RCM Process Flow

Our RCM Process Flow

A simple, transparent process designed for maximum efficiency and revenue optimization.

Step 1

Patient Appointment & Eligibility

Scheduling support and insurance eligibility verification ensure clean information from the start.

Step 2

Charge Entry & Coding Review

Accurate charge entry and compliance-focused coding checks reduce denials.

Step 3

Clean Claim Submission

Electronic/paper claims submitted with payer-specific requirements for maximum first-pass approvals.

Step 4

Payment Posting

Payments, adjustments, ERAs, and EOBs are posted with detailed reconciliation and reporting.

Step 5

A/R Follow-Up & Denial Management

Dedicated teams resolve aging claims, appeals, and payer follow-ups.

Step 6

Reporting & Transparency

Daily, weekly, and monthly performance reports provide complete revenue visibility.

Step 7

Continuous Improvement

We monitor trends and optimize workflows to boost monthly revenue consistently.