Medical RCM Solutions
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Leveraging Expertise, Advanced Technology, and Scalable Solutions

Augustus Healthcare Solutions understands that Revenue Cycle Management (RCM) in medical billing is a critical process that healthcare organizations use to manage the financial aspects of patient care.

Outsourcing medical billing in RCM provides healthcare providers with numerous benefits, including cost savings, improved revenue and cash flow, enhanced accuracy and compliance, and the ability to focus more on patient care. By leveraging the expertise, advanced technology, and scalable solutions offered by Augustus Healthcare Solutions, healthcare practices can optimize their revenue cycle, reduce administrative burdens, and improve overall operational efficiency.

AHCS understands the importance of RCM. Our clients have assurance of:
  • Complexity of Regulations: Keeping up with constantly changing insurance policies and healthcare regulations.
  • Claim Denials: Managing and reducing claim denials which can delay payments.
  • Technology Integration: Ensuring seamless integration of various healthcare IT systems.
  • Patient Responsibility: Managing increasing patient financial responsibility due to high-deductible health plans.
Our services are offered as consolidated package or could be availed on a-la-carte basis:
  • Eligibility Verification
  • Claim-Generation: - Demographic Entry and Charge Capture (CMS-1500/UB-04 Forms)
  • Medical Coding-ICD-10-CM/PCS, CPT-4, CDT-5 and HCPCS-II. Charge/Demographic Entry
  • Payment Posting and Electronic Remittance Handling
When you utilize RCM services provided by AHCS, you will have several key advantages:
Cost Savings
  1. Reduction in Overhead Costs: Outsourcing to AHCS will eliminate the need to hire, train, and retain in-house billing staff, thereby reducing labor costs.
  2. Lower Operational Costs: Savings on office space, billing software, and other infrastructure required for an in-house billing department.
  1. Faster Claims Processing: Our streamlined billing processes and dedicated teams that ensure faster claim submissions and quicker payments.
  2. Higher Reimbursement Rates: Our expertise in medical billing can lead to fewer errors and denials, resulting in higher reimbursement rates and more consistent cash flow.
  1. Expertise in Medical Billing and Coding: AHCS employs certified coders and billing experts who stay updated on the latest regulations and coding standards, reducing the risk of errors and compliance issues.
  2. Compliance with Regulations: AHCS ensures adherence to healthcare regulations and payer-specific requirements, minimizing the risk of audits and penalties.
  1. Reduced Administrative Burden: By outsourcing billing to AHCS, healthcare providers can focus more on patient care and clinical responsibilities rather than administrative functions.
  2. Improved Patient Experience: Our efficient billing processes lead to fewer billing errors and disputes, enhancing the overall patient experience.
  1. State-of-the-Art Billing Systems: AHCS uses the latest billing software and technology, which can improve efficiency and accuracy.
  2. Data Security: AHCS has robust data security measures in place to protect sensitive patient information.
  1. Adaptability to Practice Growth: AHCS can easily scale up or down based on the practice’s needs, making it easier to handle varying volumes of billing.
  2. Flexibility: Providers can choose from a range of services tailored to their specific requirements, allowing them to adapt quickly to changes in the healthcare landscape.
  1. Comprehensive Reports: AHCS provides detailed analytics and performance reports, giving providers insights into their financial health and identifying areas for improvement.
  2. Performance Monitoring: Regular monitoring and analysis of billing performance metrics help in making informed decisions to optimize the revenue cycle.
  1. Expertise in Handling Denials: AHCS billing team is skilled at identifying the causes of claim denials and implementing strategies to address them effectively. AHCS operates dedicated AR follow-up call center facility where experienced call center executives manage AR follow-up through AVR/IVR systems as well as direct tele-conversations with Claim Processing Executives in Payer’s office.
  2. Improved Resubmission Rates: Our professional billers ensure that denied claims are corrected and resubmitted promptly, leading to higher recovery rates. Here are some key features:
    • Reduce average AR days to less than 45 days
    • Reduce the AR over 90 days to less than 10% of the total AR
    • Increase collection from the current level to higher level
    • Keep claims error-free
    • Improve collections while accelerating cash flow
  1. Efficient Process Management: AHCS have established workflows that streamline the entire billing process from charge capture to payment posting.
  2. Reduction in Administrative Delays: With dedicated billing teams, administrative delays are minimized, resulting in more efficient revenue cycle management.
  1. Accurate Record Keeping: AHCS maintains accurate and organized records, making it easier to track financial performance and patient billing histories.
  2. Integration with EHR Systems: AHCS offers seamless integration with electronic health record (EHR) systems, improving data accuracy and accessibility.
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