coding, billing, and collections. Our RCM billing company optimizes revenue cycle for better financial outcomes of the physician’s medical center.

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

Managing a medical practice’s finances is complex. Between evolving regulations, strict insurance policies, and patients with expectations higher than Mt. Everest – it’s a recipe for revenue leakage, cash flow disaster, and operational chaos. 

Luckily, the medical revenue cycle management (RCM) experts at Highview Billing can restore your practice to full financial health. Our certified coders ensure accurate billing and coding to stop revenue leakage. Our enrollment specialists secure contracts with top commercial payers to expand your patient pool. And our billing experts work diligently to collect every dollar your practice earns.

So don’t let medical finances frustrate you. Highview Billing Medical Revenue Service has the cure for what ails your practice’s finances. Call today to experience how we align a provider’s whole revenue cycle process to maximize collections while delighting patients.

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

Our unique approach to medical billing is how BellMedEx RCM Service delivers measurable improvements to the revenue cycle process. The SmartClaim system we developed in-house analyzes billing codes and clinical documentation to catch issues before claim submission. This technology achieves first-time acceptance rates upwards of 98%, putting money back in our providers’ pockets faster.

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, BellMedEx delivers an RCM solution that promises more revenue for your healthcare facility.

Optimize your revenue via Highview Billing audit and insight

Our audit specialists utilize the Highview Billing Revenue Integrity process to analyze your current revenue cycle, uncovering exactly where coding and billing improvements will have the biggest impact. Our billing consultants then design targeted solutions to resolve those defects. We treat your revenue cycle as a whole and prescribe the best healthcare revenue cycle management remedies to make it stronger.

End-to-End RCM Service Features by Highview Billing

You have nothing to lose and everything to gain with Highview Billing  Medical Revenue Cycle Management features. This means our healthcare RCM service is the partner you can trust for your revenue cycle success.

Charge Entry Feature

Claim creation, validation, and transmission Entering valid super-bill information Claim approval confirmation Claim status tracking

Remittance Processing Feature

Processing of payments from the payers Processing of adjustments and denials Reconciling payments to the provider’s claims

Insurance Follow-Up Feature

Following up with payers for unpaid claims Following up with payers for underpaid claims Contact payers on a provider’s behalf Negotiating and resolving claim disputes

KPI Reporting & Analytics

Monitors your key performance indicators Analyzes days in accounts receivable Analyzes claim denial rate and collection rate Comprehensive and customizable reports Advanced data visualization tools

Patient Collections Feature

Collecting patient payments Managing initial statement + final notice Sending clean bills and reminders to patients Convenient payment options for patients

A/R Management Feature

Reduces the aging of outstanding A/R A/R workflow optimization Claim approval confirmation Collecting A/R collections from the payers and patients

Coding and Documentation

Coding provider’s services compliantly Using the latest coding standards and guidelines Capturing relevant details that support a provider’s claims Justifying a provider’s reimbursement for their services Performing medical bill audits

Charge Capture Feature

Capturing and validating the service charges Leveraging charge sheets and EHRs Ensuring charges are consistent with coding and documentation Reconciling your charges with your claims Reconciling charges with your contractual agreements with the payers

Contract Management

Managing contractual agreements with the payers Determining how much you get paid for your services Reviewing and negotiating your contracts Monitoring the contracts’ compliance Analyzing the contract performance Using metrics like contract yield and case mix index (CMI)

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