End-to-End Revenue Cycle Management
End-to-End
Revenue Cycle Management
Services from HealthReimburse
Our RCM Services remove every hindrance from your cash flow!
The Importance of Professional Revenue Cycle Management!
The U.S. healthcare system is a $4.9 trillion industry, powered in part by the $2.9 billion revenue cycle management sector. HealthReimburse plays a vital role in this ecosystem by helping healthcare providers streamline financial operations, reduce claim denials, and improve cash flow.
Medical practices are complex, as revenue flows from the patient to the insurance companies and providers. However, patients assume they’ve paid, insurers cut costs, and providers get squeezed. The system’s current state is a recipe for revenue blocks, endless follow-ups, and needless effort.
That’s where we step in with managed revenue cycle management services. We take the RCM burden off the doctors’ hands so they can focus on saving lives. From pre-registration to payment collection, we manage every step with meticulous attention. We file every claim with accurate information, so there’s no room for errors. We continuously follow up with them in case of a claim delay to ensure the practitioners’ funds are released. Hence, medical companies never get a chance to deny a claim.
“We recovered over $200K in denied claims thanks to their denial management process, something our in-house team couldn’t handle.”
Ms. Morgan, Practice Manager.
From Appointment to Payment, We Engineer Your Revenue Cycle for Results
Insurance Verification & Patient Registration
We begin by confirming active coverage, verifying eligibility, and capturing accurate patient demographics. This step ensures payer compatibility, reduces downstream rejections, and establishes clean data for the entire cycle.
Consultation Mapping & Plan Matching
We align the patient’s insurance plan with the services scheduled, ensuring provider-network alignment and pre-qualifying service coverage before treatment
begins. This minimizes financial surprises for
patients and improves claim approval rates.
Medical Coding, Estimation & Pre-Authorization
Certified coders assign accurate ICD-10, CPT, and HCPCS codes. We estimate costs, validate benefits, and obtain prior authorizations from payers, preventing delays and improving reimbursement speed.
Certified coders assign accurate ICD-10, CPT, and HCPCS
codes. We estimate costs, validate benefits, and obtain
prior authorizations from payers, preventing delays and
improving reimbursement speed.
Charge Entry, Patient Liability & Billing
We enter itemized charges directly from clinical documentation,
calculate patient responsibility based on benefits, and generate
clean, compliant invoices. This reduces back-end corrections
and billing friction.
Pre-Submission Claim Review
Our QA team reviews each claim for coding accuracy, modifier
use, NPI/tax ID match, and payer-specific requirements—
ensuring first-pass acceptance on submission
Claim Submission & Payer Coordination
Claims and supporting documentation are transmitted
electronically to payers. If delays or rejections
occur, we proactively engage with insurance
reps to identify and resolve issues swiftly.
Adjudication Monitoring & Reprocessing
We track the payer adjudication process in real time. If a claim
is underpaid, denied, or incorrectly processed, our team
resubmits corrected claims promptly with all necessary
adjustments.
Denial Management & AR Reconciliation
Our denial experts analyze denial trends, correct root
causes, and initiate targeted follow-ups. We reconcileyour accounts receivable to ensure no earned revenue
is left uncollected.
Provider Payment Posting & Reporting
Once claims are approved, payments are posted to your system, EOBs are matched, and reporting is delivered, giving you real -time visibility into collections, outstanding balances, and financial health.
Once claims are approved, payments are posted to your system,
EOBs are matched, and reporting is delivered, giving you real
-time visibility into collections, outstanding balances, and
financial health.
Achieve Up to 30% Revenue Growth in 12 Months
with HealthReimburse's RCM Solutions!
See how switching to HealthReimburse leads to measurable financial impact. Lower billing costs,
higher collections, and fewer denials, without changing your charge volume.
In-House Billing
GreenSense
Billing RCM
Results
Average Monthly
Charges
$142,000
$142,000
-
Gross Collection
Rate (GCR)
$60,000 (42%)
$77,000 (54%)
12% Increase in Gross
Collection Rate
Billing Costs
$6,000
$4,000
$2,000 Monthly Savings on Billing Operations
$197,000
Estimated Annual Net Gain (Based on monthly gross collection × 12 months)
30%
Overall Increase in Revenue Collection
Average Monthly
Charges
Gross Collection
Rate (GCR)
Billing Costs
In-House Billing
$142,000
$60,000 (42%)
$6,000
GreenSense
Billing RCM
$142,000
$77,000 (54%)
$4,000
Results
-
12% Increase in Gross
Collection Rate
$2,000 Monthly Savings on Billing Operations
$197,000
Estimated Annual Net Gain (Based on monthly gross collection × 12 months)
30%
Overall Increase in Revenue Collection
Still Deciding Whether to Outsource Your Revenue Cycle?
With over 10 years of experience, HealthReimburse has supported hundreds of healthcare practices in
overcoming complex RCM challenges. Our long-standing client relationships are built on trust,
transparency, and consistent performance.
Customized Solutions That Fit Your Practice
Once claims are approved, payments are posted to your system, EOBs are matched, and reporting is delivered, giving you real -time visibility into collections, outstanding balances, and financial health.
Advanced Data Security
Our platform uses industry-leading technology to protect all provider and patient data. With a 100% security record over two decades, practices trust us to handle sensitive information with confidence.
100% Legal & Regulatory Compliance
Our operations are fully compliant with HIPAA, HITECH, CMS, OIG, and Stark Law standards. Our experts stay current on all federal billing regulations, including Medicare, Medicaid, and ACA requirements, ensuring accurate, ethical, and audit-ready RCM practices.
Customized Solutions That Fit Your Practice
Once claims are approved, payments are posted to your system,
EOBs are matched, and reporting is delivered, giving you real
-time visibility into collections, outstanding balances, and
financial health.
Advanced Data Security
Our platform uses industry-leading technology to protect
all provider and patient data. With a 100% security record
over two decades, practices trust us to handle sensitive
information with confidence.
100% Legal & Regulatory Compliance
Our operations are fully compliant with HIPAA, HITECH, CMS,
OIG, and Stark Law standards. Our experts stay current on
all federal billing regulations, including Medicare, Medicaid,
and ACA requirements, ensuring accurate, ethical, and
audit-ready RCM practices.
Frequently Asked Questions
Get quick, expert answers to common inquiries about our revenue cycle solutions, compliance protocols, and scalable medical billing infrastructure
It manages financial processes from patient registration to final payment, ensuring accurate billing, coding, collections, and compliance.
It reduces overhead, improves collections, minimizes denials, and lets your team focus more on patient care, not administrative tasks.
Yes, we follow HIPAA, HITECH, CMS, and OIG guidelines to ensure fully legal and secure revenue cycle operations.
We manage insurance verification, coding, billing, claim submission, denial management, A/R recovery, payment posting, and financial reporting.
We typically complete onboarding within 5–10 days after performing your free revenue cycle audit and EHR integration.
Our tech-driven workflows, 98% client satisfaction, and results-focused strategy increase revenue and reduce billing-related friction.
Need Help Optimizing Your
Revenue Cycle?
Before we start your service, let’s gift you with added value. For a limited time, we offer a free revenue cycle audit. Let us identify revenue leakage in your RCM and increase your revenue by up to 60%.
Before we start your service, let’s gift you with added
value. For a limited time, we offer a free revenue
cycle audit. Let us identify revenue leakage in your
RCM and increase your revenue by up to 60%.
Just share your contact information, and our experts will follow up soon!
Just share your contact information, and our experts
will follow up soon!
