Front End Services: 

• Patient Scheduling/Patient Registration: Streamlining the initial stages of the patient journey with efficient scheduling and registration processes.

• Insurance Verification/Benefits: Ensuring accuracy in insurance verification and benefits clarification to establish a solid financial foundation.

• Upfront Patient Out-of-Pocket Costs Management: Collecting co-pays and transparently communicating about patient financial responsibilities before service.

• Authorizations: Diligently managing initial authorizations to ensure necessary procedures are approved and covered.

Mid Cycle Services: 

• Utilization Review (Concurrent Reviews): Conducting ongoing reviews while the patient is in treatment to ensure continued coverage and appropriate care.

• Medical Coding: Providing guidance and education on medical coding updates, revisions, and compliance, ensuring client coding practices are accurate and up-to-date. 

• Clinical Documentation Integrity: Maintaining the highest standards of clinical documentation for accurate billing and compliance.

• Charge Capture/Billing: Efficiently capturing and billing all chargeable services, ensuring maximized revenue.

• Clearing House/Claim Error Resolution: Effectively resolving claim errors to minimize delays and denials.

Back End Services: 

• Cash Applications (Payment Posting): Ensuring accurate and timely posting of payments to uphold financial integrity.

• Denial Management: Proactively managing denials to recover rightfully owed revenue.

• A/R Follow-up and Appeals: Diligently following up on accounts receivable and managing appeals to secure payments.

• Patient Collections and Statements: Handling the final stage of the patient financial journey with effective collections and clear, comprehensive billing statements.

• Analytics: Utilizing data analytics to gain insights into financial performance and identify areas for improvement.

Leveraging National Payor Relationships for Optimal Reimbursement

At RevUp Healthcare, our expertise extends beyond traditional revenue cycle management. With our extensive experience working with all payors across the nation, we are uniquely positioned to negotiate on your behalf, ensuring you receive the highest possible reimbursement rates. Our well-established relationships with healthcare payors enable us to effectively advocate for your interests.

Comprehensive Services Tailored to Your Needs

• Payor Network Integration: We assist in developing proposals to join the most utilized health insurance networks, expanding your reach and enhancing revenue opportunities.

• Medicare and Medicaid Enrollment: Navigating the complexities of Medicare and Medicaid, we manage your enrollment applications, ensuring compliance and accuracy.

• Selecting and Implementing Technology Solutions: Our team will guide you in selecting the most suitable Electronic Health Record (EHR) and billing and practice management software, aligning with your specific operational needs.

• Medical Lockbox Setup for Efficient Processing: We help set up your medical lockbox for handling 835 and 837 transactions, streamlining your payment and billing processes.

Your Partner in Navigating the Healthcare Landscape

RevUp Healthcare is more than just a service provider – we are your strategic partner in navigating the complex healthcare landscape. By choosing us, you gain access to a wealth of experience and a suite of services designed to optimize every aspect of your practice’s financial and operational health.