RCM - Revenue Cycle Management

Healthcare Financial Excellence

Complete Revenue Cycle Management Solutions

At Code Markhor, we provide comprehensive Revenue Cycle Management (RCM) services that track patient care episodes from registration and appointment scheduling to the final payment of a balance. Our end-to-end financial process integrates clinical and administrative data to maximize your practice's revenue while ensuring compliance and efficiency.

End-to-End Revenue Cycle Management
EHR/PM System Integration
CPT, ICD-10, HCPCS Coding
Claims Management & Analytics
Denial Management & Collections

Our Complete RCM Services Portfolio

01 Patient Registration & Insurance Verification

Comprehensive patient registration services including demographic data collection, insurance eligibility verification, and benefit validation. We ensure accurate patient information from the first touch point to prevent downstream billing issues and claim denials.

02 Charge Capture & Medical Coding

Expert medical coding services using CPT, ICD-10, and HCPCS coding standards. Our certified coders ensure accurate charge capture and code assignment for diagnoses and procedures, maximizing reimbursement while maintaining compliance with coding guidelines and regulations.

03 Claims Submission & Management

Electronic claims submission with comprehensive claim scrubbing and validation. We handle claim tracking, status monitoring, and follow-up to ensure timely processing and payment. Our proactive approach minimizes rejections and accelerates reimbursement.

04 Payment Posting & Reconciliation

Accurate payment posting and reconciliation services for insurance payments, patient payments, and adjustments. We ensure proper allocation of payments to patient accounts and maintain detailed audit trails for financial transparency and compliance.

05 Denial Management & Appeals

Comprehensive denial management program including root cause analysis, corrective action implementation, and appeals processing. Our specialists work diligently to overturn denials and recover lost revenue through systematic denial resolution strategies.

06 Patient Billing & Collections

Professional patient billing and collections services including statement generation, payment plan setup, and collection calls. We handle patient financial responsibility with compassion while maximizing collection rates and maintaining positive patient relationships.

EHR/PM System Integration

Seamless Integration with Leading Healthcare Platforms

Our RCM Process

End-to-End Revenue Cycle Management Workflow

Registration & Scheduling

Patient registration, appointment scheduling, demographic data collection, and insurance eligibility verification to establish a clean foundation for the revenue cycle.

Charge Capture & Coding

Accurate charge capture and professional medical coding using CPT, ICD-10, and HCPCS standards to ensure proper documentation and maximum reimbursement.

Claims Submission

Electronic claims submission with comprehensive scrubbing and validation to minimize rejections and denials while ensuring timely payment processing.

Payment Processing

Payment posting, reconciliation, and accounts receivable management to ensure accurate financial records and optimal cash flow management.

Denial Management

Systematic denial management including root cause analysis, appeals processing, and corrective action implementation to maximize revenue recovery.

Analytics & Reporting

Comprehensive analytics and reporting on key performance indicators, financial metrics, and operational insights to drive continuous improvement.

Why Choose Code Markhor RCM

Proven Results & Measurable Benefits

Revenue Increase

Our comprehensive RCM services typically increase practice revenue by 15-25% through reduced denials, optimized coding, and improved collection rates.

Cost Reduction

Reduce administrative costs by 30-40% by eliminating in-house billing staff overhead, software licensing, and infrastructure maintenance expenses.

Compliance Assurance

Maintain full compliance with HIPAA, coding updates, and regulatory changes with our expert team managing your complete revenue cycle.

Ready to Optimize Your Revenue Cycle?

Let's discuss how our comprehensive RCM services can improve your practice's financial performance and streamline your billing operations.

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Revenue Cycle Management