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Best Revenue Cycle Management Company – Why BIS?
At Business Integrity Services (BIS), we empower healthcare providers to optimize financial performance through a comprehensive suite of revenue cycle management services. Our unique approach integrates advanced technology, industry-certified experts, and proven processes to ensure that every phase of your revenue cycle is optimized for success.
Key Performance Highlights:
- 500M+ Revenue Captured across multiple client segments
- 1000+ Physicians supported
- 1000+ implant and surgery claims processed annually
Our commitment to excellence is backed by measurable results and a deep understanding of the healthcare landscape.
Revolutionize Your Revenue Cycle – Accelerate Cash Flow, Enhance Efficiency, and Capture Every Dollar!
Expert-Led Revenue Cycle Management
Faster Cash Flow
Denial Prevention & Resolution
Data-Driven Insights
Credit Balance Resolution
Operational Excellence
Automation & AI-Driven Efficiency
Compliance & Regulatory Mastery
The Impact in Numbers
Comprehensive Revenue Cycle Solutions
BIS offers an end-to-end service covering all aspects of the revenue cycle—from patient registration to final payment—ensuring seamless financial operations and improved cash flow.
Our approach results in:
- 25% increase in collections compared to normal trends
- An average claim submission turnaround time of 48-72 hours
- A low denial rate averaging 6%
With daily data analytics dashboards, we provide real-time insights that empower you to monitor collections and identify growth areas.
Optimized Patient Scheduling & Appointment Coordination
- Our streamlined scheduling workflows are designed to enhance patient satisfaction and operational efficiency.
- By minimizing call abandonment (keeping patient collections abandonment rates under 2%), we ensure that every interaction contributes positively to your revenue outcomes.
Accurate Eligibility Verification & Benefits Assessment
We meticulously verify patient eligibility and benefits, reducing claim rejections and expediting reimbursements. Our process includes:
- Reviewing payer plans and updating the correct product in your Practice Management System (PMS)
- Determining patient responsibility based on actual fee schedules
- Monthly reverification for Medicare and Medicare Advantage products
This thorough verification ensures that your revenue cycle remains smooth and efficient.
Efficient Prior Authorization Processing
BIS emphasizes prompt and accurate prior authorization by:
- Reviewing payer guidelines to minimize front-end authorization denials
- Confirming provider contracts at the time of authorization
These measures significantly reduce payment delays and ensure that claims are processed without unnecessary hold-ups.
Streamlined Patient Registration & Demographic Management
Our patient registration solutions simplify onboarding while accurately capturing demographic data. This sets a strong foundation for error-free billing and ensures that your claim submissions are both timely and precise.
Precise Charge Capture & Audit
We focus on meticulous charge entry and robust auditing to capture every revenue opportunity. Our proactive audit processes help identify discrepancies early, preventing revenue leakage and maximizing billing accuracy.
Expert Medical Coding Solutions
BIS leverages a team of AAPC & AHIMA certified coders and 40+ specialty-focused coding experts to deliver swift, accurate coding. Our medical coding process includes:
- Swift coding for faster revenue cycles
- Rigorous documentation and audits for compliance with evolving regulations
This dedicated team ensures that your claims are coded correctly, maximizing reimbursement and minimizing denials.
Enhanced Clinical Documentation & Coding Audits
Our revenue integrity services safeguard every transaction. With cohesive inter-departmental meetings linking coding, authorization, and AR teams, we:
- Review payer guidelines continuously
- Increase collections while maintaining an average denial rate below 6%
Our effective accounts receivable management strategies ensure timely collections and improved cash flow.
Timely Remittance Posting & Bank Reconciliation
- 99%+ of deposits posted accurately and on time.
- Ensures smooth payment flow monitoring.
- Helps identify low-cash flow areas for financial optimization.
- Client financial data handled with utmost care and precision.
EFT/ERA Conversion
- Ensures no missing payments or EOBs.
- Accelerates payment posting with minimal manual effort.
- Enhances accuracy and efficiency in processing payments.
Reconciliation Process
- Matches posted payments with received deposits.
- Guarantees all payments are accounted for.
- Provides clients a clear picture of financial health.
- Enables easy monitoring of cash flow.
Proactive Denial Management & Credit Balance Resolution
- Handles overpayments by patients or payors efficiently.
- Skilled credit resolution team ensures accurate credit handling.
Payer Credits
- Government payor credits resolved within 30 days.
- Non-Government credits resolved within 60 days.
- Ensures compliance and prevents penalties from payors.
- Focus on recoupment/offset over refunds to minimize bank outflows.
Patient Credits
- Patient credits are refunded promptly and accurately.
- Builds patient trust and satisfaction.
- Ensures ethical, timely handling of patient overpayments.
Technology-Driven Solutions: Automation & AI
BIS harnesses the power of automation and AI to enhance efficiency across the revenue cycle. Our initiatives include:
- An insurance appeal management system
- A website eligibility check
- AR trending analysis for insightful performance tracking
By leveraging technology, we ensure faster, more accurate processes that drive improved outcomes across every facet of your revenue cycle.
Frequently Asked Questions
What is a revenue cycle company?
A revenue cycle company specializes in managing the end-to-end financial processes of healthcare organizations, from patient registration to final payment collection, ensuring optimized cash flow and compliance
How does an RCM work?
RCM (Revenue Cycle Management) works by streamlining workflows like eligibility verification, coding, billing, and claims processing to ensure timely reimbursements and reduce denials.
How many stages are there in RCM?
RCM typically involves 7-10 stages, including patient scheduling, eligibility checks, coding, charge entry, claims submission, payment posting, denial management, and collections.
What is RCM in finance?
In finance, RCM refers to managing the processes that track revenue generation, from service delivery to payment receipt, ensuring accuracy and maximizing profitability.
What is RCM strategy?
An RCM strategy is a systematic approach to optimizing billing, coding, compliance, and collections using tools like data analytics and automation to improve efficiency and revenue.
What is denial management in RCM?
Denial management in RCM involves identifying, analyzing, and resolving claim rejections to prevent revenue loss and improve clean claim rates.
Is revenue cycle a billing?
No, revenue cycle is not just billing—it encompasses all financial processes, including scheduling, coding, claims processing, and collections, to ensure complete revenue capture.
