Services

Efficiency, Accuracy, Success: SquadRCM’s Services for Optimal Healthcare Revenue Cycle Management

Medical Eligibility Verification

• Our Medical Eligibility Verification service ensures accurate and efficient verification of patients’ insurance coverage and benefits. By leveraging advanced technology and expert resources, we streamline the process, saving valuable time for healthcare providers and minimizing claim denials.                                                                                                              
• Our experienced team performs thorough eligibility checks, confirming patients’ insurance status, coverage limitations, deductible amounts, co-pays, and more. This detailed verification process enables healthcare providers to determine the patient’s financial responsibility upfront and avoid surprises or billing issues.                                                                                                      
• With a focus on accuracy and speed, we deliver timely results, allowing healthcare providers to make informed decisions about treatment plans and financial arrangements. By reducing the risk of denied claims and optimizing revenue cycle management, our Medical Eligibility Verification service ensures smoother operations and improved financial outcomes

Medical Eligibility Verification

• Our Medical Eligibility Verification service ensures accurate and efficient verification of patients’ insurance coverage and benefits. By leveraging advanced technology and expert resources, we streamline the process, saving valuable time for healthcare providers and minimizing claim denials.                                                
• Our experienced team performs thorough eligibility checks, confirming patients’ insurance status, coverage limitations, deductible amounts, co-pays, and more. This detailed verification process enables healthcare providers to determine the patient’s financial responsibility upfront and avoid surprises or billing issues.                                                                                                              
• With a focus on accuracy and speed, we deliver timely results, allowing healthcare providers to make informed decisions about treatment plans and financial arrangements. By reducing the risk of denied claims and optimizing revenue cycle management, our Medical Eligibility Verification service ensures smoother operations and improved financial outcomes.

Medical Coding

• At SquadRCM, we offer expert Medical Coding services that play a critical role in accurate healthcare billing and coding compliance. Our team of certified medical coders possesses in-depth knowledge of coding systems, including CPT, ICD-10, and HCPCS, ensuring precise code assignment for each patient encounter.                                                                                           
• With meticulous attention to detail, we analyze medical documentation and translate it into standardized codes, capturing the services provided, diagnoses, procedures, and other pertinent information. This meticulous process ensures proper reimbursement and supports efficient claims processing.                                                                                      
• Our comprehensive Medical Coding service brings numerous benefits to healthcare providers. It minimizes the risk of coding errors, denials, and audits while optimizing revenue generation. Accurate coding also helps in data analysis, quality reporting, and compliance with regulatory requirements, such as CMS guidelines and payer-specific policies.

Medical Coding

• At SquadRCM, we offer expert Medical Coding services that play a critical role in accurate healthcare billing and coding compliance. Our team of certified medical coders possesses in-depth knowledge of coding systems, including CPT, ICD-10, and HCPCS, ensuring precise code assignment for each patient encounter.                                                                                           
• With meticulous attention to detail, we analyze medical documentation and translate it into standardized codes, capturing the services provided, diagnoses, procedures, and other pertinent information. This meticulous process ensures proper reimbursement and supports efficient claims processing.                                                                              
• Our comprehensive Medical Coding service brings numerous benefits to healthcare providers. It minimizes the risk of coding errors, denials, and audits while optimizing revenue generation. Accurate coding also helps in data analysis, quality reporting, and compliance with regulatory requirements, such as CMS guidelines and payer-specific policies.

Quality Review

• SquadRCM’s Quality Review service is designed to ensure excellence in healthcare processes, patient care, and regulatory compliance. Our dedicated team of quality review experts conducts comprehensive assessments to identify areas for improvement, enhance operational efficiency, and drive overall performance excellence.                                                                         
• Using a systematic approach, we analyze key aspects of healthcare delivery, including clinical documentation, coding accuracy, billing practices, and adherence to quality measures. By conducting in-depth reviews, we help healthcare providers identify gaps, implement corrective actions, and maintain compliance with industry standards and regulations.                                                                                                                     
• Through our Quality Review service, healthcare organizations can achieve several benefits. It leads to improved patient outcomes, enhanced patient satisfaction, and increased regulatory compliance. It also helps in identifying opportunities for cost savings, revenue optimization, and process streamlining, ultimately leading to better financial performance.

Quality Review

• SquadRCM’s Quality Review service is designed to ensure excellence in healthcare processes, patient care, and regulatory compliance. Our dedicated team of quality review experts conducts comprehensive assessments to identify areas for improvement, enhance operational efficiency, and drive overall performance excellence.                                                                         
• Using a systematic approach, we analyze key aspects of healthcare delivery, including clinical documentation, coding accuracy, billing practices, and adherence to quality measures. By conducting in-depth reviews, we help healthcare providers identify gaps, implement corrective actions, and maintain compliance with industry standards and regulations.                                                                                
• Through our Quality Review service, healthcare organizations can achieve several benefits. It leads to improved patient outcomes, enhanced patient satisfaction, and increased regulatory compliance. It also helps in identifying opportunities for cost savings, revenue optimization, and process streamlining, ultimately leading to better financial performance.

Claim Submission

• SquadRCM’s Claim Submission service simplifies and expedites the process of submitting healthcare claims, ensuring timely reimbursement for healthcare services rendered. Our experienced team understands the complexities of claim submission and works diligently to maximize reimbursement and minimize claim denials.                                                                                                  
• We meticulously review and validate each claim, ensuring accurate coding, proper documentation, and adherence to payer-specific requirements. With our expertise in claim submission, we navigate through the intricate billing processes, electronic submission systems, and regulatory guidelines to optimize claim acceptance and processing.                                                                                                                
• By outsourcing your claim submission to SquadRCM, healthcare providers can focus on patient care while we handle the administrative burden. Our efficient and streamlined approach reduces claim rejections, improves cash flow, and accelerates revenue cycles, allowing healthcare organizations to maintain financial stability.

Claim Submission

• SquadRCM’s Claim Submission service simplifies and expedites the process of submitting healthcare claims, ensuring timely reimbursement for healthcare services rendered. Our experienced team understands the complexities of claim submission and works diligently to maximize reimbursement and minimize claim denials.                                                                                                  
• We meticulously review and validate each claim, ensuring accurate coding, proper documentation, and adherence to payer-specific requirements. With our expertise in claim submission, we navigate through the intricate billing processes, electronic submission systems, and regulatory guidelines to optimize claim acceptance and processing.                                            
• By outsourcing your claim submission to SquadRCM, healthcare providers can focus on patient care while we handle the administrative burden. Our efficient and streamlined approach reduces claim rejections, improves cash flow, and accelerates revenue cycles, allowing healthcare organizations to maintain financial stability.

Payment Posting

• SquadRCM’s Denial Management service helps healthcare providers effectively handle claim denials and optimize revenue recovery. Our experienced team utilizes proven strategies and industry best practices to identify the root causes of denials, appeal rejected claims, and minimize future denials.                                                                                                  
• We conduct a thorough analysis of denied claims, identifying patterns and trends to address underlying issues. Our experts collaborate with payers, providers, and other stakeholders to resolve denials efficiently, ensuring maximum reimbursement for the services rendered.                                             
• With our Denial Management service, healthcare providers can reduce revenue leakage, improve cash flow, and streamline the revenue cycle. By proactively managing denials, we help identify opportunities for process improvement, coding accuracy enhancement, and staff training to minimize future denials

Payment Posting

• SquadRCM’s Denial Management service helps healthcare providers effectively handle claim denials and optimize revenue recovery. Our experienced team utilizes proven strategies and industry best practices to identify the root causes of denials, appeal rejected claims, and minimize future denials.                                      
• We conduct a thorough analysis of denied claims, identifying patterns and trends to address underlying issues. Our experts collaborate with payers, providers, and other stakeholders to resolve denials efficiently, ensuring maximum reimbursement for the services rendered.                                               
• With our Denial Management service, healthcare providers can reduce revenue leakage, improve cash flow, and streamline the revenue cycle. By proactively managing denials, we help identify opportunities for process improvement, coding accuracy enhancement, and staff training to minimize future denials

Denial Management

• SquadRCM’s Denial Management service empowers healthcare providers to effectively address claim denials, reduce revenue losses, and optimize financial performance. Our experienced team identifies root causes, appeals denied claims, and implements proactive measures to prevent future denials.                                                                         
• By leveraging advanced analytics and industry expertise, we uncover denial patterns, identify process gaps, and implement strategies to mitigate denials. Our proactive approach includes comprehensive claim reviews, accurate documentation, and effective communication with payers to ensure maximum reimbursement.                                                                                    
• With SquadRCM’s Denial Management service, healthcare providers can enhance revenue cycles, improve cash flow, and focus on delivering quality care. By minimizing denials and maximizing collections, we help providers achieve financial stability and optimize their revenue potential.

Denial Management

• SquadRCM’s Denial Management service empowers healthcare providers to effectively address claim denials, reduce revenue losses, and optimize financial performance. Our experienced team identifies root causes, appeals denied claims, and implements proactive measures to prevent future denials.                                                                         
• By leveraging advanced analytics and industry expertise, we uncover denial patterns, identify process gaps, and implement strategies to mitigate denials. Our proactive approach includes comprehensive claim reviews, accurate documentation, and effective communication with payers to ensure maximum reimbursement.                                                                                    
• With SquadRCM’s Denial Management service, healthcare providers can enhance revenue cycles, improve cash flow, and focus on delivering quality care. By minimizing denials and maximizing collections, we help providers achieve financial stability and optimize their revenue potential.

AR Follow-Up

• SquadRCM’s AR Follow-Up service is designed to expedite the resolution of outstanding accounts receivable, ensuring timely payment and improved cash flow for healthcare providers. Our dedicated team focuses on persistent and proactive follow-up to maximize revenue recovery and minimize AR aging.                                                                         
• With expertise in claims management and payer communication, we diligently pursue unpaid claims, identify payment discrepancies, and resolve billing issues. Our goal is to accelerate reimbursement, reduce payment delays, and optimize revenue collection.                                                                                          
• By partnering with SquadRCM for AR Follow-Up, healthcare providers can offload the burden of AR management and focus on patient care. Our experienced professionals navigate complex reimbursement processes, handle claim denials, and negotiate with payers to ensure prompt and fair payment.

AR Follow-Up

• SquadRCM’s AR Follow-Up service is designed to expedite the resolution of outstanding accounts receivable, ensuring timely payment and improved cash flow for healthcare providers. Our dedicated team focuses on persistent and proactive follow-up to maximize revenue recovery and minimize AR aging.        
• With expertise in claims management and payer communication, we diligently pursue unpaid claims, identify payment discrepancies, and resolve billing issues. Our goal is to accelerate reimbursement, reduce payment delays, and optimize revenue collection.                                                                                          
• By partnering with SquadRCM for AR Follow-Up, healthcare providers can offload the burden of AR management and focus on patient care. Our experienced professionals navigate complex reimbursement processes, handle claim denials, and negotiate with payers to ensure prompt and fair payment.

Credentialing

• SquadRCM’s Credentialing service provides healthcare providers with comprehensive assistance in the credentialing process, ensuring inclusion in insurance networks and compliance with regulatory requirements. Our experienced team handles the entire credentialing process, from application submission to follow-up and maintenance.                                                                                    
• We understand the importance of being credentialed with insurance networks to expand your patient base and maximize revenue opportunities. Our experts meticulously gather and submit the required documentation, verify qualifications, and communicate with payers on your behalf.                                                                      
• By partnering with SquadRCM for Credentialing, healthcare providers can save time and resources, as our team navigates the complex credentialing landscape. We ensure accuracy, adherence to deadlines, and compliance with industry standards, allowing you to focus on providing quality care.

Credentialing

• SquadRCM’s Credentialing service provides healthcare providers with comprehensive assistance in the credentialing process, ensuring inclusion in insurance networks and compliance with regulatory requirements. Our experienced team handles the entire credentialing process, from application submission to follow-up and maintenance.                
• We understand the importance of being credentialed with insurance networks to expand your patient base and maximize revenue opportunities. Our experts meticulously gather and submit the required documentation, verify qualifications, and communicate with payers on your behalf.                                                                      
• By partnering with SquadRCM for Credentialing, healthcare providers can save time and resources, as our team navigates the complex credentialing landscape. We ensure accuracy, adherence to deadlines, and compliance with industry standards, allowing you to focus on providing quality care.