Revenue Cycle Management

Complete Revenue Cycle Management Solutions That Transform Practices

Health and Billing's RCM services provide end-to-end financial optimization that transforms how your practice captures, processes, and collects revenue. Our HIPAA-certified RCM specialists manage every aspect of your financial operations, from initial patient registration through final payment collection, ensuring maximum revenue capture while minimizing administrative burden.

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    Your Revenue. Your Practice.
    Claim It Faster

    Transparent, Reliable, and Customized RCM Solution for Your Specialty

    At Health & Billing, we handle your entire revenue cycle with precision, from patient registration to final payment.

    Our RCM experts ensure your practice gets every dollar it deserves, on time, every time.

    • 100% HIPAA-compliant processes
    • Reduce claim rejections
    • Speed up payment cycles
    • Secure long-term revenue growth

    revenue cycle management

    Your practice works hard for patients. Let us make sure every service gets paid.

    Denied or delayed claims can cost you thousands in lost revenue. Our RCM ensures your financial stability.

    At Health & Billing, our RCM solution are designed with precision, leveraging industry-leading technologies and best practices to optimize financial performance across every stage of the revenue cycle.

    By integrating advanced software systems alongside intelligent claim scrubbing and analytics platforms, we ensure: ACCURACY. COMPLIANCE. MAXIMUM REIMBURSEMENT.

    Our All-in-One Revenue Cycle Management Includes

    Front-End / Pre-Visit Management

    Efficient front-end processes are critical to reducing claim denials and enhancing patient satisfaction:


    • Patient Scheduling & Registration: Streamlined workflows using advanced software to minimize errors and optimize appointment throughput.
    • Demographic Entry: Accurate capture of patient data (name, DOB, address, insurance ID) to ensure claim integrity.
    • Insurance Verification & Eligibility Checks: Automated and manual verification, confirming every required detail: coverage, benefits, and patient financial responsibility.
    • Prior Authorizations & Referrals: Managing payer approvals to prevent service delays, leveraging EHR-integrated authorization tools.

    Mid-Cycle / Clinical & Claims Management

    The mid-cycle management ensures accurate translation of clinical care into billable services:


    • Medical Documentation Support: Ensuring provider notes and EHR entries are complete and compliant.
    • Charge Capture: Accurate recording of services rendered, preventing any possibility of revenue leakage.
    • Our EXPERT Medical Coding (ICD-10, CPT, HCPCS): Certified coders assign precise codes to services and diagnoses, supported by coding validation tools.
    • Claim Creation, Scrubbing & Submission: Claims are generated and verified, ensuring minimal rejections before electronic submission to payers.

    Back-End / Collections & Payment Management

    Our back-end operations focus on timely reimbursement and complete financial closure:


    • Payment Posting (Insurance & Patient): Accurate posting in real-time, reconciling EOBs and patient payments.
    • Denial Management & Appeals: Systematic identification of denied claims, root-cause analysis, and resubmission or appeal to maximize recovery.
    • Accounts Receivable (A/R) Management: Continuous monitoring of outstanding balances to optimize cash flow and reduce days in A/R.
    • Patient Billing & Collections: Clear patient statements with flexible payment options, managed through integrated RCM portals.

    Compliance & Reporting

    Health & Billing always prioritizes regulatory adherence and strategic insight:


    • HIPAA & CMS Compliance: All processes strictly adhere to federal and state regulations, safeguarding sensitive patient data.
    • Claim Auditing & Quality Assurance: Ongoing audits to maintain coding accuracy and process integrity.
    • Real-Time Reporting & Analytics: Dashboards and KPIs provide actionable insights, from denial rates to net collection performance.
    • Performance Optimization: Continuous process refinement using analytics and RCM intelligence tools to maximize revenue capture and operational efficiency.

    Why Choose Health & Billing for Revenue Cycle Management?

    We simplify your billing process. Reduce financial stress. Help your practice thrive.

    claim of revenue cycle management

    Accurate Claims, Faster Payments, Every Time!

    Leveraging EDI technology, AI-assisted claim scrubbing, and integrated RCM platforms like Epic, Athenahealth, and Waystar, we meticulously review every claim to ensure accuracy. This minimizes errors, accelerates approvals, and maximizes on-time payments

    CPT & ICD Code Verification

    Our certified Medical Coding Experts validate each CPT, ICD-10, and HCPCS code. We follow payer-specific guidelines, cross-check documentation, and eliminate errors before claims leave your system.
    Comprehensive Solution of revenue cycle management

    Comprehensive Solutions for Practices of All Sizes

    Whether you are an independent provider, multi-provider group, or hospital system, our end-to-end RCM services are fully scalable to meet your practice’s size and complexity.
    Dedicated 24/7 Support

    Our expert support team is available around the clock to address any billing or RCM queries. We make everything from quick clarifications to complex claim issues understandable. We ensure your revenue cycle never stalls.

    Specialities We Support

    With years of specialized experience, we help practices increase revenue by up to 35%, supporting specialties like psychiatry and Mental health, Neurology, Pain Management & Anesthesia, Cardiology, Internal medicine/Family Medicine, Urgent Care, and more.

    State-of-the-Art Data Security

    We maintain HIPAA-compliant encryption, strict access controls, and regular security audits. Patient information is fully protected, whether stored, transmitted, or accessed within our secure RCM environment.

    Reduce Your Administrative Burden

    Our fully integrated processes reduce administrative burdens for your staff. From scheduling to billing and collections, our solutions improve efficiency, enhance productivity, and provide clear, real-time revenue cycle visibility.

    Our team is 100% HIPAA-certified!

    Compliance You Can Trust

    We adhere to all key healthcare regulations, including the No Surprises Act, CMS, HIPAA, OIG, and AMA standards, ensuring your practice remains compliant while optimizing revenue. We automate registration, insurance verification, claim scrubbing, and patient billing processes. Your team can focus more on patient care instead of paperwork.

    risk management health and billing

    Maximize Your Revenue. Minimize Your Hassle. Health & Billing

    Let’s Discuss and LEARN How Much Your Practice is Losing!

    FAQs

    How quickly will I see improvements in my revenue cycle?

    Most practices notice measurable improvements within the first 60–90 days: fewer denials, faster payments, and clearer visibility into their revenue.

    Can Health & Billing handle complex insurance claims for multiple payers?

    Absolutely. Our team is experienced with commercial, Medicare, Medicaid, and specialty-specific payers. We ensure claims are submitted accurately and followed up diligently.

    Will switching to Health & Billing disrupt my current workflow?

    Not at all. Our migration process is seamless, fully integrating with your existing EHR or practice management system, so there’s no downtime and no lost data.

    How secure is patient and financial data with your service?

    Security is our priority. All data is protected with HIPAA-compliant encryption, multi-level access controls, and routine audits to ensure privacy and regulatory compliance.

    Do you provide reporting and insights on my practice’s financial performance?

    Yes. We provide real-time dashboards and detailed analytics, including denial rates, accounts receivable status, and revenue trends. We always help you make informed decisions.

    What happens if a claim is denied?

    Our team handles all denials management. We will perform root-cause analysis, correcting errors, and resubmitting claims to maximize reimbursements.

    Health & Billing Brings

    Hope, Health & Harmony

    To Your Healthcare Practice
    So, You can focus on what’s more important: Patient Care!

    Reduced Administrative Burden | Improved Cash Flow | 100% HIPAA-compliance
    Cost Efficiency | Certified medical coders and credentialing specialists | Scalable Solution