Streamline Your Revenue Cycle Operations
Transform your practice's financial health with our comprehensive RCM solutions. We streamline claims processing, reduce denials, and accelerate payments - delivering 15-30% increased revenue while lowering administrative costs.
End-to-end RCM Services
Patient Scheduling
Streamlined and patient-friendly appointment scheduling solutions designed to minimize no-shows, improve accessibility, and maintain an organized workflow for providers and patients alike.
- Online & phone booking
- Automated reminders
- Schedule optimization
Patient Registration
Accurate and comprehensive registration processes that collect essential patient details, laying a solid foundation for seamless care delivery and efficient billing cycles.
- Demographic collection
- Insurance info gathering
- HIPAA-compliant process
Insurance Eligibility & Benefit Verification
Proactively verify patients' insurance coverage, benefits, and network status to ensure service eligibility and reduce denials due to invalid or missing information.
- Real-time verification
- Co-pay & deductible check
- Out-of-network alerts
Referrals & Prior Authorizations
Effectively handle referrals and obtain prior authorizations in compliance with payer requirements to secure reimbursements and maintain uninterrupted patient care.
- PA form submission
- Referral coordination
- Insurance follow-up
Charge Capture & Reconciliation
Capture all rendered services accurately at the point of care, ensuring proper documentation and reconciliation to prevent revenue leakage and support audit readiness.
- Procedure code capture
- Provider charge entry
- Service reconciliation
Medical Coding
Deliver precise and compliant medical coding using up-to-date ICD, CPT, and HCPCS codes, tailored to specialty-specific requirements to optimize reimbursement.
- ICD-10 & CPT coding
- Specialty-specific coding
- Chart audits & validation
Compliance & Auditing
Continuous monitoring and auditing of clinical documentation and coding practices to ensure adherence to healthcare regulations and mitigate risks of compliance issues.
- Internal audits
- OIG compliance
- Risk mitigation
Claims Submission
Submit error-free claims promptly through electronic data interchange (EDI), significantly accelerating reimbursements and minimizing costly rejections and delays.
- EDI transmission
- Clean claim checks
- Primary & secondary billing
Payment Posting
Post and reconcile all payments efficiently, including insurance payments, patient balances, and adjustments, enabling clear financial records and accurate reporting.
- ERA & manual posting
- Patient co-pay tracking
- Adjustment management
Denial Management
Identify, analyze, and appeal denied claims using strategic root-cause analysis to recover lost revenue and prevent future denials through process improvements.
- Appeals & resubmissions
- Denial reason tracking
- Root cause analysis
Accounts Receivable (A/R) Management
Accelerate collections and improve cash flow by actively managing outstanding receivables through timely follow-ups, insurance coordination, and patient engagement.
- Insurance A/R Follow-Up
- Aging report analysis
- Patient balance recovery
Comprehensive Performance Reporting
Generate actionable insights through tailored financial and operational reports, helping healthcare providers make informed decisions and track key performance indicators.
- Daily & monthly reports
- Revenue dashboards
- KPI tracking
Stop leaving money on the table
Take control of your financial future. Partner with ARC - ApexRev Care for comprehensive and results-driven Revenue Cycle Management services that will empower your practice or organization to thrive.
Revenue Cycle Management Questions
Revenue Cycle Management (RCM) is the financial process...
- Maximizes revenue by reducing claim denials
- Improves cash flow with faster reimbursements
- Reduces administrative burdens
- Ensures compliance with changing regulations
Our RCM services typically help practices:
- Increase collections by 15–25%
- Reduce claim denial rates to under 5%
- Shorten average days in A/R to under 30 days
- Identify under-coded or missed billing opportunities
Our RCM team stands out because we:
- Provide dedicated account managers for each client
- Use AI-based claim scrubbing for accuracy
- Offer transparent monthly performance reports
- Have specialists in multiple healthcare specialties
Yes, we integrate with most major EMR/EHR systems such as:
- eClinicalWorks
- Athenahealth
- Kareo
- AdvancedMD
- DrChrono
Our onboarding process is smooth and includes:
- Initial discovery and needs assessment
- System setup and EMR/EHR integration
- Staff training and handover sessions
- Go-live with real-time support
We offer flexible pricing models including:
- Percentage of monthly collections (most common)
- Flat-rate billing for small practices
- Customized packages for large groups
- Flexible agreement
Yes, we have extensive experience managing out-of-network billing:
- Verify benefits and inform patients of coverage
- Maximize reimbursement through correct coding
- Negotiate directly with insurance companies
- Appeal underpaid or denied claims efficiently
The Tangible Benefits of Partnering with ARC for RCM
Increased Revenue & Cash Flow
Optimize collections and reduce revenue leakage.
Reduced Administrative Burden
Free up your staff to focus on patient care rather than tedious administrative tasks.
Lower Denial Rates
Minimize claim rejections and denials through accurate coding and proactive error prevention.
Improved Efficiency & Productivity
Streamline workflows and automate manual processes.
Enhanced Financial Transparency
Gain clear visibility into your financial performance through comprehensive reporting and analytics.
Reduced Operational Costs
Optimize resource allocation and minimize unnecessary expenses.
Improved Patient Satisfaction
Clear communication regarding billing and financial responsibilities can enhance the patient experience.
Peace of Mind
Trust your revenue cycle to experienced professionals who are dedicated to your financial success.
End-to-End Revenue Cycle Management
At ARC - ApexRev Care, our RCM services are tailored to maximize your revenue, reduce claim denials, and ensure financial stability for your practice. We handle every stage from patient registration to final reimbursement.
Our dedicated team uses the latest technology and proven workflows to deliver fast, accurate, and compliant billing solutions—allowing providers to focus on patient care while we take care of the revenue.
RCM Team
Ready to Optimize Your RCM?
Get expert Revenue Cycle Management solutions tailored to your practice's needs and maximize your revenue potential.
