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Frequently Asked Questions
How can your RCM solution improve our claims denial rate?
Our RCM solution reduces denials through advanced pre-submission claim scrubbing, automated coding validation, and payer-specific rule checks. On average, our clients see a 35% reduction in initial denials within the first 90 days of implementation.
What metrics do you track to measure RCM performance?
We track key performance indicators including days in A/R, clean claim rate, collection rate, denial percentage, first-pass resolution rate, and cost-to-collect ratio. All these metrics are available through our real-time dashboard and monthly performance reports.
How do you handle claim appeals and denials management?
We employ a specialized denials team that analyzes rejection patterns and follows a structured workflow for appeals. Each denial is categorized, root cause analyzed, and addressed through our three-tier escalation process to maximize recovery rate.
Can your system integrate with our existing EHR/EMR?
Yes, our RCM platform integrates with all major EHR/EMR systems through secure HL7 interfaces, API connections, or FHIR protocols. We've successfully integrated with over 50 different systems including Epic, Cerner, Allscripts, and many specialty-specific platforms.
Support available Mon–Sat, 9 AM – 9 PM IST. Critical claim issues? Call direct.
Our training sessions are designed to help your team get the most out of our RCM solutions. Sessions can be customized to focus on specific areas of interest.