Key Features of Revenue Cycle Management (RCM)
How MD Charts Manages Your Revenue Cycle: Step by Step
Understanding how your revenue cycle is managed can make all the difference in transparency, confidence, and long-term financial performance. Below is a clear guide on how we support each phase of the medical revenue cycle management process.
Patient Visit
We ensure that patient demographics, insurance information, and eligibility are verified upfront to prevent downstream claim denials. This includes all necessary details, from diagnoses, procedures, authorizations, and referring provider data.
Claim Creation in EHR/PMS
We manage claims directly through your EHR for a seamless workflow. Providers handle superbills, and our team ensures each claim is accurate and ready for submission.
Claim Scrubbing (ICD-10/CPT validation, modifiers, edits)
Automated and manual reviews validate every claim before submission, maximizing first pass acceptance rate.
Claim Submission to Clearinghouse (e.g., TriZetto)
Clean claims flow to payers through our integrated clearinghouse.
Rejections Reviewed Daily
Our billing experts review and resolve clearinghouse rejections immediately to prevent delays.
Payer Adjudication
We monitor payer responses and reconcile them promptly.
ERA/EOB Received and Payment Posting
From ERAs to paper EOBs, we post every payment with precision, electronically or manually, so your financial reports stay accurate and current.
Denial Management
Denied claims are corrected and resubmitted quickly.
- We contact carriers, submit medical records, or file appeals to resolve every issue efficiently.
Patient Responsibility
Patient statements are sent promptly, and we handle payment plans or collections if the add-on is selected.
Customize Your Revenue Flow With Add-Ons
Enhance your Medical Revenue Cycle Management experience with specialized services designed to further reduce your workload and boost revenue:
Patient Support
Direct patient assistance for billing questions, payment plan options, insurance inquiries, and more, improving satisfaction while reducing staff burden.
Credentialing Services
Full support for new enrollments, re-credentialing, CAQH updates, and provider location changes. Keeps your practice compliant and payer-ready.
RCM Consulting
Expert analysis for practices handling billing in-house or through a vendor. Includes workflow optimization, denial reduction strategies, and KPI reporting.
Collections
Partnership with a trusted third-party agency to recover unpaid balances after standard statements. Protects practice revenue while maintaining professionalism.
Insurance A/R Management Recovery Projects
Specialized projects targeting claims 365+ days old. High success rates with custom appeal templates improve your A/R and financial reporting.
Clarity That Powers Smarter Financial Moves
Stay fully informed with transparent reports and dashboards prepared by our RCM experts. Track denials, payments, and KPIs at a glance, without having to manage complex software yourself. With MD Charts’ Revenue Cycle Management for Healthcare, you’ll always know where your revenue stands and how to improve it.
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