Revenue Cycle
Management Services

Maximizing Revenue, Enhancing Compliance, and Improving Cash Flow

Optimize Your
Practice's Financial
Health with Acclaim

At Acclaim Healthcare Management, we understand the unique challenges faced by radiology and pathology practices. Our Revenue Cycle Management (RCM) services are designed to ensure your practice maximizes revenue, minimizes errors, and maintains operational efficiency. With our advanced solutions, you can focus on providing high-quality patient care while we handle the complexities of billing and revenue management.

Key Components of Revenue Cycle Management

Patient Registration and Scheduling

The RCM process begins with patient registration and appointment scheduling. Accurate collection of patient information, including demographics, insurance details, and medical history, is crucial. This ensures billing is accurate and claims are submitted to the correct insurance providers.

Verifying insurance eligibility and obtaining necessary authorizations prevents claim denials and delays. This involves checking coverage details, co-pays, deductibles, and pre-authorization requirements. For radiology and pathology, where diagnostic tests and procedures can be expensive, ensuring coverage is vital for both the patient and the practice.

Accurate coding and documentation are essential for successful claims submission. Radiology and pathology practices use specific codes (CPT, ICD-10) that correspond to the services provided. Proper documentation supports the codes used, ensuring compliance with payer requirements and reducing the risk of audits and denials.

Once services are rendered and coded, claims must be submitted to insurance providers. Efficient claims management involves tracking submissions, addressing rejections, and resubmitting corrected claims. Advanced RCM systems automate much of this process, reducing manual errors and speeding up reimbursement.
Payments from insurance providers and patients are posted to the practice’s accounts. Reconciliation ensures payments match the billed amounts and identifies discrepancies that need to be resolved. Radiology and pathology practices often deal with high volumes of claims, which is why automated systems can significantly enhance efficiency.

Benefits of Effective Revenue Cycle Management

Icons Increased Revenue 

Increased Revenue

By optimizing each step of the RCM process, your practice can increase revenue, reduce claim denials, and benefit from faster payment cycles.

Icons Enhanced Compliance 

Enhanced Compliance 

Adhering to coding and billing regulations reduces the risk of audits and penalties, ensuring your practice stays compliant.

Icons Improved Cash Flow 

Improved Cash Flow 

Efficient billing and collections processes result in quicker payments, improving your practice’s cash flow and overall financial health.

Patient Satisfaction

Clear and accurate billing practices, coupled with effective communication about financial obligations, help enhance patient satisfaction and trust in your practice.

Medical Team Working Smiling
Medical Team Working Smiling Sm

Focus on Patient Care, Let Us Handle the Rest 

By partnering with Acclaim Healthcare Management, your radiology or pathology practice can focus on delivering exceptional patient care while we take care of the revenue cycle. Our tailored RCM solutions improve performance, maintain compliance, and maximize revenue.