Our Services
Our Premium Services
Efficient revenue management lies at the core of successful healthcare operations, and at VCareLogix, we excel in providing comprehensive Revenue Management Services that cover every facet of the medical billing and coding process. Our approach is designed to optimize every step of the revenue cycle, ensuring accuracy, compliance, and timely reimbursements.
Front-End Revenue Cycle Services
At the forefront of efficient revenue management lies the Front-End Revenue Cycle, where every successful medical billing journey begins. VCareLogix is here to guide you through this crucial phase, ensuring seamless operations and optimized outcomes.
In this phase, we assist with the following processes, ensuring accuracy, speed, and transparency:
Eligibility and Benefit Verification
We conduct thorough verifications to guarantee the accuracy of patient eligibility and benefits, preventing potential payment issues.
Authorization and Referral Request
We streamline the authorization and referral process, ensuring compliance and reducing delays.
Demographic Verification and Entry
Accurate patient information entry is vital. VCareLogix ensures that all demographic details are correctly recorded for efficient billing.
Medical Record Review and Help Optimize Documentation
Our expert team reviews medical records and offers guidance to enhance documentation, minimizing claim denials.
Mid-Revenue Cycle Services
Navigating the middle of the revenue cycle demands precision and expertise. VCareLogix stands by your side during this critical phase, leveraging technology and experience to optimize your revenue flow.
In the Mid-Revenue Cycle, VCareLogix adds value through these essential services:
Review and Claim Submission
We meticulously review claims before submission, ensuring accuracy and compliance, leading to smoother reimbursement processes.
Assured Clean Claim Submission at 99% Accuracy
Our commitment to accuracy guarantees that claims submitted are clean, minimizing the risk of denials.
Initiate Appropriate Action on Rejection and Denials within 48 hrs
When denials occur, we take swift action to rectify them within 48 hours, minimizing disruptions in your revenue flow.
Timely Follow-Up on the Unpaid Claims and Initiate Appropriate Action
Unpaid claims are actively pursued, and necessary actions are taken promptly to ensure maximum reimbursement.
Back-End Revenue Cycle Services
The culmination of revenue management happens in the Back-End Revenue Cycle, where persistence and strategic handling are key. VCareLogix is here to help you secure your revenue efficiently and effectively.
In the Back-End Revenue Cycle, VCareLogix offers these indispensable advantages:
Claims Appeal
Our skilled team manages claims appeals, maximizing your chances of successful reconsideration.
Payment Posting
We ensure accurate payment posting, maintaining clear records of transactions for easy tracking.
Secondary Claims Submission
If necessary, secondary claims are swiftly processed to ensure you receive the compensation you deserve.
Monthly Review Meeting with Multi-Drilldown Reports
Stay informed with comprehensive monthly review meetings and insightful reports.
Value-Add Services
In addition to these core processes, VCareLogix enhances your revenue cycle management with value-added services:
Optimize EDI_EDI_EFT to Expedite Reimbursement
We streamline electronic transactions for faster reimbursements.
Profitable Services, Industry Best Practices
Leveraging industry best practices, we aim to maximize your profitability.
Credentialing Services
We offer hassle-free credentialing services at an affordable price. You only pay once you're successfully credentialed with the payer.
Provider Education
We keep you updated with the latest industry practices, ensuring you remain informed and efficient.
