Revenue Cycle Management
Revenue Cycle Management Services
Revenue Cycle Management (RCM) is one of the most necessary procedures in today’s healthcare environment. Hospital groups and physicians facing many challenges with their administrative work due to the shortage of skill sets and domain expertise resulting in outstanding revenues and chaotic revenue cycle management.
UCGS dedicated and experienced Professionals deliver best in industry services with great quality, highly accurate in timely manner which helps you to increase efficiencies and outcomes, reduce costs and risk, exceed patient expectations and deliver competitive services cost-effective. We manage the entire revenue cycle starting from a patient’s admission to the hospital, treatment and discharge, to post-discharge claims and accounts settling. With our help you can benefit from accelerated cash flow, structured and organized operations, faster revenue realization, and constant monitoring of key revenue cycles.
We make outsourcing simple and the transition to working with our team a quick and easy one. Our streamlined medical billing processes are designed to put our workforce at your finger tips as soon as we get started. We see our staff as an extension of your team.
PATIENT SCHEDULING AND APPOINTMENT
Scheduling of patient’s appointment through the provider’s online portal thereby streamlining the pre-registration process.
Collection of patient’s demographics for eligibility and prior authorization requirements.
Fixing the schedule based on the provider’s availability & directly communicating with physician and patients.
Informing the patient about the appointment and seeking for confirmation.
Convenient access to daily appointments with detailed information and sending automated reminders to the patient and provider email, phone and patient portal.


PRE CERTIFICATION / PRE AUTHORIZATION
Pre-authorization/ Pre-certification is mandatory for most private/ commercial health plans.
The documentation requirements vary by payer. We prepare prior authorization requests in payer-specific formats.
Once we receive Patient Identification details, Our trained specialists contact insurance and send across all clinical documentation to get initial authorization to start care.
Follow-up on submitted requests in timely manner and notify client for any issue with the authorization request.
We ensure our clients can deliver their core services to the patient without any fear of non-payment.