Above & Beyond Billing

Optimize Your revenue with a full-fledged financial system

Revenue cycle management is the process of managing all the activities that occur in the billing and payment cycle for a hospital, health care organization, or physician practice. This includes tasks such as claims processing, billing, collections, accounts receivable management, insurance eligibility verification, and medical records coding. While it’s called “revenue cycle management,” the process doesn’t just focus on revenue generation.

You’ll also see references to “patient financial engagement” which is about communicating with patients and gaining their trust. For many health care providers, a large part of revenue cycle management is about getting payment from an insurance company for the services provided by a hospital or physician practice.

A hospital’s revenue cycle department is usually organized into three main areas: the billing department, accounts receivable, and contracts. For a physician’s practice, you’ll often see revenue cycle management focus on medical coding and billing.

The Revenue Cycle Management Department at a Hospital

Optimize Your revenue with a full-fledged financial system

Hospitals have a dedicated revenue cycle management department with a chief financial officer to oversee the main functions of the department. These include: Billing/collections – This involves collecting payment from patients or insurance companies for the services and procedures provided at a hospital or ambulatory care center.

.This involves collecting payment from patients or insurance companies for the services and procedures provided at a hospital or ambulatory care center. 

Accounts receivable – This area of revenue cycle management focuses on accounts receivables, which is the total amount owed to the hospital by patients.

This area of revenue cycle management focuses on accounts receivables, which is the total amount owed to the hospital by patients. 

Financial solutions – This area of revenue cycle management includes payment plans and financial assistance for patients who can’t afford to pay their entire hospital bill.

 This area of revenue cycle management includes payment plans and financial assistance for patients who can’t afford to pay their entire hospital bill.

Coding and clinical documentation improvement – This area of revenue cycle management is about providing financial, coding, and billing software that complies with the latest industry standards.

This area of revenue cycle management focuses on analyzing and maintaining records for individual patient accounts. 

Compliance – This area of revenue cycle management involves complying with all federal, state, and local regulations that apply to healthcare claims and billing processes.

HealthQuest RCM is the answer

HealthQuest RCM‘s Revenue Cycle Management solutions provide you with the tools to optimize your billing and account receivable processes, automate revenue workflow, and reduce regulatory compliance risk. Using HealthQuest’s market-leading clinical RCM solutions, you’ll get the most intelligent automation software available today, complete with advanced analytics and visual options. You’ll be able to improve your bottom line while complying with PAMA and FASB reporting requirements.

Make An Appointment

    Have any Question?

    Book an appointment

    Have care Requirement?

    Call the hospital

    Why Choose HealthQuest RCM?

    Introducing HealthQuest RCM, the leading provider of Revenue Cycle Management (RCM) solutions. Our advanced AI-automatic software is designed to help you achieve peak financial performance, no matter what size your business may be. With our expert team of billing specialists and RCS visibility, business intelligence, and analytics diagnostics providers, you can confidently manage your revenue cycle for maximum efficiency.

    How HealthQuest RCM Deliverance Value?

    Certified Coders & Molecular Lab Billing Expertise

    HealthQuest RCM understands the importance of staying ahead of the curve in the field of genetics and offers coding and billing services that are always up-to-date. With our team's expertise in this rapidly growing field, you can be sure that your laboratory will receive fair payment for the services provided. For laboratories, genetics is a fast expanding subject, but this growth poses substantial issues for molecular coding, billing, and reimbursement. Every year, CMS examines which genes are most frequently tested throughout the states and rewrites the CPT code to assign the top gene its own code. Some codes can span up to ten genes due to frequent coding changes. If Labs & Diagnostics want to secure equitable reimbursement for the services given, they must stay on top of daily/monthly/quarterly/yearly coding and billing updates that occur from CMS and Commercial Insurance carriers. During onboarding, HealthQuest will provide you with a dedicated Account Executive as well as a team of qualified workers who are trained end-to-end in the Molecular Lab & Clinical Diagnostics space across all of your tests and modalities.

    Business Intelligence for Reporting

    HealthQuest RCM provides reporting and occupational intelligence to support the developing health model & growth. Enterprise-grade financial reporting and data visualization options, KPI - key performance indicators, quarterly benchmarks, and month-end transparent reporting packages set out HealthQuest RCM in addition to RCM with the most comprehensive and accurate reporting and business intelligence capabilities. HealthQuest RCM Business Intelligence provides over 400 operational reports and supports PAMA and FASB reporting requirements. Advanced business intelligence options include subject-oriented and consultative data sets, pre-designed visualizations, and easy-to-use Artificial Intelligence-driven analytics. HealthQuest RCM provides enterprise-grade financial reporting and data visualization options, KPI - key performance indicators, quarterly benchmarks, and month-end transparent reporting packages.

    Success and Managed Services

    HealthQuest RCM handles a lot of software, clearinghouse, payer revisions, regulatory changes, and other changes so you can focus on improving your billing and increasing your collections. There is no other solution that gives this level of availability, efficiency, and productivity, and it is the key to assuring what you bill and collect without insurance processing delays caused by your lab.

    Strong Workflow Automation

    HealthQuest RCM employs highly configurable AI workflows that ensure clean claim presentations in the shortest possible time. Not all claims accept or get processed within the first submission, but HQ Scrubber can check for accuracy including Coverage & Benefits information from state Jurisdictions LCD/NCD with prior authorizations by Prior Genetic Authorization (P Geo) as well Coding guidelines based on NCDs and much more which means 100% error-free submissions significantly fewer denial rates lower labor costs greater efficiency! HealthQuest RCM provides a full range of revenue cycle solutions to support your business, from billing and collections all the way through comprehensive reporting services. You'll receive individualized evaluations on fee schedules or group crediting plans as well as EMR/EHR help if needed for an additional price point per provider; we also offer custom LIMS management packages with DMS management included at no extra cost! We're here when it comes time for A/R audits.

    Expertise and Managed Services

    HealthQuest RCM With over 15 years of experience providing RCM services to Laboratories, hospitals, physicians, and physician groups under the same professional management, Our national revenue cycle management company has served and increased the revenue of more than hundreds of Individual practices, Molecular Labs, Diagnostics, Hospitals, Radiology groups, Anesthesiology groups, Pain Management centers, etc. The Healthcare Revenue Cycle solutions provided by HealthQuest RCM not only cover the billing and collections function but also provides additional services such as Comprehensive & Customized Reporting, Sales Reporting, Fee Schedule Evaluations, Individual & Group Credentialing, EMR/EHR Solutions, LIMS Management, Document Management systems (DMS) and Outstanding A/R audit. The revenue cycle solutions can be customized according to the billing nuances of the Provider or Group. Whatever the solution needed, HealthQuest RCM will perform the services with the highest quality standards and results.

    Financial Integrity & Development

    RCM HealthQuest Is designed primarily for financial improvements and maintains full referential integrity. Every month, HealthQuest RCM clients are balanced for pennies, and they receive a general ledger complete financial accounting package from HealthQuest RCM, complete with financial data adapted to GAAP and Sarbanes-Oxley. HealthQuest RCM provides your management team with the precision and detail they need to confidently run the business. HealthQuest RCM Is specifically developed for financial improvements with full referential integrity. HealthQuest RCM clients are balanced for pennies every month, and receive a general ledger complete financial accounting package with financial data from HealthQuest RCM every month. HealthQuest RCM gives your management team the precision and detail needed to manage the business with confidence.

    When I look at Healthquest I look at them as Operators, we don’t look at them as consultants. There was always a conversation about why did we outsource. Unfortunately, we have to change several software and applications in past but selecting the right revenue cycle partner is like security assured income.”

    Group Practice

    Moreno Valley, CA

    “We are glad to meet partners, not a third-party vendor who knows out-of-network billing with top insurances. Healthquest creates a better environment for the sales reps and we will be able to grow our volume and revenue and achieve a better outcome.”

    Our Client

    Boca Raton, FL

    We never had an idea to validate genetic services in our chain of labs special thanks for HealthquestRCM Validation-Molecular and Revenue Cycle team we are delighted with your services and knowledge

    Lab Manger

    Lab Manger, Gallipolis, OH

    WE HAVE BEEN SERVING OUR CLIENTS IN THE FOLLOWING STATES


    SERVING OUR CLIENTS IN THE FOLLOWING STATES
    • Arizona
    • California
    • Colorado
    • Delaware
    • Alabama
    • South Carolina
    • Florida
    • Georgia
    • illinois
    • Indiana
    • Kansas
    • Kentucky
    • Maryland
    • Michigan
    • Mississippi
    • Missouri
    • New Jersey
    • NewYork
    • NorthCarolina
    • Ohio
    • Oklahoma
    • Pennsylvania
    • Tennessee
    • Texas
    • Vermont
    • Virginia
    • Washington

    Revenue Cycle Management