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End-To-End Revenue Cycle Management Services

From patient registration to payment posting, we handle every step of your revenue cycle with precision and expertise.

Comprehensive RCM Solutions

We provide a complete suite of revenue cycle management services designed to optimize your financial performance. Our team manages everything from patient registration to denial management, ensuring your practice maximizes revenue while minimizing administrative burden.

Patient Registration

Accurate data capture from the first patient interaction. We ensure complete demographic and insurance information to prevent claim denials downstream.

  • Insurance Verification
  • Demographic Entry
  • Eligibility Check

Eligibility Verification

We verify patient benefits before services are rendered, reducing claim rejections and improving upfront collections with real-time eligibility checks.

  • Real-time Verification
  • Benefit Details Capture
  • Prior Auth Alerts

Referral Management

Streamlined processing of referral authorizations and tracking. We ensure all required referrals are in place before services are rendered.

  • Referral Tracking
  • Authorization Management
  • Status Monitoring

Prior Authorization

Expert handling of prior authorization requests to secure approvals before services, reducing claim denials and ensuring uninterrupted care.

  • Auth Request Submission
  • Follow-up & Tracking
  • Approval Documentation

Medical Coding

Certified coders ensure accurate CPT, ICD-10, and HCPCS coding. Our coding experts optimize for maximum appropriate reimbursement.

  • ICD-10 Coding
  • CPT Optimization
  • Modifier Application

Charge Entry

Timely and accurate charge capture ensures no services go unbilled. We implement daily reconciliation to maximize revenue capture.

  • Daily Charge Entry
  • Quality Assurance
  • Reconciliation Reports

Claim Submission

Electronic claim submission to all major payers with built-in scrubbing to catch errors before submission, ensuring clean claims.

  • EDI Claim Submission
  • Claim Scrubbing
  • Clearinghouse Management

Rejection Management

Prompt identification and correction of rejected claims to minimize delays. We analyze rejection patterns to prevent future occurrences.

  • Fast Rejection Review
  • Root Cause Analysis
  • Resubmission Tracking

Payment Posting

Accurate posting of payments, adjustments, and denials to patient accounts. We ensure proper payment application and identify underpayments.

  • ERA/EOB Posting
  • Adjustment Management
  • Underpayment Detection

Denial Management

Strategic analysis and appeal of denied claims. Our denial management team identifies patterns and implements preventive measures.

  • Denial Analysis
  • Appeal Preparation
  • Trend Reporting

Appeal Management

Comprehensive appeal preparation and follow-up for denied claims. We prepare strong appeals with proper documentation to maximize recovery.

  • Appeal Letter Drafting
  • Documentation Support
  • Appeal Tracking

AR Follow Up

Persistent follow-up on aged accounts receivable to ensure timely collections. We reduce your AR days through systematic aging management.

  • Aging Analysis
  • Payer Follow-up
  • Self-Pay Collections

Audit & Reporting

Comprehensive analytics and reporting to track your financial performance. We provide actionable insights to optimize your revenue cycle.

  • Custom Reports
  • KPI Tracking
  • Compliance Audits

Virtual Assistance

Professional virtual assistance for administrative tasks. Our trained virtual assistants handle patient calls, scheduling, and more.

  • Patient Calls
  • Appointment Scheduling
  • Patient Follow-ups

Provider Credentialing

Complete credentialing services to get providers enrolled with payers. We handle CAQH, payer applications, and re-credentialing.

  • CAQH Management
  • Payer Enrollment
  • Re-credentialing

Ready to Transform Your Revenue Cycle?

Partner with WaveMicron for comprehensive RCM services that deliver measurable results. Get in touch for a free practice assessment.

Schedule Free Consultation

Our Process

A proven methodology that ensures seamless integration and optimal results for your practice.

Discovery

Analyze current workflow and identify pain points in your revenue cycle

Setup

Configure systems, train team, and establish communication protocols

Launch

Begin processing with close monitoring and quality assurance checks

Optimize

Continuous improvement based on performance metrics and feedback