RCM Solutions
What Makes Us Different
We are committed to providing transparent data through real-time analytics dashboards and personalized reporting. We believe our team and tools allow for increased client visibility into your business, which is imperative to optimize revenue streams and reduce inefficiencies to positively promote your revenue health and organizational growth
Variable Cost Structure
We understand the fixed costs and continual escalation of expenses and time it requires to manage and sustain efficient revenue cycle operations, that does not necessarily equate to increased revenue for your business. As your revenue growth partner, we believe as your business grows and we gain economies of scale, some of those benefits should be passed on to you. Let us as experts focus on your revenue cycle needs, so you can focus on providing the high-quality care your patients and communities deserve.
Dedicated Client Service Team
Robust Data Analytics Platform
Personalized Client Reporting
What We Do
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
Claims Submission
Payment Posting
Accounts Receivable
Catalyst understands the importance of aggregating AR data by insurance carrier, denial reason, payer remark, etc., which is why Catalyst designed proprietary AR Work Queues that are driven based on data analysis. In addition to the AR Work Queues, 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. Our analytics platform provides 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.
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