Revenue Cycle Management

Revenue Cycle Management

Sanvill offers end-to-end revenue cycle management services right from when the patient calls to schedule an appointment till the time you are paid and beyond that too. We take care of all the aspects of RCM effectively with a guarantee to increase your revenue and lowering your cost ultimately doubling profits.

Our team of dedicated coders and billers guided by skilled team leaders make sure that each and every service that the provider has rendered is properly coded and accounted for, and paid for to the maximum.

Our RCM experts work closely with the client and providers helping and guiding them through the billing process so the client gets paid, paid faster, and paid to the fullest. Providers can spend more time in patient care, which otherwise would be spent in managing and training a workforce to carry out these administrative tasks.

Our business delivery model is highly client-centric and our team of professionals has always helped to enhance value through superior business integration knowledge.

If You Are Stuck With We Have Solution For You
Χ Non-productive workforce √ Increased collections to 8% to 10%
Χ Denied claims being piled up √ Average days in A/R less than 45 days.
Χ High accounts receivables √ Less than 15% of A/R above 120 days
Χ Increased operational costs √ Electronic filing.
Χ Reduced patient cash flow √ Timely payments.
Χ Trying unsuccessfully to catch up with complex and ever-changing insurance regulations/Patient Registration √ Processing cost reduced by 30 %-50 %
- √ HIPAA compliant
- √ 100% Transparency

Our end to end Revenue Cycle Management solutions offers customized service in :

• Patient Demographics.

• Insurance Verification

• Medical Coding

• Claim Submission, Charge Entry and Payment Posting.

• Account Receivables and Denial Management.

• Customized Coding and Billing services for different Specialities.

Features : Benefits :
Sanvill is well equipped with the highly dedicated team of Certified Professional Coders (CPC) from American Academy of Professional Coders (AAPC) who brings with them vast experience of coding of CPT, ICD and HCSPC in various specialties like:
  • • Cardiology
  • • Gynecology and Obstetric
  • • Family Physician
  • • General Surgery
  • • Emergency Department
  • • Psychiatric
  • • Spine Surgery
  • • Pediatrics
  • • Ophthalmology
  • • ENT
  • • Dermatology
  • • Preventive medicine
  • • Radiology
  • • Pathology
  • • Delivering customized solutions within sharp deadlines and quicker Turn-Around Times with assurance of best quality in accordance with Correct Coding Initiative (CCI) edits and LCD.
  • • Continuous monitoring of Quality and Compliance in order to assure best coding practice.

Patient Demographics Entry :

Features : Benefits :

• Patient Registration.

• Patient Verification of Demographic details

• Experienced staff lead by domain know-ledged leaders providing accuracy in keying and validating patient and insurance data provided

Insurance Verification :

Features : Benefits :

• Insurance Eligibility and Benefits Verifications

• We check the benefits and eligibility of patient if (s)he is eligible with provided information.

• It ease out the claim filing process by having all the correct data verified before physician renders service.

Claim Submission and Payment Posting :

Features : Benefits :

• Charge information and other information entered into system for claim generation.

• Through and quality checking before claim submitted with all the information updated in timely manner.

• ERAs and EOBs are processed and payments are either auto-posted or manually posted into the system.

• Reduce the Medical billing processing costs without any further capital investment.

• Reduce the headache of managing clerical staff.

• Better management control over Medical Billing Process.

• Efficient and timely reimbursement reducing chances of denial via proper submission

Account Receivable and Denial Management :

Features : Benefits :

• Analysis of Denials and partial payments is done by senior and experienced staff.

• Regular Follow up with payors/insurance for denied, underpaid, pending and any other improperly processed claims.

• Claims denied on EOBs are corrected and re-filed or appropriately appealed for.

• Frees you of the burden of billing and collections.

• Have more time for better patient care due to reduced burden.