Maximizing Practice Profitability Through End-to-End Financial Solutions

Our RCM service includes:

• Patient Scheduling & Registration
• Insurance Verification & Authorization
• Medical Coding & Billing
• Claims Submission & Management
• Payment Posting
• Denial Management & Appeals
• Patient Statements & Inquiries
• Financial Reporting & Analytics

Each step is critical, and delays or errors at any point can significantly affect cash flow and operational efficiency.

Patient Registration & Scheduling

We begin the cycle by ensuring accurate and complete patient registration. This involves gathering essential demographic and insurance information upfront. Proper registration reduces errors later in the cycle and ensures that claims are processed correctly the first time.

Our team uses advanced practice management software to streamline scheduling and minimize no-shows. We confirm appointments, collect pre-authorizations when necessary, and verify patient eligibility before the visit.

Insurance Verification & Preauthorization

Accurate insurance verification is the foundation of successful claims processing. Our RCM team verifies coverage details, copays, deductibles, and referral or authorization requirements. By doing this in advance, we reduce the chances of claim denials and unexpected out-of-pocket costs for patients.

We also obtain prior authorizations for services that require them, ensuring that your practice is fully compliant with payer requirements and that reimbursements are secured.

Medical Coding & Billing

Once services are rendered, accurate medical coding is essential. Our certified coders assign appropriate CPT, ICD-10, and HCPCS codes that reflect the procedures performed and the diagnoses identified. Proper coding not only ensures compliance with regulations but also maximizes reimbursement potential.

We create clean, compliant claims using industry-leading billing software and ensure that they are submitted within payer deadlines.

Claims Submission & Management

Our team handles both electronic and paper claim submissions based on payer requirements. Once submitted, we closely monitor each claim throughout its lifecycle.

In the event of rejections or denials, we act swiftly. We analyze the reasons, correct the issues, and resubmit the claims promptly. Proactive management of the claims process leads to faster turnaround times and higher success rates.

Payment Posting

When payments are received—whether from insurance companies or patients—our team ensures accurate and timely posting into your system. We reconcile each payment against the claim, note any adjustments, and flag discrepancies for follow-up.

Accurate payment posting provides clear visibility into your revenue performance and supports faster financial reporting.

Denial Management & Appeals

Denials are inevitable in healthcare, but they don't have to be a permanent loss. Our denial management specialists investigate every denied claim, determine the root cause, and take corrective action.

Whether it involves resubmission, documentation supplementation, or formal appeals, we work diligently to recover lost revenue. We also track denial trends and provide insights to help prevent future issues.

Patient Statements & Inquiries

Once the insurance responsibility is fulfilled, any remaining balances are billed to the patient. We generate clear, easy-to-understand statements and offer multiple payment methods.

Our dedicated patient inquiry team is available to answer billing questions, explain charges, and set up payment plans as needed. This service improves patient satisfaction and encourages timely payments.

Financial Reporting & Analytics

With our advanced reporting tools, you’ll receive comprehensive insights into your revenue cycle performance. We track key metrics such as:

• Days in AR
• Claim denial rates
• Net collection rate
• Patient responsibility trends
• Payer reimbursement timelines

This data empowers your practice to make informed decisions, identify areas for improvement, and forecast revenue trends.

Benefits of Our RCM Service

• Increased Revenue Clean claims and quick follow-up mean more revenue collected, faster.
• Operational Efficiency Your team can focus on care, not chasing payments.
• Improved Patient Experience Clear communication and support lead to higher satisfaction.
• Regulatory Compliance We ensure all billing practices meet current healthcare regulations.
• Customized Solutions Our services are tailored to your specialty, size, and workflow.

Why RICH SOLUTIONS LLC?

We bring years of experience, certified expertise, and a client-first philosophy to every partnership. Our RCM team becomes an extension of your practice, working behind the scenes to ensure that the financial side of healthcare runs smoothly.

Whether you’re a solo practitioner or a large multi-specialty group, we scale our RCM service to match your goals. We prioritize communication, transparency, and measurable outcomes.

Your Financial Health Starts Here

Revenue Cycle Management isn’t just about billing—it’s about building a stable, thriving practice. With RICH SOLUTIONS LLC as your RCM partner, you gain more than a service provider. You gain a strategic ally who is deeply invested in your success.

Let us help you improve cash flow, reduce administrative stress, and enhance the financial performance of your practice. Contact us today to learn how our end-to-end RCM service can transform your revenue cycle and support your long-term growth.