Revenue Cycle Management

Triangle RCM
Revenue Cycle Management
Medical Coding
Insurance Verification
Patient Billing
Authorization
Eligibility Verfication

Revenue Cycle Management(RCM)

Revenue Cycle Management is the financial process that healthcare providers use to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation. RCM begins when a patient schedules an appointment and continues until the provider receives all payments for the rendered services

In a complex healthcare landscape, efficient RCM is essential for minimizing lost revenue and ensuring that healthcare facilities can continue providing high-quality patient care

  • Frequent changes in healthcare regulations
  • Insurance claim denials
  • Complex patient billing
  • Highr Administrative costs
  • Compliance with data privacy laws

Medicare and Medicaid Billing

Coding

Medical coding is the process of assigning standardised codes to specific services Continuous education to stay updated with the latest coding changes.Certified coders with expertise in ICD-10, CPT, and HCPCS coding

Regulatory Compliance

Stay up-to-date with the latest Medicare and Medicaid billing guidelines specific to ASCs

Detailed Documentation

Maintain thorough and accurate documentation to support claims and reduce the risk of audits.

Insurance and Contract Management

Regarding accurate eligibility verification in Traingle RCM, there are several options – all of which impact the revenue stream in one way or another. The primary concern is how much the mode of patient verification ahead of time improves the payment rate for providers. Furthermore, the next consideration is the amount of time employees must spend in the verification process – manual verification costs more in terms of employee time than electronic verification.

Patient Billing

Reconciliationis a key step in closing the revenue cycle, our experienced finance and reconciliation expertise teamare tasked with auditing and financially reconciling all records to be presented to the payer for a final closure of accounts.

  • Clear Patient Statements Provide patients with easy-to-understand billing statements to facilitate prompt payments.
  • Flexible Payment Options Offer various payment options and plans to improve patient satisfaction and collection rates.