Revenue Optimization
Operate At The Highest Possible Level
Our revenue optimization team at Capital Care Solution is committed to maintaining the highest level of success through meticulous strategies designed to achieve optimal revenue levels. With a focus on excellence, we have established ourselves as industry leaders in maximizing revenue. Through comprehensive analysis of market trends, consumer behavior, and industry dynamics, we have designed and efficient revenue management cycle to proactively identify opportunities for growth while minimizing risks. Our revenue management solutions help businesses achieve heights of success as we have the best revenue management process in place to maintain optimal revenue levels.
A Proactive Approach To Boost Profitability
Capital Care Solution (CCS) presents its Revenue Optimization Program in contrast to the below indications
Insufficient Accountability
Check & balance should be extremely effective in making the revenue management healthcare practice transparent and seamless.
Inconsistent Cash Flow
A consistent cash flow will ensure the practice’s success. To keep the cash flow flowing smoothly, reliable medical billing must be achieved.
Excessive Denial Rate
Denial rate of 5% or less is the target. A denial rate of 10% or greater indicates problems with medical billing.
Gaps in Billed Vs Paid Amount
Large differences between billed and paid amounts could be a sign of poor medical billing operations.
Untimely Payment Posting
Delayed payment posting has a negative effect on revealing transparent outcomes of practice and also causes difficulties in identifying upcoming denials.
Repeated Denials
Similar denials prove that claims are not being followed up effectively and are instead being overlooked.
Huge Medical Documentation
Medical billing errors are monitored more closely by healthcare payers resulting in demand of supporting medical records to prove the service provided.
Claims Submission Lag
Since every insurance company has different Timely Filling Limits. To avoid delayed submission denials, these TFL limits must be compliant.
Streamlined Revenue Cycle Optimization
Do you want to boost your cash flow, reduce your costs, and improve your customer satisfaction? If you answered yes, then you need Streamlined revenue management system! This is the ultimate solution for managing your billing, collections, and payments in a fast, efficient, and hassle-free way. Streamlining can help reduce complexity, redundancy, and variation, which can lead to lower costs, faster turnaround times, higher quality, and better outcomes.
We Utilize The Following Key Strategies To Achieve The Optimal Outcomes
Account Receivable & Denial Management
Soon as the ERA’s are posted, our denial management team is in charge of unpaid and low-paid claims, they fix and rectify issues with denied claims and submit them for reprocessing. Not only this, the A/R team also negotiates with insurance companies and sends reconsiderations and appeals on low-paid claims.
Billing Analytics
Capital Care Solutions medical billing analytics will help you improve your billing performance by showing you how you compare to industry benchmarks and best practices. Our analytics identify and address the areas of improvement in your billing process and provide you with actionable insights and recommendations to improve your billing process and increase your revenue.
Claims Evaluation Prior To Submission
Before we submit your medical claims, Capital Care Solutions team evaluate them carefully to avoid errors and delays, based on the demographics entry, eligibility and benefits verification, pre-authorization, referrals, reviewing medical documentation, and coding edits. By evaluating your medical claims prior to submission, we can ensure that you receive the maximum reimbursement for your services and avoid unnecessary hassle and frustration.
Flawless Claims Submission
We help providers submit flawless claims, either electronically or by paper mail, to ensure the claim is paid on the first submission. Saving time and money for our clients and reducing the hassle of resubmitting or appealing denied claims.
Tracking Claims
After the succesfull submission of claims. We make sure they are on file with the payer. Capital Care Solutions A/R team track and monitor the status of every claim and follow up with the recipients if needed, ensuring timely payments.
Unlock Your Business With Full Potential & Achieve Sustainable Growth
We are thrilled to offer you our services that will boost your revenue like never before! We use latest revenue management software and tools to help you reach your goals faster and easier. Don’t miss this opportunity to work with the best revenue management consulting company and see your business grow.
Flexible Strategy
Whether you choose to transition to our robust and comprehensive PM/EHR system or prefer to continue using solutions from another provider, our services are not limited by any specific platform or technology.
Exceeding Expectations
We’re not your average revenue cycle solution. We surpass ordinary standards by offering additional revenue-boosting services that enhance front and back-end operations, ensuring maximum financial gain.
Complete Transparency
Experience the support you need without compromising control over your business. Our commitment to full transparency is reflected in timely analytics and reporting, guaranteeing accurate data, streamlined processes, and utmost accountability.
Guidance in Strategy
Receive strategic guidance from a team of professionals who keep you informed about the latest industry developments.
Robust Assistance
Count on a team of highly committed account managers who provide prompt responses to address your everyday inquiries.
RCM Specialists
Our team of specialized experts in billing, remittance, and collections is dedicated to optimizing your payment cycle.
Revenue Management Tools & Strategies
With our top-notch revenue management strategies and tools, we’ve helped a number of medical practices optimize their claim processing and reimbursement processes. Get in touch with the best revenue management company now and receive a complimentary consultation!
Contact us. Get peace of mind and soul!
