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We offer superior HIPAA compliant revenue cycle management outsourcing & end-to-end business solutions for U.S. healthcare providers and revenue cycle management companies.
While focusing on improving the patient experience through new technologies and better services.
Drive key practice performance indicators with optimized processes and robotic automation.
After defining your most important indicators and creating an action plan to achieve your practice’s goals, we’ll monitor the results and share them in beautiful, easy-to-read reports.
Provider credentialing is a detailed process that reviews a provider’s qualifications and career history including education, training, residency, and licenses, as well as any specialty certificates.
Insurance eligibility verification is an important process where in a provider’s practice or healthcare facility checks into a patient’s insurance coverage to learn what services or treatment will be covered by insurance to offer better consultation and care.
Medical categorization or medical coding is the method of converting medical diagnoses reports and dealings into a collective list of assigned medical code numbering.
The number of denied or rejected claims is reduced drastically when you incorporate successful claims scrubbing that detects and eliminates errors in billing codes before submission.
Accounts Receivables (or AR) is money owed to the provider based on the different patient accounts for services rendered. AR is payable by insurance firms and patients.
A high percentage of claims put forth by patients or providers are denied by insurance companies due to incomplete claim forms, wrong diagnosis code, incorrect modifiers, and more.
Your registration process will capture your patients’ information, including insurance information. Ensuring an optimized process ensure you get paid faster for services rendered.
One of the fastest ways to ensure positive cash flow is to improve your process that generates and mails patient statements. Expedite patient payment collections with automated processes.
From patient registration to AR management and everything in between, let us optimize your RCM process and boost your revenue.
Over 90% of denials are avoidable. Let us help you reduce your number of denied claims so you get the revenue you deserve.
Revenue Cycle Management
The client is a leading healthcare institution. They faced challenges with loopholes in the verification process, in-house billing errors, and delayed payment postings. Calpion assisted them with Revenue Cycle Management (RCM) software to ease their business process.
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