Revenue Cycle Management

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Recover, refine, and redefine with precision-driven solutions: converting overlooked healthcare revenue into concrete gains.

Claim Recapture

Masterfully navigating financial intricacies, turning overlooked ....

Proactive Scrubbing

Anticipating claim errors and rectifying them in advance to ....

Predictive AR

Harnessing the confluence of finance and healthcare, fostering ....

Our Approach

Historical Deep Dive

Our journey begins with a thorough 12-month retrospective analysis, ensuring a clear understanding of past challenges and lost revenue opportunities.

Forward Thinking Services

Transitioning from retrospective to proactive, we refine your facility’s processes, ensuring optimal efficiency and positioning you a step ahead of potential billing discrepancies.

Adaptable Service Offerings

Our services evolve to fit your needs. Starting with contingency-based fees, we smoothly transition to a licensing model, all while delivering consistent reports and real-time consultations.

Beyond Recovery – Preemptive Solutions

We go beyond mere error rectification. Through our clearing house and scrubbing services, we take proactive measures to significantly reduce billing errors, whether they arise from payors or providers.

Services

Claim Recapture

Masterfully navigating financial intricacies, turning overlooked discrepancies into significant revenue returns for healthcare excellence.

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Advanced Scrubbing Technology

Revolutionize billing accuracy and clarity with our state-of-the-art scrubbing technology. Aimed at reducing claim errors, our approach minimizes redundancy, speeds up the error resolution process, and enhances the overall efficiency of your billing operations.

Precision Driven Analysis

Delve deeper into financial nuances with our industry-leading precision in contrasting 835/837 transactions, streamlining revenue cycle management and uncovering latent financial opportunities, key to maximizing profitability and minimizing revenue leakage.

Revolutionizing Revenue Recovery In Healthcare

Experience Revolutionary Claim Recapture with Cutting-Edge Accuracy

Redefining the landscape of healthcare revenue cycle management by combining unparalleled precision in contrasting 835’s with 837’s and innovative scrubbing technology. Our methodical analysis of each line item ensures meticulous revenue recovery, while our advanced scrubbing technique streamlines the billing process, converting potential underpayments and denials into secure revenue. This unique approach not only drastically cuts down processing times but also integrates seamlessly with existing systems. The results are comprehensive, easy-to-manage reports, allowing your team to concentrate on the core of healthcare: patient care and service excellence, with financial health confidently managed by ClaimExcel.

Services

Proactive Scrubbing

Anticipating claim errors and rectifying them in advance to ensure an unobstructed journey to swift and accurate financial compensation.

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Advanced Claims Mastery

Maximize revenue with our precision in scrubbing clinical claims and encounters.

Dynamic Denial Prevention

Through preemptive error detection and correction, we significantly reduces denial rates, transforming claim management into a streamlined, efficient process for healthcare providers.

Comprehensive Coding Accuracy

We intricately navigates through extensive coding and billing requirements, ensuring each claim is thoroughly verified for accuracy, enhancing claim validity and optimizing reimbursement.

Redefining the scope and efficiency of claims management in healthcare. Our sophisticated solution ensures every claim is meticulously verified against thousands of coding and billing requirements, drastically reducing denials and boosting revenue streams. With us, healthcare providers can expect an advanced, customizable, and user-friendly interface, delivering not just improved cash flow but also freeing up valuable staff time. By focusing on both macro and micro-editing aspects, Upscalemsgroup caters to a broad range of specialties, offering unparalleled precision in claims validation. This proactive approach to denial avoidance transcends conventional methods, helping you maintain revenue integrity and focus on patient-centric care.

Services

Predictive AR

Harnessing the confluence of finance and healthcare, fostering agility and predictability in revenue streams for unparalleled operational excellence.

Redefining Healthcare Revenue

Transform extended AR cycles into rapid financial empowerment with advanced predictive analytics.
Accelerated Cash Flow

Shift from month-long waits to a week with innovative revenue forecasting, boosting your financial agility for more strategic resource allocation, faster investment in cutting-edge healthcare technologies, and enhancing overall patient care quality.
Strategic Financial Partnership

Leverage our global banking alliance for unprecedented financial foresight and stability, combining ClaimExcel’s analytical prowess with the bank’s financial expertise to deliver immediate liquidity and robust, future-proof financial strategies for your healthcare institution.

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Revolutionizes accounts receivable in the healthcare sector, significantly shrinking the typical 30-120 day payor revenue cycle to less than a week. Our sophisticated predictive analytics, combined with a strategic partnership with a leading global bank, catapults financial management into a new era of speed and accuracy. By harnessing real-time data and cutting-edge algorithms, we not only predict but accelerate your cash flow, ensuring financial operations are as dynamic as the healthcare environment. This transformative approach redefines revenue cycle management — stabilizing cash flow, enhancing operational agility, and empowering hospitals to reinvest in what truly matters: patient care and health innovation. With us, long waiting periods for revenue recapture become a challenge of the past, making your financial health robust, predictable, and exceptionally managed.