Skip to content Financial performance can get increasingly complicated in today’s healthcare landscape. It requires specialized knowledge to optimize your billing process, all while ensuring exemplary patient care. Credex Healthcare offers full revenue cycle management services to improve your practice’s financial health, reduce revenue leakage in healthcare, and streamline every touchpoint from patient registration to final payment collection.
Healthcare practices and outpatient clinics nationwide trust Credex Healthcare with our specialized RCM services.
First pass high acceptance rate, ensuring your claims meet coding and reimbursement requirements
Revenue growth with our optimized RCM solutions with an average increase in practice revenue v
Extensive provider network providers benefiting from our expertise to maximize your practice’s financial performance
Credex Healthcare is an expert in revenue cycle management services, having the knowledge to deal with the unique issues that arise when billing processes get complicated, and customer needs are different. We are experts at medical billing outsourcing, securing insurance coverage, managing prior authorizations, and handling claims denials.
Complete RCM Services Include:
Our expert verifies to see if you are eligible for insurance and makes sure you are covered in real time. We also make sure that patients get their benefits and help them with their financial issues.
Extensive knowledge of managing prior authorizations, ensuring that surgeries, drugs, and testing services are approved on time
Full and clean claim filing with refusal cleaning technology, which lowers the number of rejected claims and speeds up payment.
A strategic workflow for managing claim denials that includes finding the root cause, handling challenges, and preventing denials.
By integrating business intelligence (BI) with RCM insights and artificial intelligence AI with RCM skills, you can execute full RCM analytics and reports from the time a patient is registered until the payment is posted.
Credex Healthcare has had an over a decade of experience helping hospitals, doctor’s offices, surgery centers, and other healthcare organizations of all kinds with their revenue cycle management. Our team of RCM experts knows how to optimize the revenue cycle, identify the revenue systems of healthcare organizations, and properly handle the whole billing cycle, from taking on a new patient to getting paid in full.
Our expert handles patient registration, making sure that correct personal information, insurance information, and pre-service financial clearance are all taken care of.
We do real-time qualifying checks and reward determinations for all types of insurance payers as part of our insurance verification services.
Our services make sure that medical codes are correctly assigned by qualified coders who use CPT, ICD-10, and HCPCS.
We send payments for insurance claims and patient payments, making sure that the amounts are correct and that any problems are fixed.
We improve the financial performance of healthcare organizations by reducing the income loss through the revenue cycle.
Our professional writers and billers make sure that all claims are submitted correctly and that any denials are scoured, which speeds up refunds and cuts down on extra work.
Credex Healthcare configures RCM systems specific to both small offices and big healthcare groups. This way, each client gets the help they need.
Optimized Revenue Stream
We improve general financial health and security by effective A/R follow-up, improving overall financial health and stability.
Enhanced Patient Financial Experience
Our reliable patient billing and collections services make it easier for patients to pay their bills, which increases their satisfaction and lowers the amount of bad debt.
Credex Healthcare is an expert at offering comprehensive services for revenue cycle management that are tailored to healthcare companies who desire improvement in their revenue cycle. Our skilled medical billing staff uses the best RCM techniques to make sure that your business runs more easily.
Deep knowledge of strategies for optimizing the revenue cycle to cut down on accounts’ unpaid days and increase the revenue collection rate.
Expertise in all parts of medical billing outsourcing, such as automatic medical billing, integrating medical billing software, and ensuring the entire billing process runs smoothly.
Denial Management Mastery
Expertise in managing claim denials and in accurately processing appeals to recover funds.
Extensive experience with BI for RCM and AI in RCM tools that allow for smart automation and predictive analytics.
Making sure that your HIPAA-compliant RCM is always being monitored, which is important for protecting patient data and staying in line with state regulations.
Advanced authorization and relationship management with payers make it possible to process claims more smoothly and receive reimbursements faster.
Years of Experience with RCM
Number of Clean Claims Sent
Increase in Average Revenue
Support Available for All Your Needs
Customized Solutions for RCM
CEO
Thompson
CFO
Martinez
“Managing our revenue cycle internally was overwhelming. Credex took care of all of it, from insurance verification to payment posting. Our revenue collection rate went up by 45%, and the average collection period decreased significantly.”
Administrator
Chen
Owner
Williams
COO
Anderson
Patient Registration & Verification
Complete patient registration by collecting correct personal information, making sure the patient's insurance is valid, and managing previous permission for planned services.
Charge Capture & Coding
Accurate charge recording at the point of service and medical coding by our qualified coders ensuring that claims are ready to be sent in a clean state.
Claim Submission & Scrubbing
Efficient and accurate electronic claim filing to remove potential mistakes and make sure RCM handling is HIPAA-compliant.
Payment Posting & A/R Follow-Up
Billing experts post payments for insurance and patients, follows up on unpaid claims, and handles requests for denied claims.
We provide complete revenue cycle management services from patient scheduling through final payment collection. New technologies like automated medical billing, medical billing software integration, BI for RCM, and AI in RCM are used by our RCM services team to make the process more efficient and generate more revenue. Credex Healthcare also uses RCM KPIs, data analytics, and a performance tracking system to handle planned revenue cycle optimization.
Full insurance verification services with real-time coverage checks cut down on denied claims and improve the patient's financial experience.
Innovative denial scrubbing and claim rejection management using predictive analytics to diagnose problems before the claim is sent in for a clean claim filing.
Systematic handling of prior authorizations with automated processes, seamless integration with payer portals, and tracking of statuses to make sure approvals are timely.
Expert follow-up on accounts due, patient bills, and collections to cut down on wait time for payment and increase the rate at which you receive revenue.
Whether you are struggling with increasing denials, extended days in receiving payments, or simply lack the internal resources to optimize your revenue cycle, Credex Healthcare has the solutions that fit your specific needs. Our comprehensive approach begins at the very foundational levels of medical billing and extends through all levels of RCM, from ensuring the extent of insurance coverage to collecting account balance.
Contact Credex Healthcare today and discover how our revenue cycle management services can make you achieve your objective of delivering outstanding patient care with enhanced financial performance while reducing your practices administrative burden.
Allow us to manage the intricate process of healthcare revenue cycle optimization.
Schedule Your Free Consultation Now.
Revenue cycle management (RCM) services encompass the entire financial process from customer signup to final payment. Key aspects include verifying insurance, obtaining prior approvals, recording and coding charges accurately, submitting clean claims, managing payments, and handling claim denials. The RCM provider uses AI and BI technologies to enhance the financial experience for patients, improve revenue collection, and reduce accounts receivable days, all while maintaining HIPAA compliance and minimizing revenue loss.
Our revenue cycle management services leverage advanced technology by using the RCM providers automated medical billing and dedicated software that works with major EHR systems. We utilize business intelligence for real-time dashboards and performance metrics. The RCM providers services can also include artificial intelligence for predictive analytics and denial prevention, denial scrubbing technology, and real-time insurance eligibility checks. We manage prior authorization with payer portal integration and automate payment posting, along with various RCM analytics and reporting tools.
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