RCM Services

At Optifisc Solutions, we provide comprehensive and customized Revenue Cycle Management (RCM) services to help healthcare providers maximize revenue, reduce claim denials, and improve cash flow. Our team of experts ensures a seamless billing process from patient registration to final payment collection, so you can focus on delivering quality patient care.

We ensure accurate patient data entry and efficient appointment scheduling to streamline the billing process and minimize claim denials.

Authorization Management

We handle prior authorization requests and approvals to prevent unnecessary claim denials and ensure timely reimbursements.

Eligibility & Benefits Verification

Our team verifies patient insurance coverage and benefits before services are rendered, reducing claim rejections and payment delays.

Charge Posting

Accurate charge entry is crucial for revenue integrity. We ensure proper coding and charge posting to maximize reimbursements.

Claim Scrubbing & Submission

We review and validate claims for errors before submission, ensuring a high first-pass acceptance rate and faster payments.

Clearinghouse Rejections Handling

Our experts quickly identify and correct claim rejections, resubmitting them promptly to avoid revenue loss.

Accounts Receivable (AR) Management

We actively track and follow up on unpaid claims, reducing outstanding balances and improving cash flow.

Payment Posting

We accurately post insurance and patient payments, ensuring proper reconciliation and identifying underpayments.

Denial Management

Our team analyzes and appeals denied claims to recover lost revenue, implementing proactive strategies to minimize future denials.

Demographics & Scheduling

Compliance & Accuracy – Our team follows the latest HIPAA, CMS, and payer guidelines to ensure regulatory compliance and minimize billing errors.
Maximized Revenue & Faster Payments – We optimize coding, claims submission, and follow-ups to reduce denials and accelerate reimbursements.
End-to-End RCM Expertise – From patient eligibility verification to denial management, we handle every stage of your revenue cycle with precision and efficiency.
Real-Time Reports & Performance Tracking – Gain full visibility into your financial health with detailed analytics, performance monitoring, and expert consultation.
Customized Solutions for Every Specialty – Whether you're a primary care provider, specialist, or hospital, our RCM solutions are tailored to meet your unique needs.
Dedicated Support & Transparency – Our team ensures clear communication, timely updates, and proactive solutions to keep your revenue cycle running smoothly.