• Revenue Cycle Management


Revenue Cycle Management

Are you finding it difficult to determine the eligibility of the patients and their co-pay collections, coding their medical claims, tracking it, collecting payments, and following-up on denied claims? Is it a cumbersome task to track and resolve tertiary tasks such as payer contracting, billing, collections, provider enrolment, revenue management, data analytics, etc.,

Revenue Cycle Management (RCM) is an extremely important procedure in healthcare and is single-handedly responsible for ensuring that healthcare providers payment, claims processing, and revenue generation procedures work effectively. ShanBiosys, a leading revenue cycle management service providing company, can manage the entire revenue cycle starting from a patient's admission to the hospital, treatment, and discharge, to post-discharge claims and accounts settling. With our help you can benefit from accelerated cash flow, structured and organized operations, faster revenue realization, and constant monitoring of key revenue cycles.


Why Choose ShanBioSys for Revenue Cycle Management?

Revenue Cycle Management helps to unify the clinical and business of healthcare but still does not get the focus it deserves from established healthcare providers. Outstanding revenues and a disorganized revenue cycle are two major factors that pull down the efficiency of hospitals.

As a healthcare provider, it becomes highly imperative that you have an agile revenue cycle management. Over the years, our experience and investment in knowledgeable resources have allowed us to become a leading provider of outsourced revenue cycle management solutions. By choosing us as your revenue cycle management service provider, you can get access to the following benefits -

With our help, you can save almost 60% on your operating costs

Access to the best infrastructure in terms of world-class office spaces and uninterrupted network connections


Explore Our Services

With our RCM services, you stand to benefit from increasingly efficient cash flow management solutions which in turn allow for better financial stability and flexibility for managing routine operation while dealing with industry challenges. Over the years, we have worked with both small and large clinics, hospitals, physician offices, family-based medical practices, ACHs, and medical billing providers to provide them with bespoke revenue management services. Our offerings include

Accounts Receivable Analysis
Our AR analysis team can provide you with an accurate analysis of your account receivable accounts with ease. Our services will facilitate you overhaul your facility's economic structure at an affordable price.

Accounts Receivable Management

Our team of healthcare experts are highly skilled and experienced to provide clients with accounts receivable management services. We ensure that all the details in the medical claim are correct and ensure that your cash flow is maintained and denials are reduced.

Accounts Receivable Follow-up

We have the required tools and technologies to ensure that we regularly follow-up with your accounts receivable accounts. We provide our clients with accurate healthcare AR follow-up, AR recovery services, online claims follow-up, financial reports creation, etc.

AR Calling Services

We have a dedicated team to handle all your AR calling needs. We ensure that you do not spend on hiring an in-house team and boost your ROI. We can help you track unpaid claims, manage patient's collectible, generate AR reports, and track electronic and paper claims efficiently.

Denial Management Services

Denials occur due to incorrect patient information, improper documentation, invalid medical codes, etc. By outsource denial management service to us, you can rest assured that all your details are correct and all documents are verified in order to reduce the number of denials.

Dental Insurance Verification

We help small and mid-sized dental practitioners and companies with high-quality dental insurance verification services. We provide them with verification of various details such as policy status, payable benefits, co-insurance details, insurance plan exclusions, etc.,

Insurance Eligibility Verification

Our healthcare team at ShanBioSys has the required skills and expertise to provide clients with accurate insurance eligibility verification. We can help you with document verification, patient insurance coverage verification, claim submission, etc.

Medical Insurance Claims Processing

ShanBiosys is one of the experts in medical insurance claims processing and have been catering to the needs of clients for over two decades now. We can help you with claim setup, verification, document imaging, claim adjudication, disbursement, account settlement, etc.

Payment Posting

Payment posting marks the end of the billing cycle where the patient records are entered into the billing software. Our team at ShanBioSys can help you at each and every stage of the process leveraging the latest and the best medical billing software in the market.

Pre-Visit RCM Services

During this phase, we cover a host of services which can help you easily screen patients and record their details for faster processing down the line. We ensure all details are captured accurately and securely and screened for mismatches and mistakes.


Explore Our Solutions

Appointment and Scheduling
Batch Preparation
Insurance Eligibility Verification
Patient Registration

Prior-authorization
Commodity Trading and Risk Management
Patient Indexing
Payment Batch Preparation
Post-Visit RCM Services
Referral Verification

Once the patient has been discharged or has submitted his insurance claims, we facilitate to follow up and trace the exact amounts requested, while liaising with the insurance provider, if required. Our services include -

Medical Coding
Medical Coding Audit
Charge Entry
Charge Validation
CCI Edit validation
ICD-10 code validation
CPT/HCPCS code & modifier validation
Claims Filing
Electronic Payment Posting
ERA & EOB posting
Daily log report
Manual Payment Posting
Denial Posting
Denial Management
Identify major reasons
Tracking and trend analysis
In-depth analytics
Account Receivables Management
In-depth analysis of outstanding claims
Follow up with insurance providers
Appeals & follow-up appeals
Denial Follow-up
Claim Dispute Verification
RCM Support Services

Along with the above-mentioned services, we also provide a host of support services which can facilitate you streamline and optimize your existing revenue cycle while benefiting from better cost-savings and increased customer satisfaction. Our services include -

Revenue Improvement Services
Bad Debt Follow-up
Balance Adjustment
Claim Conversion
Collection Processing
Custom Report Generation
Claims Corrections and Refiling
Electronic Secondary Claims Transmission
EMR Clinical Documentation and Reporting
Manual Secondary Claims Transmission
Payment and charge reports
Procedures and diagnosis reports
Payment reimbursement report generation
Lockbox deposit reconciliation
Payer detail analysis
Patient Statements (Inpatient and Outpatient)
Patient Credit Status Report
Provider Enrollment

Clinical Documentation Improvement (CDI)

Enhanced Infrastructure

ShanBioSys has the infrastructural capacity and the expertise to avoid unnecessary disruptions that mostly occur due to regulatory changes or unforeseen errors. With our help, you can always bank on achieving the best possible results, while leveraging our state-of-the-art infrastructure and web-ready interfaces to achieve better operational flexibility.

Higher Competency

Most healthcare organizations face exceptional challenges when it comes to training, implementation, and adjusting to the learning curve of a revenue cycle system. With the help of RCM, we can help our clients streamline the process by utilizing our team of exceptional medical billing experts and project managers who double up as your solution architects as well.

Increased Scalability

We have access to exceptional talent and a trained workforce which help to provide the flexibility and scalability that many healthcare providers yearn for. We can scale up the resources assigned to your project within 24 hours of saying so, thereby minimizing the amount of non-core work required to be finished by your in-house personnel.

One-stop Solution

ShanBiosys can become a trusted outsourcing partner for all your healthcare requirements, including medical billing and coding, claims adjudication, teleradiology, pharmacy business, and more.


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