RCM

We provide effective follow-up for all outstanding claims based on Aging Reports and Denial Management, and take appropriate action to resolve it quickly and good cash flow for effective management.

Revenue Cycle Management

Revenue cycle management (RCM) is the financial process, utilizing medical billing software that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Revenue Cycle Management (RCM ) unifies the business and clinical sides of healthcare by coupling administrative data, such as a patient’s name, insurance provider and other personal information, with the treatment a patient receives and their healthcare data.
BRITE STAR Healthcare provides unique, customer-focused Revenue Cycle Management models that fit your specific business needs. Our team of highly competent & experienced specialists provide accurate reports in the determined timeframe. We diligently handle all administrative processes involved with medical revenue cycle management, allowing you to focus on your core business on providing optimum healthcare.
Communicating with health insurance companies is a key component of RCM. When a patient schedules an appointment, the physician’s office or the hospital staff typically check the patient’s reported insurance coverage before the visit. After an insured patient receives treatment for a given condition and supplies any applicable co-payment, a healthcare provider or coder categorizes the nature of the treatment according to International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) codes. The hospital or care facility then sends the care summary with ICD and Current Procedural Technology (CPT) codes to the patient’s insurance company to see what portion of the care will be covered by insurance, with the patient billed for the remainder.

Revenue Cycle Management Services

Our certified expertise is proficient in providing the following RCM Services

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• DENIAL MANAGEMENT


• INSURANCE AGING FOLLOW UP


• PATIENT FOLLOW UP


• OLD AR FOLLOW UP


• PATIENT COLLECTION LIST


• MONTHLY REPORTS


• QUALITY REPORTS


• PRODUCTIVITY REPORTS


• PAYOR METRICS REPORTS


• CHARGES COMPARISON REPORTS


• PAYMENTS COMPARISON REPORTS


• REFUND TRACKING REPORTS


• STATEMENTS COMPARISON REPORTS


• TIMELY FILING ADJUSTMENT COMPARISON REPORTS


• AGING TRENDS COMPARISON


• QUERY ANALYSIS REPORTS


• DENIAL ANALYSIS REPORTS

Our Value Add Services

The BRITE STAR Healthcare ensures transparent, streamlined and cost-effective medical billing process resulting in accelerated revenue generation cycle and improved patient-provider relationships. With prime focus on data quality and data accuracy, our sophisticated revenue cycle management services for the healthcare industry includes

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• TIMELY FOLLOW UP & RESOLUTIONS


• MONTHLY COMPARISON & ANALYSIS REPORTS


• HIGH DOLLAR CLAIMS RESOLUTIONS


• PREVENTIVE & PROACTIVE MEASURES


• HIGHLY SKILLED RESOURCES


• IMPROVING COLLECTIONS