RCM Services – riveredge.globdigi.com

Revenue & Collections Management Services (RCM Services)

End-to-end healthcare revenue cycle management solutions to improve cash flow, reduce denials, and maximize reimbursements.

Comprehensive Healthcare Revenue Cycle Management Solutions

RiverEdge Analytics provides complete Revenue & Collections Management (RCM) services designed to streamline financial operations for healthcare providers. From patient scheduling to final collections, our RCM solutions improve billing accuracy, accelerate reimbursements, and enhance revenue visibility.

We support medical practices, clinics, and healthcare organizations across the United States with compliant, technology-driven RCM services.

Improved Cash Flow

Accelerate reimbursements and optimize revenue with efficient billing processes.

Reduced Denials

Minimize claim rejections through accurate coding and documentation.

Enhanced Visibility

Gain clear insights into your revenue cycle performance with detailed reporting.

Front-End Revenue Cycle Services

Our front-end RCM services ensure accurate patient data capture and eligibility validation—reducing downstream claim rejections.

Patient Scheduling

Appointment management and scheduling optimization

Eligibility Verification

Real-time insurance eligibility and benefits verification

Prior Authorization

Streamlined prior authorization processing

Patient Registration

Accurate demographic validation and data entry

Mid-Revenue Cycle Services

We optimize the mid-cycle process to ensure clean claims, compliant coding, and accurate documentation.

Charge Entry & Audits

Accurate charge entry and comprehensive charge audits

Medical Coding Audits

Quality assurance and compliance audits

Medical Coding Services

Expert ICD-10, CPT, and HCPCS coding

Clinical Documentation

CDI services to improve documentation quality

Software & Analytics Consulting Services

We provide end-to-end consulting services to help organizations streamline processes using analytics and custom software solutions.

Strategy & Roadmap

Analytics strategy and implementation roadmap

Architecture Design

Scalable system architecture planning

Performance Optimization

Speed and efficiency improvements

System Integration

Seamless integration with existing systems

Back-End Revenue Cycle Services

Our back-end RCM services focus on timely reimbursements, denial reduction, and effective collections.

Payment Posting

Remittance processing and accurate payment posting

AR Management

Accounts receivable follow-up and management

Denial Management

Financial Reporting

Credit Balance

Credit balance identification and resolution

Patient Collections

Patient statements and collection services

Financial Reporting

Comprehensive performance and financial reports

RCM Consulting & Compliance Support

We provide consultative services to ensure regulatory compliance and smooth provider operations.

Provider Credentialing

Complete credentialing services for providers

License Management

Malpractice, license, and NPI management

Workflow Optimization

RCM workflow analysis and improvement

Compliance Support

Audit readiness and compliance guidance

RCM Technology & Systems We Support

We work with leading healthcare billing and practice management platforms to ensure seamless RCM operations.

PrognoCIS

EHR & Practice Management

Practice Management

Leading PM Systems

EHR & EMR

Seamless Integrations

Clearinghouses

Payer Portal Connections

Benefits of Partnering with RiverEdge Analytics

Transform your revenue cycle with proven benefits that drive financial performance.

Faster Reimbursements

Accelerate claim submissions and payment cycles

Reduced Denials

Lower denial and rejection rates through accuracy

Improved Cash Flow

Enhanced revenue predictability and cash flow

Lower Admin Burden

Reduce administrative workload on your staff

Transparent Reporting

Clear insights and performance metrics

HIPAA Compliant

Secure, compliant processes you can trust

Healthcare Providers We Serve

Our RCM services are tailored to meet the unique needs of diverse healthcare organizations.

Independent Medical Practices

Multi-Specialty Clinics

Hospitals & Healthcare Systems

Diagnostic Centers

Behavioral Health Providers

Specialty Care Providers

Why Choose RiverEdge Analytics for RCM?

Partner with experts who understand the complexities of healthcare revenue cycle management.

Deep RCM Expertise

Specialized knowledge in US healthcare billing and revenue cycle

Certified Professionals

Experienced billing and coding specialists on your team

Technology-Driven

Advanced workflows and automation for efficiency

Customized Solutions

Reduce administrative workload on your staff

Data-Driven Tracking

Comprehensive performance metrics and analytics

Dedicated Support

Personal account management and responsive service

Optimize Your Revenue Cycle Today

Let RiverEdge Analytics manage your revenue cycle so you can focus on patient care while we maximize your financial performance.

Frequently Asked Questions

Common questions about our RCM services.

Do you provide RCM services for US healthcare providers?

Yes, we specialize in US-based healthcare revenue cycle management services. Our team has extensive experience with US insurance payers, billing regulations, and healthcare compliance requirements.

Can you work with our existing EHR or billing system?

Absolutely. We integrate with most EHR, EMR, and practice management platforms including PrognoCIS, Epic, Cerner, and many others. Our team is experienced in working with various healthcare technology systems.

Do you offer complete end-to-end RCM services?

Yes, we manage front-end, mid-cycle, and back-end RCM operations. From patient scheduling and eligibility verification to claims submission, payment posting, and collections, we handle the entire revenue cycle.

How quickly can you improve our revenue cycle performance?

Most clients see improvements within 30-60 days of implementation. This includes reduced denial rates, faster payment cycles, and improved cash flow. We provide regular performance reports to track progress.

Are your services HIPAA compliant?

Yes, we maintain strict HIPAA compliance and follow all healthcare data security regulations. We use secure systems, encrypted data transmission, and conduct regular security audits to protect patient information.

What size healthcare practices do you work with?

We work with healthcare organizations of all sizes, from independent solo practices to large multi-specialty clinics and hospital systems. Our RCM solutions are scalable and customized to fit your specific needs.