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Revenue Cycle Management (RCM)!

Revenue cycle management (RCM) is a process that manages claims processing, payment, and revenue generation. It entails using technology to keep track of the claims process at every point of its life, so the healthcare provider doing the billing can follow the process, address any issues, and allow a steady stream of revenue.

The process includes keeping track of claims in the system, making sure payments are collected, and address denied claims, which can cause up to 90% of missed revenue opportunity.

RCM encompasses everything from determining patient insurance eligibility and collecting co-pays to properly code claims using ICD-10. Time management and efficiency play pivotal roles in RCM, and a physician’s or hospital’s choice of an EMR will largely center on how their RCM is implemented.

List of RCM Serices – Home care and DME

  • Fax documentation

  • Intake

  • Sorting/Filing

  • Insurance Verification

  • Pre Auth/Pre cert

  • MCR Checklist

  • CMN Follow-up

  • Shipping Ticket/order entry

  • Initial Order

  • Order Processing/Resupply

  • Payment posting

  • AR Follow-up

  • Returns refunds

  • Patient Calling

  • Inbound Calling

  • Note card


  • Respiratory

  • Oxygen

  • Nebulizers

  • Wheel chairs

  • Orthotics and Prosthetics

  • Walkers and Canes

  • Diabetic Shoes

  • Complex Rehabilitation Chairs

  • Hospital Beds

  • Braces

Critical Transaction Per Year

  • Intake - 85.5k

  • Verification - 159k

  • Authorization - 280.5k

  • Denials - 924k

Since 1999
100% in-house