Revenue Integrity & Claims Management
HCM’s Revenue Integrity & Claims Management services are designed to streamline the entire claims process, from credentialing to claim resolution and denial management. By maintaining compliance, optimizing workflows, and leveraging data-driven insights, we help healthcare providers recover the revenue they are owed while minimizing delays and inaccuracies. Our comprehensive solutions focus on reducing denials, resolving claims efficiently, and ensuring financial accuracy, supporting your organization’s financial health and operational success.
Revenue Integrity & Claims Management
CLAIM RESOLUTION & DENIAL MANAGEMENT
Turning Backlogs and Denials into Cash Flow
From aged claims to active denials, HCM delivers targeted, data-driven solutions that prevent revenue leakage and accelerate recovery. Our team blends payer expertise, advanced automation, and root-cause analysis to improve outcomes across every stage of the claim lifecycle.
- Recover revenue from aged claims while reducing days in A/R
- Identify upstream issues and denial trends to prevent future rework
- Lower cost-to-collect through automation and focused appeals management
COMPLEX CLAIMS RESOLUTION
Navigating Challenging Claim Scenarios
Our specialized team manages complex claims to ensure proper reimbursement. We handle the intricate details of these claims to reduce the burden on internal staff and ensure timely resolution.
- Focused resolution of motor vehicle accident & workers' compensation claims
- Compliance with legal & payer requirements
- Increased reimbursement for difficult cases
PROFESSIONAL SERVICES
Scalable Support When You Need It Most
HCM’s Professional Services offer flexible, high-impact support during staffing changes, clean-up efforts, or operational gaps. Whether it’s credentialing, payment posting, compliance reviews, or credit balance resolution, our team steps in to keep your revenue cycle moving forward.
- Temporary staffing for critical revenue cycle functions
- Audit, billing, and credentialing support during high-volume periods
- Proven solutions to reduce backlogs and maintain compliance
Enhance Your Financial Operations
SCHEDULE A CONSULTATION
- Discover how Healthcare Chaos Management can transform your revenue integrity and claims management processes for better financial health.
Request a Demo
- See our solutions in action and understand how our advanced technologies can streamline your operations and improve your bottom line.
