Revenue Cycle Management Services
Seal leaks in your revenue cycle with an expert, full-spectrum-focused team
Create a fortified innovative revenue cycle management structure with analytically driven expert teams.
Reduce leakage, reduce over-coding risks, improve clean claims and tighten the grip on governance.
Services / Revenue Cycle Management
Customized Revenue Cycle Management Services
Improve Profitability, Patient Experience and compliance with Neolytix RCM
Effective RCM not only ensures optimized cost-reducing processes and revenue improvement, but also an improvement in the patient experience. A shift from a billing-focused approach to complete RCM is required as the industry is evolving from a fee-for-service to the value-based care model. Unfortunately, a certain level of expertise and experience is required to capture the benefits offered by revenue cycle management- skills and expertise that most practices lack.
Our RCM teams have accumulated the necessary expertise over 11 years and are able to adapt their service to the individual practice regardless of where they find themselves in the practice life cycle model.
Revenue Cycle Management Services for
Evolving Medical Practices
Create an industry-best RCM blueprint
Master building processes, control, and workflows that facilitate smooth functioning and better revenue outcomes for your practice.
Our stand-alone RCM Consulting services are offered to those who are starting up, or practices looking to optimize and scale.
Increase revenue and reduce costs
Revenue Leakage Analysis and error trend detection to improve revenue.
Improvements to clean claims with ongoing actions.
Maximized reimbursements with faster turn-around times.
Improved governance and transparency
Front and back-end integration means embracing the entire revenue cycle, from the first point of patient contact to final reconciliation.
Reporting and analyses along each step of the revenue cycle value chain.
Neolytix serves as the enabler for holistic analysis to foster a cross-departmental synergy.
Empowering revenue intelligence
In-depth reporting provided to create a platform for proactive improvement strategies.
Amendable key metrics to best reflect what matters to the individual provider.
Scheduled or on-demand detailed reporting and analysis
How Neolytix RCM Services Improves Revenue in your Practice
A brand-new holistic approach is needed to gain the most out of your revenue cycle. But as is the case with all new strategic implementations, the learning curve is steep and sometimes costly. Neolytix provides practices access to instant expertise and the opportunity to optimize their revenue cycle, without having to go through the slow and painful adoption process.
Benefits without the Challenging Learning Curve
Neolytix’s expert RCM teams bring 11+ years of experience to your practice which means you’ll enjoy all the benefits that all-inclusive revenue cycle management brings:
- Without having to upskill your staff,
- No need to hire consultants to assist in planning and implementation.
- Avoid costly rookie errors caused by inexperienced staff
- No need to scout and hire new resources
- Fresh approach for a dynamic future approach to generating revenue
Ask an RCM Strategist
TESTIMONIALS
Listen to what our clients
have to say
Sarah Charmchi I chose Neolytix for credentialing our practice. The team was knowledgeable, responsive and kind and supported us through the process. I would certainly recommend their services. Sue Robbins Neolytix has helped so much with our outstanding A/R. They are always so very willing to help and complete the task in a timely manner. Toby We transitioned to Neolytix a while back, having come from a billing company we were less than thrilled about. The people here have been very responsive to our needs and requests, and adapt quickly to whatever curve balls our practice throws them. They bring a wealth of knowledge to the table, and take the attitude that our success is their success. Sandy M I was a new office manager for a private practice when I hired Neolytix for credentialing assistance. Eden has been very thorough and helpful every step of the way. insurance credentialing can be so overwhelming at times, that having this task off my plate has given me a peace of mind. I know she is handling everything. Always quick to respond to questions or concerns. Cheryl Lambert Neolytix is the most professional and hard working billing company I have ever been partners with . I call them a partner because they truly are. Neolytix makes sure what they bill is accurate. Their knowledge of physician billing is outstanding. The entire team takes control and does what is necessary to make sure you get paid.
Take Complete Ownership of your Revenue Cycle
or
Optimize Gradually
Don’t have the appetite to harvest all the benefits from full-spectrum revenue cycle management services?
No problem. Select individual service offerings from within the revenue cycle to gain access to specific expertise to complement your non-clinical processes.
Full-Spectrum Revenue Cycle Management Services
Essential RCM Scope
- First Contact (Queries, etc)
- Patient Scheduling
- Benefit and Eligibility Verification
- Pre-authorization
- Patient-Provider Encounter (Capturing info, EHR, transcribing)
- Medical Coding
- Charge Capture / Claims Generation & Submission
- Cash Posting/Payment Posting
- Denial Management
- Patient Billing
- Accounts Receivable
- Reputation management (Review requests and replies)
A-La-Carte RCM Options
Benefits & Prior Authorizations
- Prevent Surprise Bills and Penalties 
- Improved benefit verification and prior authorization 
- Support patient collections and improve patient experience
Licensing Service
- Minimize onboarding time of new clinical personnel 
- Physician, Non-Physician, DEA, CDS, CLIA & Group Licensing 
Credentialing Service
- Fast Insurance Medical Credentialing and Provider Enrollment 
- Relationships with insurers and in-depth knowledge of processes 
- Expedited service through constant follow-up 
Medical Billing And Coding
- 10+ years of SLA-based billing service experience
- Expert Coding support and knowledge transfer
- Maximize revenue without overcoding
Frequently Asked Questions (FAQ’s)
Revenue cycle management in healthcare refers to the process of managing the financial aspects of patient care, from registration and scheduling to claims submission and payment collection. It involves tasks such as verifying insurance eligibility, coding, billing, and accounts receivable management.
Neolytix provides revenue cycle management as an all-encompassing service, or parts thereof selectable as a-la-carte style services. Whatever we do, our offering to you would be unique as we customize our solutions to suit the specific healthcare provider.
Revenue cycle management services can benefit your healthcare organization by improving cash flow, reducing claim denials, optimizing revenue capture, and streamlining administrative tasks. By leveraging expertise, technology, and best practices, revenue cycle management services can enhance financial performance, increase efficiency, and allow your staff to focus on patient care.
In our experience, when done correctly, revenue cycle management will also lead to an improved patient experience, which will turn to an increase in positive testimonials, and this will translate into patient growth.
A comprehensive revenue cycle management solution typically includes services such as insurance verification, coding, and documentation review, claims submission and tracking, denial management, patient billing and collections, and financial reporting. It may also encompass tools for analytics, revenue integrity, and compliance monitoring.
Click here to get an eagle-eye view of the services within the Neolytix revenue cycle management realm.
Our revenue cycle management services employ advanced technologies, experienced personnel, and industry best practices to optimize your revenue cycle. By reducing claim denials, accelerating reimbursement, and enhancing coding accuracy, we can help you maximize revenue, minimize write-offs, and improve overall financial performance.
In addition to the hardcore business mechanics we improve, Neolytix teams have a reputation for their kind and cooperative approach to integrating with providers and teams to create synergy based on humility and mutual respect.
Revenue cycle management services are beneficial for a wide range of healthcare providers, including hospitals, physician practices, clinics, ambulatory surgery centers, and medical billing companies. Regardless of size or specialty, any organization that deals with medical billing and revenue collection can benefit from streamlined revenue cycle management processes.
Neolytix prioritizes compliance with healthcare regulations and patient privacy laws. Our revenue cycle management services adhere to HIPAA guidelines, maintain strict data security protocols, and employ certified coders and billing experts. We continuously monitor regulatory updates and implement robust safeguards to protect patient information and ensure compliance.
Yes, we can provide references and case studies of healthcare organizations that have successfully implemented our revenue cycle management services. These references and case studies highlight the specific challenges faced by healthcare organizations, how our services addressed those challenges and the measurable improvements achieved in terms of revenue growth, cash flow, and operational efficiency.
Schedule a free, no-obligation consultation to learn more about optimizing your revenue cycle
Complete the form and someone from our team will be in touch with you!
Learn more about improving Billing and Collection at your medical practice
Medicaid Billing Services
Neolytix offers HIPAA-compliant Medicaid billing services customized to meet the needs of medical practices everywhere.
Medical Billing and Collection Services
There’s no assembly line here; all of our physician billing solutions are handcrafted with your practice in mind.
Medical Billing for Mental Health Services
Leave all the paperwork to us and focus more time on your Behavioral Health Practice
Medical Billing Outsourcing Company
Neolytix offers HIPAA-compliant medical billing services with professional expertise and friendly, convenient service.
Physician Medical Billing Services
Medical billing is a central part of healthcare. It’s how we as a community ensure that every medical professional gets paid on time and every patient is covered by their insurance.
Professional National Medical Billing Services from Neolytix
Neolytix is proud to offer comprehensive and results-oriented national medical billing services. We guarantee consistent, expert results every month.
The Key Components Within Our Comprehensive
Medical Billing Services
Insurance Benefit Verification
We excel in insurance benefit verification, ensuring a meticulous and thorough assessment of coverage details to facilitate a seamless and accurate billing process for our clients.
Medical Coding
Our proficiency in medical coding lies in our team’s expertise, precision, and up-to-date knowledge of coding guidelines, ensuring that every code accurately reflects the medical services provided, leading to optimal reimbursement.
Claim Submission & Follow-up
With a proactive approach, we streamline the claim submission process and meticulously follow up on each claim, minimizing delays and maximizing reimbursement, thereby enhancing revenue cycles for healthcare providers.
Denial Management
Our robust denial management strategies involve a comprehensive analysis of denials, prompt identification of root causes, and implementation of corrective measures, ensuring minimized denials and an improved cash flow for our clients.
Reporting & Analytics
Harnessing the power of advanced reporting and analytics tools, we provide our clients with insightful and customized reports, enabling them to make informed decisions, optimize revenue strategies, and enhance overall performance in the rapidly evolving healthcare landscape.
Accounts Receivable Management
Ensure a steady and timely cash flow by implementing Neolytix’s strategic approach to accounts receivable. From establishing transparent payment terms to leveraging advanced automation, our billing services empower you to effortlessly manage outstanding balances, fostering financial stability for your business.
Contract Management Services
How does it work?
We will closely work with your healthcare organization to create attractive value propositions for each insurance plan. Our experts highlight your unique capabilities, cost-effectiveness, and quality of care, effectively positioning your practice for favorable negotiations. Here is an outline of what you can expect going forward:
Preparation
1. Consultation and Proposal
We start with a conversation to discuss the status of a medical provider’s contracts to grasp your needs fully. After deliberation, we submit a proposal outlining the process, fees, and plans with timelines going forward.
Client's Information Submission
If you are interested in our services, we will provide you with a list of data and information. This will help you analyze your rates and create a strong proposal.
Evaluation of Payer Reimbursements
We compare your organization's rates for each CPT code with Medicare's rates to understand your financial performance in detail.
The Process
Value Proposition Presented to Plans
A detailed offer is made, showing the practice's special abilities and the potential savings for health plans.
Negotiations with Plans
The value proposition is submitted to each plan, and the negotiation process begins. We always push for higher rates, providing strong evidence and refusing to accept a negative response.
Enhanced Rates for Your Practice
Neolytix remains dedicated to securing higher rates for our clients despite prolonged delays and obstacles. We tenaciously pursue negotiations until your practice attains the deserved rate increase.