Save 25% on your overall cost with the best RCM services
PCH Health offers customizable and scalable revenue cycle management solutions for healthcare systems, hospitals, and physicians. With a perfect blend of automation and expertise, our comprehensive medical billing and coding services help you optimize cash flow.
Our revenue cycle management software can seamlessly integrate with your current practice management system. We have been one of the top RCM service providers for over 30 years. We are committed to delivering all the necessary technical support and resources to scale your practice.
Patient registration
Minimize rework and A/R days with precise patient registration and information entry. Our advanced technology ensures timely reimbursements and increased clean claim submissions.
Eligibility & benefits verification
Collect patient payments efficiently, understand covered services, enhance satisfaction, and reduce staff workload with our comprehensive eligibility and benefits verification services.
Prior authorization
Avoid high-dollar claim denials with proactive prior authorization management. Our experts ensure timely approvals and minimize denials.
Patient scheduling
Maximize resource utilization and enhance patient experience with efficient appointment scheduling. Improve staff utilization and reduce scheduling costs.
Pre-visit chart preparation
Streamline pre-visit tasks with accurate chart preparation. Reduce clinical workload and stress.
Clinical documentation improvement
Improve clinical documentation with our expert reviews and compliance management. Ensure accurate procedural and diagnostic documentation.
Medical coding & audits
Ensure efficient reimbursement with our accurate medical coding services. We adhere to ICD-10, CPT, CMS, HCC, ASC, and APC guidelines.
Prebill review & edits
Ensure compliance and accurate reimbursement with our prebill review services. Identify errors before submission.
Medical billing
Increase accuracy and improve revenue with our expert medical billing services. Enhance every stage of your billing cycle.
Revenue integrity
Streamline your revenue lifecycle with our comprehensive revenue integrity services. Ensure compliance and optimize reimbursement rates.
Payment posting
Optimize your billing with accurate payment posting solutions. Swiftly process remittances and address denials.
Denial management
Boost clean claim rates with our expert denial management services. Address denials efficiently and maximize reimbursements.
Credit balance & AP
Ensure regulatory compliance and financial stability with our accurate credit balance resolution services.
Why choose PCH Health’s RCM services?
Choose PCH Health for comprehensive medical billing solutions powered by advanced analytics and automation. Our extensive medical coding and billing expertise ensures that our RCM solutions are tailored to your practice goals. Enjoy benefits such as:
- Enhanced UX with a transparent process
- Expertise in multi-specialty medical coding
- Proactive denial management for maximum reimbursements
- Improved communication & care coordination
- More time for staff to focus on patient care
- Engaged patients at every step
- Minimized payment delays
Looking for efficient claims management solutions to optimize your cash flow?
Maximize revenue and minimize hassle with PCH Health’s RCM solutions
PCH Health’s revenue cycle management solutions accelerate cash flow, increase efficiency,
minimize costs, and optimize revenue for healthcare providers.
6.5T
Medical records
handled (aggregate)
$4B+
Underpayments
identified (aggregate)
82K+
Registered Users
(aggregate)
1.5T+
Lockbox payments
handled (aggregate)
Benefits of PCH Health’s revenue cycle management solutions
PCH Health has a network of 4,000+ registered RCM companies and 800+ payers. We ensure you get paid accurately for the services offered to the patients. The average reimbursement rate of our clients is >98%.
Verify insurance coverage and analyze reports
Verifying insurance coverage and reviewing reports before submitting claims is crucial. We ensure that all clients have valid insurance coverage and that their diagnosis reports meet all requirements, reducing the risk of claim denials.
Accurate and clear documentation
We effectively complete all records, precisely capturing patient details, appointment dates, service goals, notes, and results. Our RCM specialists store this information in a reliable system, facilitating effective future treatment planning.
Avoid common billing errors
Medical billing errors can lead to claim delays and denials. We conduct regular audits and quality checks to prevent these issues, identifying and correcting potential errors. It helps us avoid common problems such as data entry mistakes and duplicate and overlooked claims.
Submit clean claims
Medical coding is complex due to multiple diagnoses and procedures. At PCH Health, our coders have extensive knowledge of CPT & ICD codes for clean claims submission and work diligently to ensure efficient reimbursement.
Awards and Certifications
Top specialties managed by PCH Health
include, but are not limited to:
Ambulatory Surgical Center
Behavioral Health
Cardiology
Oncology
Orthopedics
Primary Care
Urgent Care
FAQ
How secure is patient data with PCH Health's RCM solutions?
PCH Health places utmost importance on the security and privacy of patient data. Our revenue cycle management solutions are designed with robust security measures to protect sensitive information. We adhere strictly to HIPAA regulations, ensuring all patient information is handled in compliance with the highest privacy and security standards. Regular audits and updates are conducted to maintain compliance and address emerging security concerns.
We employ advanced encryption technologies to protect data at rest and in transit, ensuring patient information remains secure from unauthorized access or breaches during storage and transmission. Additionally, PCH Health implements strict access controls and authentication mechanisms. These role-based access controls ensure that only authorized personnel can access sensitive data.
We perform continuous monitoring and regular security audits to maintain a high level of security, helping us identify potential vulnerabilities and implement necessary improvements promptly. Our commitment to data security is non-negotiable, so healthcare providers can confidently say that their patient data is secure with PCH Health's RCM solutions.
How do I get started with PCH Health's RCM services?
Starting with PCH Health's revenue cycle management services is a straightforward process to ensure a smooth transition and seamless integration into your practice or healthcare facility. Here are the steps to get started:
Initial consultation
- Reach out to our team to schedule an initial consultation. Use our website, email, or phone.
- We will discuss your RCM needs, goals, and challenges to tailor our services accordingly.
Needs assessment and proposal
- Our RCM experts will thoroughly assess your current revenue cycle processes.
- Based on these results, we will provide a detailed proposal outlining the recommended services, implementation plan, and associated costs.
Agreement and onboarding
- We will finalize the service agreement once you review and approve the proposal.
- Our onboarding team will work with you to gather the necessary information and documentation to set up your account.
Implementation and training
- We will implement the agreed-upon RCM services, ensuring minimal disruption to your operations.
- Comprehensive training sessions will be provided for your staff to familiarize them with new processes and systems.
Go live and support
- After implementation, we will go live with the RCM solutions, continuously monitoring to ensure everything runs smoothly.
- We will offer ongoing support to address any questions or issues.
Continuous improvement
- We will regularly review the performance of our medical billing, coding, etc and provide you with detailed reports and analytics.
- Our team will work with you to make any necessary adjustments to optimize efficiency and revenue outcomes.