End-to-End Revenue Cycle Management

"From First Encounter to Final Payment—Seamless, Efficient, and Patient-Centric."

Streamline Your Revenue Cycle

At AccurusBill, we manage every step of your revenue cycle with precision, ensuring clean claims, faster payments, and a better patient experience. Let us handle the complexities so you can focus on what matters most—delivering exceptional care.

Our End-to-End RCM Process

Patient Registration & Front-End Processes

Accurate Patient Data Capture

Challenge

Incomplete or incorrect patient details—like spelling errors or missing insurance info—often lead to denials and payment delays.

Our Solution

AccurusBill works with your front-desk or scheduling system to ensure thorough, error-free patient registration. We confirm demographics, insurance details, and contact info so the rest of the revenue cycle begins with clean data.

Eligibility & Benefits Verification

Challenge

Providers frequently discover coverage gaps or plan restrictions after services are rendered, resulting in potential patient dissatisfaction and unpaid claims.

Our Solution

We verify eligibility and benefits before appointments, clarifying co-pays, deductibles, or prior auth requirements. This proactive approach reduces unexpected denials and fosters better patient communication regarding costs.

Referral & Prior Authorization (If Applicable)

Identifying Authorization Needs Early

Challenge

Missed or late prior auth requests can derail patient treatment schedules.

Our Solution

Our team flags any service needing referral or prior authorization. We obtain approvals quickly, armed with the necessary clinical documentation to satisfy payers’ criteria.

Real-Time Follow-Up

Challenge

Payers can stall or lose requests, prolonging the approval process.

Our Solution

We track prior auth requests daily, escalating them when necessary. This ensures on-time approvals, so patients get the care they need without unnecessary delays.

Data Entry & Charge Capture

Accurate Service Recording

Challenge

Missed services or incorrect charges lead to lost revenue or claim rejections.

Our Solution

Using a thorough review of encounter forms, EHR notes, and procedure details, AccurusBill ensures every billable service is captured and correctly associated with the right patient account.

Seamless Integration with Coding

Challenge

A disconnect between clinical documentation and final charges can create billing inconsistencies.

Our Solution

We coordinate with our certified coders (or your coding team) to validate that each charge matches documented diagnoses and procedures, preventing under- or over-billing.

Medical Coding & Documentation Alignment

Specialty-Specific Coders

Challenge

Generic coding can omit nuances essential to specialty practices—leading to denials or suboptimal reimbursements.

Our Solution

Our coding experts ensure each diagnosis and procedure is ICD-10 and CPT coded accurately, supported by the documentation. This step is crucial for clean claim submissions and maximum allowable revenue.

Compliance & Dual Audit Checks

Challenge

Upcoding or downcoding risk audits, fines, and lost revenue.

Our Solution

A dual audit system helps confirm codes reflect true clinical complexity without crossing compliance lines.

Charge Posting & Claim Submission

Efficient Claim Generation

Challenge

Delayed or improperly formatted claims can extend the A/R cycle and result in missed payer deadlines.

Our Solution

AccurusBill finalizes charges and creates claims promptly—often the same or next business day—ensuring timely submission to payers and compliance with filing windows.

Payer-Specific Formatting

Challenge

Different payers require unique claim structures and data fields.

Our Solution

We apply payer-specific rules so claims are compatible and complete upon submission, reducing front-end rejections.

Clearinghouse & Payment Posting

Monitoring Clearinghouse Responses

Challenge

Minor data errors can trigger front-end rejections, stalling cash flow.

Our Solution

We track any rejections daily, correct discrepancies (e.g., member ID typos), and resubmit quickly to keep your billing cycle moving.

Accurate Payment Posting

Challenge

Noticing underpayments or incorrect payer adjustments requires careful reconciliation.

Our Solution

Each remittance is reviewed, posted to patient accounts, and matched against contract fee schedules. Any shortfalls or unallowable differences are flagged for immediate follow-up.

Denial Management & Appeals

Aggressive Denial Follow-Up

Challenge

Unattended or improperly managed denials can sit in A/R and eventually become unrecoverable.

Our Solution

We investigate denial reasons (medical necessity, missing modifiers, etc.), correct any code or documentation gaps, and resubmit or appeal within payer guidelines. This ensures no potential revenue is left on the table.

Data-Driven Prevention

Challenge

Repeated denials often signal a systematic issue—coding errors, documentation gaps, or payer policy changes.

Our Solution

AccurusBill tracks denial patterns, gleaning insights to update workflows and reduce repeat problems in the future.

Secondary Filing & Patient Billing

Handling Secondary & Tertiary Insurances

Challenge

Coordinating benefits among multiple payers can be complex, leading to delayed or missed reimbursements.

Our Solution

Once primary payments are posted, we automatically file claims to secondary (and tertiary, if applicable) payers, ensuring each payer’s portion is requested correctly and promptly.

Patient Statements & Collections

Challenge

Residual patient balances can linger if statements are unclear or not sent on time.

Our Solution

After all insurance liabilities are resolved, we generate transparent patient statements. If needed, we can assist with friendly collections follow-up, maintaining a professional tone that preserves patient relationships.

Accounts Receivable Management & Performance Insights

Routine A/R Reviews

Challenge

Claims or patient balances can slip past standard follow-up intervals, ballooning your A/R.

Our Solution

AccurusBill regularly audits your A/R, prioritizing aged claims for swift resolution and rechecking any accounts with persistent issues.

Comprehensive Reporting

Challenge

Providers often lack visibility into which claims are outstanding and why.

Our Solution

We deliver weekly or monthly performance dashboards highlighting claim statuses, A/R aging, denial rates, and collection benchmarks. This data helps you gauge the health of your revenue cycle in real time.

Continuous Process Improvement & Compliance

Staying Updated on Regulations & Payer Policies

Challenge

Constant shifts in CMS guidelines, payer contracts, and local coverage determinations complicate compliance.

Our Solution

We track regulatory changes, adjust our RCM processes, and guide clinics on new coding rules or coverage updates—ensuring your revenue cycle remains stable despite industry shifts.

Periodic Workflow Evaluations

Challenge

A stagnant RCM process can lead to complacency, rising denial rates, and missed revenue opportunities.

Our Solution

AccurusBill assesses each stage of your billing workflow periodically, identifying areas for increased automation, staff training, or additional checks to strengthen overall performance.

Why AccurusBill for End-to-End RCM?

Comprehensive Approach

We handle every step—from initial patient registration to final claim settlement—giving you a singular, cohesive partner.

Proactive Prevention

Our emphasis on front-end checks, prior authorizations, and coding accuracy reduces denials before they begin.

Streamlined Billing Cycles

Timely submissions, aggressive follow-up, and consistent A/R reviews shorten your revenue cycle.

Transparent Communication

Enjoy regular reporting and a dedicated liaison so you always know where your revenue stands.

Adaptable & Specialty-Focused

Whether it’s primary care, mental health, orthopedics, or other fields, we tailor each RCM phase to your specialty’s needs.

Partner with AccurusBill for Seamless RCM

With AccurusBill’s End-to-End RCM, you gain a partner committed to seamlessly managing every facet of the revenue cycle—from patient scheduling and insurance checks to coding, billing, and final reimbursement. By merging systematic workflows, rigorous checks, and continuous improvements, we keep your revenue flow consistent and your administrative burden light, so you can concentrate on delivering the best patient care possible.

Ready to Transform Your Revenue Cycle?

Partner with AccurusBill to streamline your billing, maximize revenue, and focus on patient care.