BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 Revenue Cycle Management Services
Minimizing Revenue Leakage Maximizing Reimbursement with Revenue Cycle Management Services
Precision that powers your revenue. Experience the power of proactive revenue cycle management that keeps your healthcare organization ahead, efficient, and thriving.
Schedule a Call95%
Claim Acceptance Rate
7Days
Average Days to Payment
~4%
Denial Rate
Overview
Transforming Patient Billing and Collections Amid Rising Healthcare Costs
We offer end-to-end medical billing, coding, and accounts receivable management services designed to streamline complex administrative and clinical workflows, allowing you to focus on patient care.
Comprehensive RCM Solutions to Address Industry Challenges
ASP-RCM Revenue Cycle services are geared to meet a wide range of concerns and challenges faced by hospitals and physicians while increasing cash flow
Streamlining Every Phase of the Revenue Cycle
We optimize each stage of the revenue cycle from patient intake and coding to billing and collections, ensuring faster reimbursements, fewer errors, and improved financial performance.
Lean Six Sigma for Optimal Revenue Cycle Performance
Using Lean Six Sigma best practices, we refine workflows and enhance operational efficiency to achieve optimal ASP-RCM performance
Reengineering Your RCM Process
Our "divide and rule" approach streamlines workflows by dividing tasks into modules, ensuring efficient job allocation and reducing administrative overhead
Accelerating Cash Flow by Reducing AR Days
We take a strategic approach to A/R days, applying proven methods and streamlining practice operations to speed up collections and cut down aging.
Operations
End-To-End Revenue Cycle Management Service
ASP-RCM offers healthcare providers a robust, scalable solution to navigate the complexities of modern revenue cycle management
Patient Scheduling and Appointment Management
ASP-RCM Solutions speeds up verification by quickly checking a patients insurance status against a vast insurer database, ensuring instant awareness of coverage limits and potential out-of-pocket costs
Eligibility Verification and Benefit Check
Provide seamless communication via numerous channels (text, email, phone, or portal) to engage patients at every touchpoint with real-time scheduling, decreasing friction and increasing satisfaction
Prior Authorization
Our dedicated team handles all prior authorization requests and communicates directly with insurance companies. This ensures faster approvals and lowers administrative burdens for healthcare provider
Medical Coding Services
ASP-RCM Solutions ensures accurate medical coding to maximize compensation, eliminating DNFB and DNFC issues. Our certified team (CPC, CCS, CMC) delivers high-quality coding, optimizing reimbursement and compliance
Charge Entry and Claim Audit
A key step in making an insurance claim. Incorrect demographic information is one of the most common reasons for claim denial. Similarly, accurate charge capture will limit revenue losses
Remittance Processing and Reconciliation
Remittance Processing and Reconciliation can have an impact on many healthcare facilities and can have a substantial impact on productivity, cash flow, and overall financial progress
Accounts Receivable and Denial Management
ASP-RCM Solutions has a dedicated team to managing accounts receivable and claims denials. We prioritize follow-ups by leveraging smart analytics to ensure suppliers are paid as soon as feasible
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
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