Revenue Cycle Management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.

Revenue Cycle Management (RCM) unifies the business and clinical sides of healthcare by coupling administrative data, such as a patient’s name, insurance provider, and other personal information, with the treatment a patient receives and their healthcare data.

Emedicare Services provides unique, customer-focused Revenue Cycle Management models that fit your specific business needs. Our team of highly competent & experienced specialists provide accurate reports in the determined time frame. We diligently handle all administrative processes involved with medical revenue cycle management, allowing you to focus on your core business of providing optimum healthcare.

Communicating with health insurance companies is a key component of RCM. When a patient schedules an appointment, the physician’s office or hospital staff typically check the patient’s reported insurance coverage before the visit. After an insured patient receives treatment for a given condition and supplies any applicable copayment, a healthcare provider or coder categorizes the nature of the treatment according to International Classification of Diseases Tenth Revision, Clinical Modification (ICD-10CM) codes. The hospital or care facility then sends the care summary with ICD and Current Procedural Terminology (CPT) codes to the patient’s insurance company to see what portion of the care will be covered by insurance, with the patient billed for the remainder.