Revenue Cycle

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The RCM needs of early stage startups often differ from the long-term solutions. It may not be possible or desired to invest in expensive, full-scale solutions. In many cases boot-strapped tools may be preferred while learning the space and working through contracting. 

Clinical Operations Group works with teams to identify the right tools based on scale, resources and complexity, and we design customized solutions utilizing client technology as well as established solutions that are right for current stage. 

We can provide RCM advisory services through to full configuration and set up. Services include: 

• Technical design and selection
• Eligibility planning and design
• Configuration of Medicare and Medicaid entities 
• EDI and ERA enrollments
• Payer credentialing and contracting
• Code set design and configuration
• Portal configuration and management
• Payment processing and posting
• Additional services upon request