we specialize in delivering comprehensive, end-to-end Revenue Cycle Management (RCM) solutions designed to optimize financial performance, accelerate cash flow, and reduce administrative burden for healthcare providers across the United States. Leveraging deep domain expertise and advanced technologies, our services span the entire patient revenue lifecycle—from pre-registration to final payment posting—ensuring accuracy, compliance, and maximum reimbursement.

1. Patient Access & Registration

• Pre-Registration & Eligibility Verification
  Confirm patient benefits, coverage limitations, and authorization requirements in advance to reduce denials and streamline check-in.

• Patient Scheduling & Pre-Arrival Engagement
  Automate reminders, collect co-payments, and electronically obtain patient consent and demographic information to accelerate the front-end process.

2. Medical Coding & Charge Capture

• Accurate Coding & Compliance
  Certified coders apply the latest ICD-10, CPT®, and HCPCS coding standards to ensure correct diagnosis and procedure reporting, minimizing audit risk.

• Charge Entry & Audit
  Capture all billable services in real time, validate coding accuracy, and reconcile documentation to optimize revenue capture.

3. Claims Submission & Management

• Clean Claim Creation
  Generate and scrub electronic claims to meet payer-specific requirements, reducing pended and rejected claims.

• Timely Filing & Follow-Up
  Submit claims within payer timeframes and proactively manage pended or denied claims with systematic appeals and escalation workflows.

4. Denial Management & Appeals

• Denial Analysis & Root-Cause Identification
  Track key denial reasons and denial rates by payer, provider, and service line—identifying trends to implement corrective actions.

• Appeals & Re-Submission
  Prepare and submit first-level appeals, monitor outcomes, and, if necessary, escalate complex cases to secondary appeals or external review.

5. Patient Billing & Collections

• Transparent Patient Statements
  Deliver clear, easy-to-understand statements via mail and secure patient portals—enhancing patient satisfaction and reducing inquiries.

• Automated Payment Plans & Reminders
  Offer customizable payment plan options, automated reminder notices, and convenient online payment gateways to facilitate collections.

6. Payment Posting & Reconciliation

• Electronic Remittance & ERA Posting
  Automatically ingest electronic remittance advice (ERA), post payments, and apply adjustments with precise audit trails.

• Cash Application & Denial Recovery
  Compare payments received to expected reimbursements, investigate short-pays, and process refund requests or patient balance reconciliations.

7. Reporting & Analytics

• Real-Time KPI Dashboards
  Monitor days in accounts receivable (AR), clean claim rates, denial percentages, and net collection rates through interactive dashboards.

• Customized Financial Reporting
  Deliver monthly, quarterly, and annual reports that highlight trends, benchmark performance, and support strategic decision-making.

Our Approach

1. Discovery & Process Mapping
   Conduct a comprehensive assessment of existing revenue workflows, technology, and staffing models.

2. Tailored Implementation
   Design a scalable RCM strategy—integrating with your EHR/EMR systems, training staff, and configuring automation tools to fit your practice.

3. Continuous Optimization
   Employ ongoing performance reviews, process refinement, and payer contract benchmarking to adapt to regulatory changes and market dynamics.

4. Dedicated Support & Compliance
   Maintain HIPAA compliance, SSAE-18 controls, and robust data security measures—backed by a dedicated account management team.

Technology & Partnerships

• EHR/EMR Integration: Epic, Cerner, Allscripts, Athenahealth, eClinicalWorks

• Billing Platforms: AdvancedMD, Kareo, NextGen, GE Healthcare Centricity

• Automation Tools: AI-powered scrubbing engines, robotic process automation (RPA) for eligibility checks and denial triage

• Analytics & BI: Power BI, Tableau, Looker

Why Vyom Businesses for RCM?

• Industry Expertise: Decades of combined experience supporting hospitals, physician groups, and specialty clinics.

• Scalable Solutions: From lean practices to multi-facility health systems, our services grow with your needs.

• Revenue Optimization: Proven track record of reducing days in AR by up to 40% and improving net collection rates by over 15%.

• Patient-Centric Focus: Balanced approach that prioritizes patient satisfaction alongside financial health.

Ready to elevate your revenue cycle performance?
Contact Vyom Businesses today for a complimentary RCM assessment and learn how we can drive efficiency, compliance, and profitability for your organization.