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+91 97400 13624
   
Complete RCM Services
+91 97400 13624
20/2 , 2nd floor, 1st Main Rd, 8th Block, Jayanagar, Bengaluru, Karnataka 560070

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Revenue Cycle Management

Revenue Cycle Management

Quantum Lake provide the Tailor made Complete Revenue Cycle Management (RCM) solutions for the Clients based on their requirement in the US HealthCare vertical.

RCM processes like Patient information (Personal and Insurance info), Credentialing with insurances, Provider Charges (Symptoms and Treatment), Coding review, Claims Submission (Electronic and Paper), Sending out Patient Statements, Payment postings, Denial Management and finally work towards resolution on outstanding insurance and patient claims, are the services catered to our valuable Clients.

Accurate coding by certified coders and timely follow-up with the insurance and patients will bring more collections to the provider, consistently.
Revenue Cycle Management
Solutions

Our Healthcare RCM Solutions

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Solutions
  • Provider Enrollment / Credentialing
    • Provider Enrollment / Credentialing

      Quantum Lake offers credentialing and re-credentialing services. We offer these services whether you are a new practice starting or an established practice. Our credentialing services are performed by experienced individuals who have been in the medical field for over 20 years and were former medical office managers.

  • Medical Coding
    • Medical Coding

      Medical coding is the “transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes”. The diagnoses and procedures codes are taken from medical record documentation, such as transcription of physicians notes, laboratory and radiologic result, etc.

  • Patient Demographic
    • Patient Demographic

      Timely and maximum reimbursement is a critical factor totally depending on accurate entry of demographics and charge information. Critical error due to clerical lapses is given utmost priority in order to tackle issues at the onset using six sigma methodologies. At Quantum Lake, our team of dedicated personal enters information quickly and accurately which is highly essential in ensuing that this critical issue is timely resolved for the success of ensuring clean claims and high productivity.

  • Eligibility
    • Eligibility

      Insurance Verification becomes the most crucial part of the RCM cycle as it could avoid denials relating to COB which affect the reimbursement within the 30 to 60 cycle. Our dedicated team uses internally developed applications and if require physical calling to determine the eligibility of the patient avoiding rejections and denials forefront.

  • Charge Capture
    • Charge Capture

      At Quantum Lake, we do charge entry as a part of the healthcare revenue cycle management services. Since we have prior experience in handling different renowned medical billing software and several medical specialties, we start with the process directly, saving staff training time and effort. We pre-define account specific rules in charge entry for different medical specialties which reduces the room for errors and contributes to clean claims.

  • Payment Posting
    • Payment Posting

      At Quantum Lake, payments received from patients & insurance companies are posted to the patients accounts in the client's medical billing system. The posted payments are balanced against the deposit slips to ensure accuracy in payment. The payment posters also check for any under payment being made to the accounts. We also do electronic posting of payments in to the medical billing software and ensure that the EOB files are stored for future references.

  • Accounts Receivable
    • Accounts Receivable

      The largest and normally the most significant asset of all healthcare providers is their accounts receivable. At Quantum Lake, our Accounts receivables management function is designed to be the complete solution to difficulties that occur in your cash flows and is operated as an extension of your business section. The goal here is to recover the funds owed to you as quickly as possible by continuously work on identifying and improving processes that can improve efficiencies at each step of healthcare revenue cycle management while meeting the industry's best practices.