Catalyst RCM

Your Revenue Growth Partner

About us

Catalyst RCM distinguishes itself as a premier full-service Revenue Cycle Management (RCM) company, establishing meaningful partnerships with healthcare providers across the United States through a consultative and collaborative approach.

We strive to provide all-inclusive services and software that produces transparent, comprehensive, and actionable data. Our clients use this data proactively to make more informed, data-driven, and strategically focused decisions.

Explore the Catalyst RCM experience, where our dedication to excellence is reflected in every aspect of our service.

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Beyond the Ordinary: What Sets Us Apart

Variable Cost Structure

We recognize the fixed costs and continual escalation of expenses and time required to manage and sustain efficient revenue cycle operations, which do not necessarily translate to increased revenue for your business. As your revenue growth partner, we believe that as your business expands and we achieve economies of scale, you should reap the benefits of those efficiencies. Allow our experts to focus on your revenue cycle needs, enabling you to concentrate on delivering the high-quality care your patients and communities deserve.

Robust Data Analytics

Our analytics platform provides valuable and timely business intelligence measured through Key Performance
Indicators (KPIs) to clearly showcase the current health of your business, as well as highlight areas of opportunity for increased financial growth.

Personalized Client Reporting

Our reporting is personally tailored to help underscore the synergies between both your operational and financial levers, highlighting successful performance metrics within your business. Our reporting not only showcases past performance and current state but provides data insight to help direct future actions of our clients and their teams.

Dedicated Client Service Team

We believe we are an extension of your team and promote an environment of collaboration and consistent
high-touch communication. We pride ourselves on being responsive and attentive to the needs of your organization.

What We Do

We provide transparent data, relevant reporting and detailed follow up, which allows for reduced errors, maximization of revenue and provides a clear picture of the financial health of your organization.

Enrollment Services

Catalyst RCM understands the importance of enrollment services with your major payers for claims and electronic data interchange. Our team will assist with your enrollment for all major payers to ensure electronic transactions occur for claims processing, receipt of remittances, and eligibility verification. In addition, Catalyst RCM can assist with new payer enrollment when applying to become a network provider.

Eligibililty/Authorizations

At Catalyst RCM, we offer our clients both insurance verification and pre-authorization services, as we
understand the importance of these steps in avoiding claim denials and reduced cash flow.

Charge Capture

Catalyst RCM can help keep charge capture at the forefront of the revenue cycle by reviewing and verifying that claims are not being under or over-coded. This can cause future revenue loss when payers retro audit claims and recoup for improper billing. We work to make sure our clients get paid for all services rendered and to minimize the impact on patients.

Medical Coding

Catalyst RCM verifies claims go out clean to insurance companies so they get paid right the first time. We ensure all proper coding guidelines are followed, including National Correct Coding Initiative (NCCI) Edits, Medically Unlikely Edits (MUE), and CPT to ICD-10 crosswalk relationships. Catalyst RCM also reviews carrier policies to ensure our clients understand any significant changes that can affect treatment protocols and future revenue.

Claims Submission

At Catalyst RCM, our billers understand the nuances associated with different insurance plans such as Fee-For-Service, Health Maintenance Organizations (HMOs), Point-of-Service (POS), and Preferred Provider Organizations (PPO). Our billers have experience with laboratory, long-term acute care, ambulatory surgical centers, physician practices, and ancillary services billing.

Payment Posting

At Catalyst RCM, we understand the importance of line item posting to ensure that all services provided are reimbursed under payer contracts.

Accounts Receivable

The AR life cycle does not start when a claim is denied but starts the day a claim is submitted; that is why we have team members dedicated to checking claim receipts and status after claim submission. In addition to internal AR workflows, Our team provides regular client communication to ensure the resolution of potential issues that could negatively impact cash flow.

Analytics

Catalyst RCM analytics were created as a business intelligence and workflow tool that integrates with major EMRs to assist our clients in streamlining and automating their revenue cycle. Catalyst RCM analytics platform/tools provide our clients with real-time, transparent data that promotes increased visibility through Key Performance Indicators (KPIs) such as: average reimbursement per sample type & payer, actual reimbursement compared to expected, net revenue per patient day, payer mix and denial trends.

Client Reporting

Consistent and personalized client reporting is delivered to provide full visibility into all financial and operational aspects of our client’s business, which helps identify areas for performance improvement while simultaneously maximizing opportunities for revenue growth

Contact Us

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[email protected]

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888-421-5955

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