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).

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Verification

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Coding & Compliance

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Billing

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Claim Submission

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Collections & Appeals

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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

 
Opses

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.