Revenue Cycle Services
RCM offers tailored compliance, reimbursement, and staffing solutions for healthcare institutions nationwide. Specializing in revenue cycle solutions through expert services like Coding, Audit, Clinical Documentation Improvement, and Revenue Integrity, our industry expertise ensures robust solutions for quality and financial optimization, while prioritizing the well-being and success of both our clients and candidates.
Health Information Management
Explore the heart of healthcare excellence in our Health Information Management services. From Clinical Documentation Improvement to Coding, Audit and Education Services, we’re committed to staffing candidates with the essential qualifications needed to excel in these roles.
Revenue Cycle Services
Clinical Documentation Improvement (CDI)
We see the value in creating the connection between clinical documentation and coding. That’s why we’ve built a team of experts in clinical care and coding guidelines, dedicated to improving patient care, clinical documentation, and reimbursement outcomes.
Providing inpatient and outpatient solutions, RCM is the preferred partner for CDI audit initiatives, partnering with multiple Academic Medical Centers and top healthcare institutions nationally to improve their Clinical Documentation programs.
Revenue Cycle Services
Coding Services
Coding Specialists at RCM are seasoned, fully vetted, trained consultants with expertise in inpatient, outpatient, professional and risk adjustment coding. Our coders are certified with AHIMA and/or AAPC and held to the top standards for compliance, quality, and expected to maintain RCM’s standard of 97% accuracy. We offer:
- Multispecialty coding expertise – HCC, SDS, Billing, and Emergency Dept.
- RCM-provided equipment with VPN encryption
- Quality Assurance Program
- Expertise with various of EHRs and Encoders
- Inpatient, Outpatient, & Ancillary
Revenue Cycle Services
Audit and Education
Audit and education services are offered to our partners to ensure the highest level of adherence to coding and billing guidelines. Our expert coding and provider educators utilize their in-depth knowledge of regulations, CMS guidelines, and MS DRG and APR DRG Methodologies to analyze and report audit findings as well as create and deliver focused education sessions to coders and providers.
Registry Support
RCM offers comprehensive clinical data abstraction and registry services. We partner with health systems, academic medical centers, cancer centers, and national cancer institutes to streamline data collection and submission for registries and clinical research studies.
Revenue Cycle Services
Cancer Registry Services
Our team of skilled Oncology Data Specialists (ODS) spans nationwide with expertise in analyzing, abstracting, and validating real-world and registry data to improve cancer treatments and patient outcomes ensuring compliance with regulatory standards. We work cohesively with you to create a tailored approach and team of ODSs to meet Cancer Registry Program goal and project deadlines.
Revenue Cycle Services
Revenue Integrity
Denials, Validation, & Claims: RCM provides tailored Revenue Integrity solutions to improve revenue streams through reduced denials and proper chart capture. Our team works to improve operational efficiency in your claims submission process while also holding compliance to coding and billing regulations. Leverage RCM’s expert staffing and consulting solutions to advance your institution.
Additional Revenue Cycle Services
- RCM Quality Assurance Program – at no additional cost!
- Cancer program accreditation services
- Staff augmentation
- CDM assessment, optimization, and maintenance
- MRA/HHS/CDPS Risk Models
- RADV Auditing
- HEDIS Quality Measure Reviews
- Medicare Part B – MIPS
- PQRS and ACO reporting experience
- Outsource solutions
- HCC and HEDIS navigation software
Partner with RCM Health Care
Unlock streamlined solutions and elevate patient care in your institution.