COMPREHENSIVE SUPPORT

Revenue Cycle Management

More Than a Billing Company

A billing company can submit your claims.
A revenue cycle partner helps make sure you get paid.

Ayephen looks beyond claim submission to understand what is happening throughout the revenue cycle, from eligibility and patient responsibility to denials, underpayments, aging accounts and reimbursement trends.

We don't simply process your billing. We manage your revenue cycle.

Key RCM Components

Before The Visit

Getting the financial details right from the beginning helps prevent problems later in the revenue cycle.

Insurance Eligibility & Benefit Verification
Patient Financial Responsibility & Cost Analysis
Patient Financial Counseling
Estimated Patient Responsibility Prior to Services
Deposits & Pre-Service Collections
Patient Payment Plan Coordination
Approved Third-Party & Home-Health Arrangement Coordination, when applicable
Prior Authorization Services*

Coding & Claims Management

Accurate coding and clean claims are the foundation of timely reimbursement.

Medical Coding
Charge Entry & Claims Preparation
Claims Scrubbing & Submission
Electronic Claims Management

Payment & Accounts Receivable

Submitting the claim is only the beginning. Our team actively manages accounts through payment and resolution.

Payment Posting
Accounts Receivable Management
Insurance Follow-Up
Denial Management & Appeals
Underpayment Identification & Follow-Up
Patient Billing & Collections
Refund & Credit Balance Management

Credentialing & Payer Enrollment

We manage the credentialing process from initial enrollment through ongoing maintenance, helping ensure providers remain properly credentialed and enrolled with participating health plans.

Initial provider credentialing
Medicare and Medicaid enrollment & revalidation
Commercial payer enrollment
CAQH profile creation, maintenance and re-attestation
New provider onboarding and enrollment coordination
Application status tracking
Recredentialing and renewal management

Reporting, Analytics & Oversight

You should never have to wonder how your revenue cycle is performing.

Our team provides ongoing financial visibility and access to the information you need to understand performance, identify trends and make informed decisions.

Revenue Cycle Reporting & Analytics
A/R Aging Reports
Denial Trend Reporting
Collection & Reimbursement Analysis
Customized Billing Reports Upon Request
Ad Hoc Billing & RCM Meetings Upon Request