Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. Elevate Healthcare Solutions is a healthcare revenue cycle management service, that focuses on providing end-to-end medical billing services. Elevate Healthcare Solutions ensures complete information security compliance and process efficiency through innovation and technology-driven services. We provide exceptional healthcare revenue cycle solutions to our clients.

The following services are offered in our revenue cycle solutions suite:

• Patient Registration/Demographics entry
• Insurance Eligibility Verification
• Charge Entry Services
• Experienced in handling direct clients “End to End” Processes in Medical Billing.
• Electronic claims submission / EDI set-up
• Payment Posting
• Accounts Receivable Management
• Denial Management

Account Receivable Processes involves insurance verification, Insurance reimbursement issues, Counseling, Pre-authorization of services, monitoring billing and claims, and account follow-up. One of the key areas in Medical Billing that directly impacts the cash flow is accounts receivable management. Therefore, it is only logical that a system of an internal controls to properly manage medical billing, AR follow-up is designed and put in place.

At Elevate Healthcare, the AR management team is structured to be a complete solution provider to address difficulties that occur in cash flows and is operated as a part of the medical billing team. The goal here is to recover the funds owed to the client as quickly as possible. We aim at accelerating cash flows and reducing the Accounts Receivable days by submitting error free clean-claims, proper analysis of denied claims and regular follow-ups with insurance companies and patients for outstanding claims and dues.


Our Accounts Receivable Management services include:

• Insurance Follow up
• Appeal on denied claims
• Old AR follow up
• Patient Follow up
• Credit/Refund/Recoupment Audit

The payments are received from the Payer and Patients, are posted in the medical billing system of the client to reconcile the claim.

• Insurance Payment Posting: All payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The medical billing staff posts these payments immediately into the respective patient accounts, against that particular claim to reconcile them. The payment posting is handled according to client-specific rules that would indicate the cut-off levels to take adjustments, write-offs, refund rules etc.
• Patient Cash Posting: All payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The medical billing staff posts these payments immediately into the respective patient accounts, against that particular claim to reconcile them. The payment posting is handled according to client-specific rules that would indicate the cutoff levels to take adjustments, write-offs, refund rules etc.

Denial Management is extremely time-consuming and most practices (and billing companies) do not devote sufficient resources to adequately pursue maximum reimbursement. According to a recent study by the Health Insurance Association of America, 14% of all claims submitted to payers are denied - that is, one in seven that need rework, resubmission, and possible appeal by the provider. Timely Follow Up. A critical step in the billing process is resubmitting any claims that are not received by the insurance company or need to be corrected and resubmitted. All submissions are confirmed with the insurance company within 10 days to prevent any denials for untimely filing. At Elevate Healthcare Denial Management is not introduced to just resubmit a claim. We have a team of experts who analyze the reason for denial, track the most common denominators and systematically work on identifying and eliminating weak links. Our collections and denial management support helped practices reduce claims rejection drastically.

The reporting to management is a process of providing information to various levels of management so as to enable in judging the effectiveness of their responsibility centers and become a base for taking corrective measures, if necessary.

Our Reporting Management services provide the below reports:

• Rolling A/R by clinic/payer/provider.
• Total A/R review.
• Collection Analysis Report.
• payments summary by payer.
• Billed claims summary.
• Adjustments report.
• The Accounts Receivable Aging Report.
• Payment Trend and Collection Reports.
• The Key Performance Indicators Report.
• The Top Carrier/Insurance Analysis Report.