End-to-End RCM
Transform Your Revenue Cycle
Revenulytics offers a comprehensive revenue cycle management solution that alleviates the administrative strain for healthcare providers. This enables them to concentrate on patient care and business expansion. With Revenulytics, whether you need a full-suite RCM service or assistance with specific aspects of the revenue management process, you're well-supported!
Driving financial success through expert partnership
Technology & Tools
Our billing experts manage your entire revenue cycle so you collect more without doing any of the heavy lifting.
Trive Through Change
As the regulatory environment continues to evolve. Our team and expertise can assist with adherence to compliance.
Expand Your Business
Whether you're a start-up, mid-size or large enterprise we can immediately add resources to ensure continual success.
Streamline Your RCM
Credentialing
Credentialing specialists play a vital role in enhancing our automated process as needed, collecting extra information, and reviewing the final submission packages. Following the submission for credentialing, Revenulytics ensures continuous monitoring, seeks status updates, and addresses any additional requests until approval is obtained. Moreover, Revenulytics takes charge of maintaining an ongoing re-credentialing schedule for your providers.
Eligibility & Verification
Confirming the eligibility of patients' insurance stands as the initial and crucial phase in the revenue cycle. Our experts excel in reaching out to payers, confirming the status of insurance, and checking for coverage specific to each medical specialty for your patients. We engage with patients to gather details on all active policies, ensuring the accurate identification of coordination of benefits for the timely and precise submission of claims. Revenulytics anticipates a 98% clean claim rate, and this process commences with the verification of eligibility.
Prior Authorization
When specific payers demand authorization for a procedure, service, or medication, the workload and dedication required from your team experience a notable surge. Our dedicated team excels in reaching out to payers to secure these authorizations, enabling you to allocate your staff's focus to other essential office duties. We collaborate with your team and payers to organize requests for medical records and persistently follow up until the authorization process is successfully completed and duly documented.
Coding
Accurate and meticulous coding plays a pivotal role in securing clean claims and ensuring optimal reimbursement for your practice. Our team of extensively trained and experienced coders operates within the defined parameters of the provided services, adeptly identifying and assigning the suitable CPT, ICD-10, and HCPCs codes. Additionally, our certified coders remain proactive in staying abreast of coding modifications and industry trends, prioritizing continuous education to keep our coding practices at the forefront of industry standards.
Claim Submission
Clean claim submission rates differ regionally, but it is widely recommended to maintain a clean claim rate of at least 90%. This implies that 90% of your claims should pass through your clearinghouse without encountering errors, avoidable denials, or outright rejections on the first attempt. Research indicates that a substantial portion, ranging from 50% to 65%, of denials go unaddressed due to insufficient time or expertise among staff to resolve them. Our team boasts an impressive 98% average clean claim rate, processing over 1 million claims annually. Rely on Revenulytics to assist you in enhancing your reimbursement outcomes.
Payment Posting
Accurate comprehension and effective application of incoming payments are crucial for precise accounting and financial reporting. Having processed over $50 million in payments within the last year alone, our team possesses extensive training and expertise in interpreting payments from various insurance providers and patients across multiple specialties. We are dedicated to ensuring that these payments are correctly applied to the appropriate accounts and invoices on the initial attempt, every time. Our findings reveal that more than 95% of practices witness a recovery of lost revenue, a portion of which may be attributed to misallocated funds during the payment posting process.
Denial Management
Have you observed a reduction in reimbursement from insurance providers owing to claim denials? Revenulytics can help increase your collections by identifying root causes and implementing processes to proactively prevent future denials. This step assisted our clients to decrease their days in AR and increase realized revenue from payers. Our team specializes in appeals and resolving various denials including under payments.
Patient Billing
We at Revenulytics try to help both patients and our clients by assisting their patients to resolve their balances. We understand that some patients have a hard time paying their balances for various reasons, so we work with patients to provide flexible payment options and even assist in applying for Hardship programs if they meet the program requirements.