Revenue Cycle Management Services (RCM)
From appointment scheduling and patient registration, until each claim balance reaches zero, Cvikota Medical Business Services provides professional revenue cycle management services (RCM) with personal service available nowhere else. We work with our providers to verify eligibility and accurately gather all necessary patient information and manage every step of the medical billing process.
As new third-party payment plans emerge and the healthcare industry transitions from traditional fee-for-service to pay-for-value models, successful revenue cycle management requires a more complex skill set. Conventional revenue streams are giving way to more complex payor mixes and payment methodologies, many of which shift the financial risk of providing care from payors to physicians. MACRA, MIPS, APMs (alternative payment models), pay-for-performance (P4P), accountable care organizations (ACOs), E-Prescribing, EHR meaningful use, and capitation are all becoming vital elements in a healthy revenue makeup. New, robust technologies and analysis tools are standard equipment for smart managers.