RCM Services: Elevating Healthcare Revenue Management with Headway RCM

Headway RCM is a trusted and reliable partner offering comprehensive Medical Billing and Coding Services to leading healthcare providers and hospitals in the United States. Our approach is client-oriented, ensuring that we understand the unique needs and requirements of each healthcare organization we work with. With a strong focus on delivering tangible results, we strive to optimize revenue cycles and improve financial outcomes for our clients.

At Headway RCM, we take pride in our specialized teams of medical billers and coders, who possess in-depth knowledge and certifications in specific medical specialties. This expertise allows us to handle billing and coding tasks with precision and accuracy, ensuring that all claims are accurately processed and reimbursed promptly.

Our goal is to empower healthcare providers by minimizing the time and effort spent on administrative functions. By outsourcing medical billing and coding to us, our clients can focus on patient care and core medical services, confident that their billing processes are in capable hands.

We leverage advanced technology and industry best practices to streamline billing operations, reduce claim denials, and optimize revenue collection. Through data analytics and advisory services, we provide valuable insights and recommendations to improve billing efficiency and revenue performance.

At Headway RCM, we understand the critical role that medical billing and coding play in the financial success of healthcare organizations. Our dedicated teams work tirelessly to ensure accurate coding, timely claim submissions, and effective follow-up on outstanding payments.

With a commitment to excellence, compliance, and client satisfaction, we aim to be the preferred choice for medical billing and coding services. Partner with Headway RCM to experience a seamless and efficient billing process that maximizes revenue and contributes to the growth and success of your healthcare practice.

End to End Revenue Cycle Management Services

Revenue Cycle Management is the process of managing your Office’s claims processing, payment and revenue generation. The service includes the following processes:

  • Insurance Eligibility and Benefits Verification
  • ICD10 Coding by certified coders
  • Charge Entry
  • Electronic and Paper Claims Submission
  • Fixing of Clearing House Rejections
  • Payment Posting
  • Denial Management
  • Correspondence & Appeals submission
  • Insurance AR follow-ups
  • Patient AR follow-ups
  • Refunds / Credit Balance
  • Workers’ compensation and no Fault insurances
  • Sending statements to patients
  • Monthly Reporting

Our Client-Oriented Approach:

At Headway RCM, we put our clients first in every aspect of our service delivery. Our approach is entirely client-oriented and result-driven, tailored to meet the specific needs and objectives of each healthcare provider we serve. We understand the complexities of revenue management in the healthcare industry and are committed to optimizing the revenue cycle for your organization.

Specialized Teams of Experts:

Our strength lies in our specialized teams of medical billers and coders, each equipped with specialty-specific knowledge and certifications. With years of experience in the healthcare domain, our experts ensure accurate and compliant medical billing and coding services. By leveraging the expertise of our teams, we streamline billing processes and maximize revenue collections for your healthcare facility.

Minimizing Administrative Burdens:

We recognize the significant administrative burdens that healthcare providers face. Our goal is to alleviate your team’s administrative workload so that you can focus on providing quality patient care. With Headway RCM handling your billing and coding tasks efficiently, you can save valuable time and resources, ultimately enhancing overall operational efficiency.

Efficient Revenue Management:

Our RCM services are designed to optimize revenue management throughout the entire healthcare revenue cycle. From patient registration and charge capture to claim submission, denial management, and payment reconciliation, we diligently manage each stage to ensure seamless revenue flow and timely reimbursements.

Advancing with Analytics Advisory:

At Headway RCM, we go beyond traditional RCM services. Our analytics advisory services offer valuable insights into your organization’s financial performance and revenue trends. These data-driven insights empower you to make informed decisions, identify revenue growth opportunities, and implement strategies for continued success.

Partner with Headway RCM for Healthcare Excellence:

With Headway BPO Solutions/Headway BPO of America (HBS) as your RCM partner, you can experience enhanced revenue management and financial efficiency, allowing you to prioritize patient care and organizational growth. Our commitment to excellence, client satisfaction, and compliance ensures that your healthcare facility remains ahead in an ever-evolving healthcare landscape.

Coding Services

  • Chart review by Highly skilled and trained CPC Certified coders
  • Risk Adjustment Coding and Policy Review
  • Part C (HCC) Coding (Commercial and Federal)
  • Coding Audits: Focused yearly capture or encounter-based
  • Medical Condition Clinical Analysis
  • Document indexing / EHR / EMR management

Medical Billing and Coding Solutions

Claims Denial Management

At HBS we can provide you with effective claims denial management that will help you increase your revenue. Our entire process and expert staff make sure that there are minimal denials.

Insurance Verification

Once we receive and have the data with us, our medical billing experts will verify the insurance eligibility and benefits before getting a pre-certification for procedures and diagnostic tests.

Patient information Entry

Post verification process, for every new patient, HBS specialized team enter the patient demographic details, patient history, information about the diagnosis, and insurance-related data. For repeated patients, the previously stored information is validated.

Medical Coding

Diagnostic note needs to be coded with CPT and ICD-10 codes to enter into the medical billing system. HBS’s experienced coders take care of the coding process with high levels of accuracy and diligence.

Fee Charges Entry

The medical fee charges of the organization and CPT and ICD-10 codes are entered into the practice management system at this stage.

Claims Submission

At HBS, we take up both electronic and manual claims submissions to insurance companies. The process is highly monitored and made error-free to make sure that there is a bare minimum rejection of claims.

Posting of Payments

Scanned copies of the Explanation of Benefits (EOB) and checks are posted into the system by our team. The team reconciles the entries on a daily basis.

AR Management

Extensive follow-ups are made to collect the outstanding accounts receivables (AR). Our regular telephonic and email follow-ups make sure that the AR collection time is reduced and there is an increase in revenue. We have special expertise into this area.

Medical Claims Transmission

The medical billing process starts with you sending us the patient list, demographic details of the patients, and copies of their insurance cards. The data can be transferred to HBS Solutions by FTP, fax, or email.

Headway’s Key Methodology to improve Healthcare RCM

  • Break-down Front and Back-End Revenue Cycle Management
  • Our specialized team use data to track and benchmark Revenue Cycle performance
  • Collection and Analyze financial Responsibility upfront
  • Automation of few processes including authorization
  • Embrace and adoption of Technology
  • Analyze and Review of claims
  • Identify KPIs
  • Reduce Overhead Cost

Employee Monitoring & Productivity Suite

  • Surveillance Tool
  • Productivity Suite
  • Project Supervision & Management

As transform “As Is process” to “To Be Process”

through our digital transformation efforts

Process Automation could increase the process efficiency and reduce the cost

25% – 40% cost can be reduced in a longer prospective

Dashboard and Service Level Metrix

24/7 Operation

Professional Team

Impressive Results for Your Business

Process Driven Approach

Reliable Customer support

Customized Solutions

Affordable Price Information Security High Quality Services

HIPPA Compliance ISO/IEC 27001

Reduction in the Number of Denials

SPOC

Expertise in various Platforms for RPA

Skilled Medical Billers

Multiple Software Expertise

What sets us apart?

  • 24/7 Operation

  • Impressive Results for Your Business

  • Reliable Customer support

  • Affordable Price Information Security High Quality Services

  • SPOC

  • Expertise in various Platforms for RPA

  • Skilled Medical Billers

  • Professional Team

  • Process Driven Approach

  • Customized Solutions

  • HIPPA Compliance ISO/IEC 27001

  • Reduction in the Number of Denials

  • Multiple Software Expertise

Our Expertise in PMS/ EHR

Billing team has vast experience in using EHR/Practice management systems. Top few are:

Additional Benefits of Headway RCM

  • Cost effective and client specific pricing models
  • Cost savings up to 40%
  • Significant reduction in your practice cost and dramatic improvement of your cash flow
  • Multi-specialty medical coding and billing
  • 24×7 offshore support
  • Optimizing Clean Claim submissions
  • Reducing denials
  • Decreasing the number of A/R accounts that are written off
  • Provide AR reports that allow multi -level drill down
  • Shift Focus to the Net Collection Rate
  • 100% HIPAA compliance
  • Data mining through various reports to identify the root cause of problem and solving with suitable remedy
  • Guaranteed satisfaction
  • Choose Practice Management System based on your specialty requirements

“Join us in elevating your revenue management practices. Experience the difference with Headway RCM by your side.

Contact Us Today to explore how our RCM services can drive success for your healthcare organization.”