Services

RCM Services

COMPREHENSIVE REVENUE CYCLE MANAGEMENT SERVICES

At High Care, we understand that managing the financial aspects of a healthcare organization can be a daunting task, with challenges ranging from billing and coding to denial management and accurate and timely reimbursement. High Care can help. With our comprehensive suite of RCM services, we are committed to optimizing your revenue cycle, accelerating cash flow, preventing denials, and reducing operational costs. Our experienced team of professionals combines industry expertise, innovative strategies, and cutting-edge technology to deliver tailored solutions that meet the unique needs of your organization. High Care helps you to streamline your revenue cycle processes and maximize your financial outcomes, so you can focus on your core practice – delivering quality patient
care.

Front-end Revenue Cycle Services

High Care optimizes the revenue cycle by streamlining patient access processes. Our experienced team of experts helps reduce rejections, increase self-pay collections, and maximize revenue. With accurate information and a quick turnaround time, we enhance the financial performance of organizations.

● Insurance Eligibility and Benefits Verification

● Prior Authorization

● Patient Demographic Entry

Mid-Revenue Cycle Services

Our in-depth knowledge and advanced technology optimize Medical billing, coding, and clinical documentation. Our efficient mid-revenue cycle services improve reimbursement, reduce denials, and ensure compliance. Our team of experts stays current with healthcare regulations in order to maximize revenue while minimizing provider burden.

● Medical Coding

● Clinical Documentation Improvement

● Coding Audit

● Charge Entry

Back-end Revenue Cycle Services

High Care’s technology-enabled back-end revenue cycle services that reduce denials, lower A/R days, and ensure accurate and timely reimbursement. Our billing specialists keep pace with industry regulations and payer requirements, minimizing compliance risk and improving the bottom line. Focus on patient care while we handle your revenue cycle effectively.

● Claim Submission

● Credit Balance

● Denial Management

● Payment Posting

Risk Adjustment HCC Coding

High Care offers comprehensive Risk Adjustment HCC Coding Services to healthcare payers and providers. With certified coders and up-to-date knowledge, we ensure accurate coding and compliance. Our services include coding review with retrospective and concurrent processes, provider education, and RADV audit support. 

We also provide HEDIS Abstraction Services, ensuring precise HEDIS measures and offering customized solutions. The benefits include improved risk scores, improved financial and health outcomes, reduced operational costs and overhead, and valuable population health data.

We are here to help you. Feel free to contact us for more information on our RCM services and how they can benefit your organization.