We start with a short conversation to understand your practice’s needs, current challenges, and workflows. This helps us design a tailored approach that works for you.
Healthcare revenue cycle management is a complicated and time-consuming process. Billing errors, overdue eligibility checks, or unclosed denials can significantly impact your practice's revenue. At Care Management, we provide end-to-end Revenue Cycle Management (RCM) services that help to eliminate administrative workload and utilize reimbursement, as well as provide real-time visibility.
Our industry-leading clean claim submission rate, ensuring faster reimbursements and reduced denials.
Reduction in document processing time powered by intelligent AI-driven automation, streamlining your revenue cycle workflows.
Average MIPS Improvement Activities score among eligible clinicians using our platform versus the 95.96% industry average—helping you maximize incentive payments.
Of our customers are small practices with 1-5 clinicians, highlighting our tailored solutions for growing care providers.
We also conduct sophisticated eligibility and benefits validation with payers before the appointment of a patient. This will avert downstream claim rejections on account of improper coverage, authorization, or limitation of benefits. Our process includes:
Clean claim submission is based on accurate coding. Our certified coders ensure that all claims are coded in accordance with the standards of ICD-10, CPT, and HCPCS. Our AI software is also used to scrub claims, minimizing coding errors before we submit claims.
Rejected claims cost the company revenue and time. Our denial management system determines the cause of denials. It can be the errors in coding, the absence of documentation, or the payer requirements. Thereafter, we re-file modified claims promptly.
Unpaid claims will directly affect your bottom line as a backlog. We will give aggressive but professional follow-up to payers to speed up collections. Our AR management ensures:
One of the ways to maximize your revenue cycle is transparency. We offer progressive dashboards and comprehensive reports that assist you in monitoring KPIs such as days in AR, denial rates, net collection ratio, and first pass acceptance rate. With these actionable insights, you can:
At Care Management Solutions, we make revenue cycle management simple, effective, and built around your unique workflows. Our proven onboarding process ensures a smooth transition and long-term results.
We start with a short conversation to understand your practice’s needs, current challenges, and workflows. This helps us design a tailored approach that works for you.
Next, we guide you through credentialing, staff training, and system setup. Our team makes the process simple, so you can focus on patient care while we handle the details.
With our expert virtual front-office team and robust back-end platform, you’ll be up and running quickly. We combine speed with accuracy, so your practice starts seeing results faster.
Our partnership doesn’t end at go-live. We provide ongoing support, performance monitoring, and workflow improvements to maximize revenue and efficiency over time.
Streamline your billing, optimize reimbursements, and reduce denials with our end-to-end Revenue Cycle Management. Powered by intelligent automation, we help healthcare providers improve financial outcomes while focusing on what matters most—delivering quality patient care.
Start your care management journey without any financial barriers. Fill out the form to discover how our care management solutions can help your team streamline care coordination, improve patient outcomes, and maximize reimbursement.