BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM CARC
🟢 Payment Posting Services
Precision-Driven Payment Posting to Optimize Your Revenue Cyc
Accurate, Compliant, and Efficient Payment Posting for Seamless Revenue Cycle Management
Schedule a Call99%
Posting Accuracy Rate
24Hours
Average Payment Posting TAT
2%
Adjustment/Error Rate
Overview
Enhancing Revenue Integrity with Precise Payment Posting
We specialize in multi-payer payment posting, high-volume transaction processing, and integration with leading EHR and RCM platforms to ensure that every payment is accounted for accurately and efficiently
Comprehensive ERA & EOB Payment Processing
We minimize manual entry errors and accelerate posting through direct integration with clearinghouses and payers. Our detailed EOB processing ensures complete revenue capture for non-automated payers, while our dual-layer verification process guarantees accurate allocation of payments, adjustments, and denials
Accurate Adjustment & Denial Posting for Faster Resolution
Handling denied and adjusted payments requires careful attention to avoid revenue loss. Our team makes sure that all adjustments—contractual (CO), patient responsibility (PR), and other adjustments (OA)—are accurately identified and documented for appeals, resubmissions, or write-offs
Payer & Patient Payment Reconciliatio
We ensure payments match reimbursements and patient balances through regular reconciliations, identifying variances to prevent revenue leakage. Our end-to-end balancing verifies transactions against bank deposits for seamless revenue management
Regulatory Compliance & Audit-Ready Reporting
We ensure HIPAA and SOC 2 compliance, securing financial and patient data with RBAC, encryption, and controlled access to prevent unauthorized modifications
Financial Analytics & Performance Optimization
Our reporting and financial analytics offer insights into payment trends, revenue cycle metrics, and recovery opportunities. Denial trend reports aid root cause analysis, while tailored assessments and real-time dashboards enhance financial visibility
Operations
End-to-End Payment Posting Workflow for Maximum Accuracy & Efficiency
We employ professionals, automated tools, and best practices to ensure that payments are posted, reconciled, and reported accurately and promptly
Integrated Payment Posting Across Multiple Systems
We integrate with major EHR, PMS, and RCM platforms for seamless payment posting and reconciliation through direct clearinghouse and payer portal integrations for faster posting, multi-system compatibility for consistent data, and centralized payment processing for multi-location providers
Exception Handling & Variance Resolution
Our exception management team ensures accurate financial records by reviewing and rectifying misposted payments, unallocated funds, and unmatched transactions. We conduct daily variance audits to detect and resolve posting errors, follow payer-specific workflows for different insurance carriers, and prioritize significant underpayments through high-value discrepancy escalation pathways
Patient Payment Posting & Refund Management
Patient payments, co-pays, and out-of-pocket expenses are accurately recorded and reconciled to maintain financial integrity and compliance, while overpayment detection ensures excess payments are identified and refunded appropriately
Payer-Specific Adjustment & Underpayment Analysis
Our team prevents revenue loss by identifying underpayments and contractual adjustments, monitoring reimbursement discrepancies, expediting appeals through denial workflows, and ensuring consistent payment application with custom reconciliation templates
End-to-End Revenue Cycle Integration for Maximum Reimbursement
We integrate payment posting into the revenue cycle for faster reimbursements and accurate records, ensuring outstanding balances move promptly to the next payer. AR impact analysis highlights its effect on revenue, while customizable KPI dashboards track cash flow and payment delays for data-driven financial decisions
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have safely received your patient and encounter data, we code, review, and send claims to payers. We also manage appeals and denials, track payments, and provide frequent updates. Our procedure is designed to be effective and open.
Our qualified coders and billing specialists evaluate every claim stringently. We employ quality control procedures, coding audits, and cross-referencing with payer requirements to guarantee accuracy and lower the possibility of denials.
Our denial management team examines every refused claim to identify the underlying reason. We quickly fix any problems and submit claims again, and where needed, we collaborate with payers on appeals to ensure you get the most money back.
Our pricing policy is adaptable and customized to meet every customer's demands. Usually, we charge a set fee based on volume or a portion of collections. Contact us for a quote tailored to your clinic's particular needs.
Indeed. Our specialty is smooth transfers from internal procedures or other billing businesses. To guarantee that all data is moved safely, our staff will collaborate closely with you and offer training as required.
Resources
Your Go-To Source for Resources, Industry Updates, and Expert Insights
Ready To Get Started
Share your details with us, and we'll set up a tailored demo just for you.
