Revenue Cycle Management

We streamline your billing and collecting processes to improve the quality of your service and get your money faster. Our knowledge of the revenue cycle management process will help you get better financial results faster, so you can focus on giving great care.

Complete RCM Services to Enhance Your Cash Flow

At Cliq Healthcare, our approach to Revenue Cycle Management Services is built on a thorough understanding of the healthcare landscape. We use advanced analytics to optimize Medical Coding, Medical Billing, and AR/Denial Management, ensuring a smoother and more efficient cash flow.

Enhance Your Revenue Cycle and Ensure Compliance with Our Comprehensive RCM Services

Healthcare providers face immense pressure to adapt their revenue cycles while enhancing care, reducing costs, and meeting regulatory requirements due to legislative, demographic, and innovation demands. At Cliq Healthcare, our all-encompassing Revenue Cycle Management Services—featuring Medical Coding, End-to-End RCM solutions, Patient Access services, Pre-claim services, and Patient Financial services—are designed to help you achieve these goals effectively.

Eligibility Verification

Minimize billing errors and claim denials, enhance patient experience, and boost collections

Minimize Coverage Errors and Rejections

Eligibility and Benefit Verification services are crucial for ensuring accurate and timely processing of insurance coverage information within healthcare organizations. Without effective checks and balances in this area, significant financial inefficiencies can arise. Inadequate verification processes or lapses in prior authorizations can lead to delayed payments and rejections, resulting in reduced collections and overall revenues.

Timely and accurate determination of patient eligibility provides healthcare providers with a comprehensive view of coverage details, including out-of-network benefits and payment responsibilities. Cliq Healthcare brings extensive experience working with a wide range of government and commercial insurance providers, such as BCBS, UHC, Aetna, and GHI. Our specialized Eligibility and Benefits Verification services are carefully designed to meet the specific needs of various medical specialties and practices, regardless of size or scope.

Our dedication to precise Eligibility and Benefits Verification services helps healthcare providers submit error-free claims, improve upfront collections, and enhance patient satisfaction. With Cliq Healthcare as your RCM partner, your eligibility and benefits verification needs will be expertly managed, leading to streamlined operations and maximized revenue potential while contributing to a more positive patient experience.

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Charge Capture

Improve the integrity and accuracy of charge capture, reduce processing costs, and speed up cash flow with Cliq Healthcare’s solutions.

Boost Your Claim First-Pass Rate

Accurate charge capture is essential for effective healthcare revenue cycle management. Errors in charge capture can lead to reimbursement issues, revenue loss, and operational disruptions. Ensuring precision in charge capture is crucial for proper billing, reducing claim denials, and avoiding compliance problems. Each step of care and service must be meticulously coded to reflect its true value. Mistakes in charge capture can ripple through the revenue cycle, affecting investments in patient care. Cliq Healthcare’s dedication to flawless charge capture minimizes these risks, maintaining revenue integrity and supporting a strong financial foundation necessary for ongoing healthcare delivery.

Our charge entry specialists manage a high volume of transactions with exceptional accuracy. We ensure excellent coordination between our coding and charge entry teams, fostering long-term improvements in the overall process and increasing efficiency. Leveraging our expertise across multiple specialties and RCM platforms, Cliq Healthcare enhances communication within our teams, ensuring a seamless end-to-end process.

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Payment Posting

Enhance processing accuracy and boost collections effectiveness with Cliq Healthcare’s Payment Posting Services.

Accurate Posting & Strategic Decision Making

In the realm of effective medical billing, while coding and clinical documentation are often emphasized as crucial components, the role of payment posting services can be undervalued, sometimes seen merely as a routine task. However, an adept payment processing team offers essential insights into the overall performance of a healthcare organization’s revenue cycle. It serves as a vital tool for understanding revenue patterns and enables in-depth analytics for informed decision-making.

At Cliq Healthcare, our remittance processing experts go beyond traditional payment processing functions. They provide valuable insights into critical areas affecting revenue cycles, identifying trends and reasons for denials, prior authorizations, and non-covered services. They also evaluate the quality of clinical documentation and coding practices for a comprehensive view of revenue cycle dynamics. Additionally, they review the effectiveness of front-end patient collections, offering a complete perspective on revenue streams.

Payment posting is not just about data entry; it’s a crucial indicator of the health of your revenue cycle. Thus, it is essential to rely on a highly skilled team for this task. Cliq Healthcare understands the importance of Payment Posting Services in assessing the condition of a revenue cycle and dedicates its expertise to managing this process with precision. By consistently emphasizing the significance of Payment Posting Services, Cliq Healthcare’s team ensures thorough attention to this critical aspect of revenue cycle management. Our professionals provide more than routine transactions—they deliver comprehensive insights that help healthcare organizations optimize revenue streams and maintain robust financial health.

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Denial Management

Did you know that over 90% of denials are preventable? At Cliq Healthcare, we focus on identifying the root causes, addressing issues, and ensuring you get paid. Preventing denials is our top priority.

Reduce Denials through Analytics

Healthcare groups need denial management services to keep their finances in good shape. Within the complex landscape of revenue cycle management, claim denials pose a significant challenge to cash flow and overall revenue stability. Managing and resolving denied claims well is important for limiting income losses. Our specialized denial management services offer a thorough approach, exploring the complexities of claim issues to identify and resolve problems, allowing healthcare organizations to recover lost revenue efficiently.

To ensure long-term operational success, healthcare organizations must proactively address front-end process details to prevent future denials. Cliq Healthcare, known for its robust methodologies and industry-leading practices, provides a customized approach to enhance revenue cycle management with a focus on denial management services. Discover the root causes of each claim denial and strengthen your organization’s financial health by leveraging Cliq Healthcare’s extensive experience in developing effective denial management strategies. Let us help you achieve a more resilient revenue cycle with proactive denial management services tailored to your organization’s specific needs.

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AR Management

Allow Cliq Healthcare to transform your AR backlog into a valuable cash opportunity.

Fast-Track Your Claim Reimbursement

Due to unpaid claims and late collections, healthcare groups often have trouble with administration. Insurance denials and refusals, coupled with increasingly strict federal regulations, add to this difficulty. Addressing denied or appealed claims proactively is essential to improving AR management and preventing issues from escalating.

Are your A/R backlog and AR days falling short of industry standards? Are you constrained by limited resources for managing accounts receivable effectively? Are current processes leading to ineffective write-offs and closures? If so, outsourcing your AR Management services to Cliq Healthcare is the ideal solution.

Cliq Healthcare is your strategic partner, providing comprehensive AR Management Services designed to tackle these pressing issues. We understand the complexities of accounts receivable, including navigating denied claims, resolving discrepancies, and optimizing collections. Our expertise helps reduce A/R backlog by streamlining processes and implementing strategies that align with industry best practices. We don’t just manage accounts; we enhance your revenue cycle through effective closures, minimized write-offs, and improved collections.

By outsourcing AR Management Services to Cliq Healthcare, your organization can handle receivables more efficiently, leading to better collections and streamlined processes. Trust us to resolve issues swiftly and proactively, supporting your financial stability and operational efficiency.

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Complete RCM Services

Full Revenue Cycle Management (RCM) Services are a strategic approach to transforming your healthcare business into a long-term, high-performing entity. With Cliq Healthcare’s comprehensive solutions, you can optimize every aspect of your revenue cycle for sustained success.

Enhance Your Revenue Cycle Bottom Line

In the healthcare industry, the effectiveness of Revenue Cycle Management (RCM) Services must align with the outcomes of insurance collections. Physician practices, hospitals, and third-party service providers increasingly require advanced business intelligence to quickly identify and address current issues while anticipating and preventing future impacts on revenue. Cliq Healthcare is a leader in providing in-depth expertise with comprehensive solutions in billing, collection, resolution, and A/R management, tailored to meet the evolving needs of our clients.

In today’s challenging healthcare environment, shrinking margins, rising write-offs, and resource constraints contribute to poor financial performance. Improving revenue cycle management is not only essential but a strategic necessity, with speed and sustainable results being key factors. Cliq Healthcare’s holistic approach to Revenue Cycle Management Services meets this critical need, employing industry best practices, advanced technology, and continuous education.

Our Revenue Cycle Management Services are part of a broader suite of solutions designed to enhance cash flow and ensure long-term success. By adopting best practices and leveraging cutting-edge technology, Cliq Healthcare’s comprehensive RCM Services strengthen organizational cash flow and deliver lasting results.

Focusing on optimizing revenue cycle management, Cliq Healthcare partners closely with clients to implement customized strategies that improve operational efficiency, streamline processes, and strengthen financial stability. Our dedication goes beyond immediate gains; we are committed to achieving lasting and significant improvements in revenue cycle management.

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Unlocking the potential of your healthcare revenue is an exciting journey, and Cliq Healthcare is your strategic partner in steering towards financial success. As a dedicated startup, we refine every stage of the process to ensure accuracy and financial stability for healthcare providers. Our innovative methodologies create a smooth revenue cycle management experience, driving growth and success in this dynamic field.