Front-End RCM Services: Prevent Denials Before They Start
(Patient-Facing & Pre-Claim)
PATEL RCM ANALYTICS Solutions
Build a Solid Foundation for Your Revenue Cycle
The financial health of your practice is determined before a patient ever walks through the door. Patel RCM Analytics’s front-end revenue cycle management services lay a flawless foundation by ensuring patients are properly verified, scheduled, and authorized, preventing claim denials and creating a seamless patient experience.
Our expert team handles the critical first touchpoints of the patient journey, integrating seamlessly with your practice management system to eliminate errors, reduce administrative burden, and secure your revenue from the very start.
Eligibility Verification (EVBV) & Pre-Certification
Confirm Coverage & Secure Authorizations Proactively
Ensure services are covered and avoid costly claim rejections from the outset. We verify patient eligibility and benefits in real-time and manage the entire per-certification process.
Our Verification & Pre-Certification Process Includes:
- Real-Time Eligibility Checks: Instant verification of patient coverage and active status.
- Detailed Benefits Verification: Confirmation of copays, deductibles, coinsurance, and plan specifics.
- Pre-Authorization & Pre-Certification Management: Submission of all required clinical documentation and relentless follow-up with payers.
- Advance Patient Estimation: Providing patients with clear cost estimates to improve collections.
Key Benefits:
- Drastically reduces front-end claim denials.
- Prevents unexpected costs for patients, improving satisfaction.
- Eliminates administrative hassle for your staff.
Appointment & Scheduling Management
Optimize Your Calendar & Reduce No-Shows
Maximize practice productivity and revenue by ensuring your schedule is full and patients are present for their appointments. We handle the logistics so you can focus on care.
Our Scheduling Management Services Include:
- Calendar Management: Oversight of your appointment book to optimize provider time.
- Automated Patient Reminders: SMS, email, and voice reminders sent 48-72 hours before appointments.
- No-Show Reduction Strategies: Identifying trends and implementing solutions to minimize missed appointments.
- New Patient Intake Coordination: Streamlining the onboarding process for new patients.
Key Benefits:
- Increases patient show-up rates and practice revenue.
- Reduces lost revenue from last-minute cancellations and no-shows.
- Improves operational efficiency and patient communication.
Provider Credentialing & Enrollment
Fast, Accurate Provider Onboarding with Payers
Avoid delays in reimbursement. We navigate the complex and tedious payer enrollment process to ensure your providers are properly credentialed and able to bill for services without interruption.
Our Credentialing & Enrollment Services Include:
- CAQH Application & Maintenance: Complete setup and ongoing updates to the CAQH profile.
- Payer Enrollment Applications: Meticulous completion and submission of applications to all major insurance networks.
- Primary Source Verification: Thoroughly validating licenses, certifications, and work history.
- Status Tracking & Follow-Up: Proactively managing application timelines and following up with payers until completion.
- Re-Credentialing Management: Tracking expiration dates and handling the entire renewal process.
Key Benefits:
- Gets providers billing faster, accelerating revenue.
- Ensures compliance and reduces legal and financial risk.
- Completely removes the administrative burden from your team.
Ready to Unlock Your Revenue Potential?
Let's Discuss Your Practice's Goals & Schedule a Free Consultation Today.
Our experts will analyze your current A/R and provide a clear path to increased revenue.