Revenue Cycle Management Services
Expert support to navigate the complexities of medical billing
reimbursement and maximize profitability
Full RCM Solutions from start to finish
Revenue Cycle Management is the process used by healthcare systems in the United States to track their patient revenue from their initial appointment or encounter with the healthcare system to their final payment of balance. The cycle can be defined as "all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue." It is a cycle that describes and explains the life cycle of a patient (and subsequent revenue and payments) through a typical healthcare encounter from admission (registration) to final payment (or adjustment off of accounts receivables).

Verification

Coding & Compliance

Billing

Claim Submission

Collections & Appeals

Payment Posting
Coding & Coding Audits
Our Independent, outside coding audits demonstrate that reasonable steps have been taken to ensure compliance.
Credentialing
Credentialing is the process of obtaining and reviewing documentation to determine participation status in a health plan. The documentation may include, but not be limited to, the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Generally, the terms credentialing and recredentialing include the review of the information and documentation collected, as well as verification that the information is accurate and complete.
Reliable, consistent bookkeeping and compliance
Decision-ready
financial reports
Proven controls to help reduce fraud
Integrated technology and support from industry specialists

Facility and Clinical Billing
From small practice to large facility... We've got you covered.
OHC Healthcare Solutions provides your small or large size medical practice easy-to-use, yet powerful online tools to keep your day-to-day operations running smoothly.
Many user-driven, customizable settings, and detailed financial metrics always online. Our analytic tools are available online for our customers with free support to help our clients access their data.