End-to-End RCM

  • Home
  • Services
  • End-to-End RCM

Contact us for
any advice

Need help? Talk to an expert

+1 941 - 222-2812
Contact Now!

A Flawless Financial Lifecycle

Our comprehensive End-to-End Revenue Cycle Management connects every dot from the patient's first appointment to your final payment.

By completing these critical steps early in the process, healthcare organizations can significantly reduce claim denials, avoid unnecessary delays, and improve billing accuracy. This proactive approach helps streamline the revenue cycle, ensures faster reimbursements, and enhances the overall patient experience.

  •   Introduction:
    Closing the Gaps in Your Cash Flow:
    A fragmented revenue cycle leads to dropped claims, delayed payments, and frustrated staff. At Maximus BCS, we provide a unified, end-to-end RCM solution that streamlines your entire operation. By optimizing the front, mid, and back-end processes, we eliminate financial friction and maximize your reimbursements.
  •   Front-End RCM - The Foundation
    Front-End Operations: Clean claims start before the patient ever sees the doctor. Our front-end optimization ensures that all demographic and insurance data is flawlessly captured, setting the stage for guaranteed payment.
    • Eligibility Benefit Verification:
      Verifying active coverage and co-pay requirements to prevent the #1 cause of claim denials.
    • Prior Authorizations:
      Navigating complex payer requirements to secure approvals for procedures and treatments ahead of time.
    • Patient Registration:
      Streamlining intake to ensure 100% accurate demographic and clinical data capture.
  •   Mid-Cycle RCM - Accuracy & Compliance
    Mid-Cycle Operations: The mid-cycle bridges the gap between clinical care and financial billing. We ensure that the story of the patient's care is translated perfectly into compliant, billable codes..
    • Clinical Documentation Review
      Auditing charts to ensure the clinical documentation supports the highest appropriate level of coding.
    • Charge Capture:
      Rigorous checks to guarantee that every single service provided is captured and accounted for.
    • Medical Coding Support:
      Seamlessly transitioning data into precise ICD-10, CPT, and HCPCS codes.
  •   Back-End RCM - Execution & Recovery
    Back-End Operations: This is where the heavy lifting happens. Our back-end team aggressively manages the submission, tracking, and recovery of your claims to keep your cash flow healthy.
    • Claim Scrubbing & Submission
      Running claims through advanced rule engines to catch errors before they are transmitted to payers.
    • Payment Posting (ERA/EOB):
      Rapidly and accurately posting electronic and manual payments to balance your ledgers daily.
    • Denial Management:
      We don't just accept denials. We analyze root causes, appeal aggressively, and recover revenues that other billers write off.
  •   Collections - Securing Every Dollar
    Collections & A/R Follow-Up: Working aging accounts requires persistence and expertise. We handle the difficult follow-up work so your in-house staff doesn't have to.
    • Account Receivable (A/R) Follow-Up
      Continuous tracking of unpaid claims at the 30, 60, 90, and 120+ day marks.
    • Patient Statements:
      Generating clear, easy-to-understand statements that encourage timely patient payments.
    • Compassionate Balance Recovery:
      Handling patient billing inquiries with professionalism and care, ensuring high recovery rates without damaging your practice's reputation.
    • Bad Debts Collections:
      Late-Stage Account Resolution (or Bad Debt Recovery Solutions).
    Go Top ^
-->