How to Optimize Healthcare Revenue Cycle Management
                     How to Optimize Healthcare 
Revenue Cycle Management?
www.ecareindia.com
www.ecareindia.com
Revenue Cycle Management
• Revenue Cycle Management is one of the major 
processes in medical billing. 
• RCM process is the primed for revenue improvement. 
• RCM is the process of collecting and managing the 
business revenue from payers based on the services 
rendered. 
• Successful revenue cycle management is required to 
keep up the financial viability.
Let’s discuss the revenue cycle management optimization.
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Medical Coding & Billing 
• For a smooth revenue cycle, medical billing and coding 
should be done accurately and the claims should be 
submitted within the stipulated turnaround time as it 
directly impacts the practice’s revenue. 
• Medical coding updates make the coding process more 
complex, For this reason, the medical coder should be 
regularly updated with coding procedures for each payer. 
• Accurate coding reduce claim denials rate.
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Eligibility Verification
• Eligibility verification is the most significant way to 
optimize the revenue cycle. 
• Verifying the patient’s coverage details with the payers is 
the initial step of revenue cycle management.  
• Any service rendered without taking an initial step of 
insurance eligibility verification, might leads to several 
complications to the billing company as well as their end 
client.
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Accounts Receivable Follow Up
• To maximize the practice’s revenue, you have to do patient follow 
up and denial management. 
• Generate account receivable aging report. Based on that report, 
focus on the past due- receivables and act quickly with the help 
of the account receivable follow up team. 
• Having consistent follow-up with patients enhances the 
reimbursement process. 
• Denial management identifies the claim rejection reasons and 
resubmits error-free claims without any delays.
• The entire process is meticulously tracked by the AR follow up 
team until the claims get paid.
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Prior Authorization
• Prior authorization is one of the essential parts of the 
healthcare revenue cycle. 
• Incomplete documentation and improper pre-
authorization may lead to claim denials. 
• Pre-authorization is the most important procedure to 
make sure timely reimbursement for services.
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Outsourcing Revenue Cycle 
Management
Outsourcing revenue cycle management provides following
benefits for medical billing companies
• Timely reimbursements, 
• Improves cash flows,
• Improves profitability and efficiency
• Streamlines operations
• Reduce billing errors
• Reduce claim denials rate etc.
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Revenue Cycle Management Optimization 
-Solutions
• Reduce costs
• Increase operational efficiency
• Eliminate redundancies
• Enhance the reimbursement
• Increase patient collections
• Improve patient engagement
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About e-care India
• e-care India is the top revenue cycle management company in 
India. 
• We have 20 years of experience in the healthcare industry. Our 
company has twin certifications to ensure the highest PHI security. 
• We provide medical billing and coding services and revenue cycle 
management that include insurance eligibility verification, denial 
management, account receivable management, payment posting, 
etc. 
• We are experts in denial resolution, claim follow-up, claim appeal 
submission, etc. To know more about our services, visit us at 
www.ecareindia.com
www.ecareindia.com