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ClarityMed Solutions

Full-service revenue cycle management without the headcount or headache!

RCM
Contracts and Credentials
Behavioral Health Billing

Maximize Your Revenue Cycle Potential with ClarityMed Solutions!

ClarityMed Solutions offers a tailored, hassle-free approach to streamline Revenue Cycle Management (RCM). Our expert team handles everything from patient registration and billing to collections and credentialing, ensuring optimal efficiency and accuracy.

 

By partnering with ClarityMed, healthcare providers can focus on delivering exceptional patient care while benefiting from our customized solutions designed to address their unique challenges, objectives, and timelines.

RCM
Medical Billing

Onshore RCM Experts

10-20% Reduction in Administrative Costs

20-30% Reduction in Claim Denials

15-30% Reduction A/R Days

3%-10% Increase in Revenue

Discussing the Numbers
  • Frequent claim rejections due to errors or incomplete information, leading to delayed or lost revenue.

  • Navigating ever-changing healthcare regulations and ensuring adherence to avoid penalties and maintain proper reimbursement.

  • Slow, error-prone billing systems that delay claim submissions and increase the risk of denials.

  • Increasing expenses related to managing the revenue cycle, including staffing, technology, and training.

  • Errors in medical coding or incomplete documentation that result in claim denials or underpayments.

  • Extended periods between service delivery and payment receipt, affecting cash flow and financial stability.

  • Difficulties in collecting patient portions of bills, especially with the rise of high-deductible health plans.

  • Struggles with organizing, analyzing, and utilizing financial data to make informed decisions and improve processes.

  • Problems with accurately verifying patient insurance coverage, leading to claim denials or unexpected patient responsibility.

  • Failure to identify and bill for all eligible services provided, resulting in lost revenue opportunities.

  • Lack of ongoing education for billing and coding staff on current best practices and regulatory changes.

Overcome Your Biggest Revenue Cycle Challenges

In today’s complex healthcare landscape, managing revenue cycle operations is increasingly challenging and can lead to lost revenue

Services Include:

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Front-End Administrative Services

● Patient Registration
● Verification of Benefits (VOB)
● Prior Authorization
● Client-Facing Communication

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Back-End Administrative Services

● Contracting
● Credentialing
● Licensing
● Ongoing Credentialing Support

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Billing

● Billing and Coding
● Collections
● Rejection and Denial Follow Up

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Accounts Receivable

● Payment Posting
● AR & Productivity Forecasting

● Comprehensive Revenue Cycle Analytics

Boost Your Revenue with Customized, End-to-End RCM Services

ClarityMed provides tailored RCM solutions to fit your specific needs—whether it's assessing unclaimed benefits, ensuring quick billing turnaround, offering in-depth RCM training, or building a long-term billing partnership. With over 20 years of experience, our end-to-end services streamline your revenue cycle, enhance efficiency, and ultimately drive your organization's success.

We specialize in Behavioral Health and Primary Care billing, ensuring that practices in these areas receive the focused attention and expertise necessary for sustainable growth and optimized reimbursement.

With ClarityMed, you gain a comprehensive RCM solution designed to boost your revenue while offering the flexibility to structure the partnership to align with your company’s unique needs.

Our team, certified in key areas of RCM through AAPC and HCA, includes Certified Coders, Certified Billers, and Certified Health Compliance experts. 

RCM Experts Offering Tailored Solutions for your Behavioral Health and Medical Billing Needs

CBT/DBT Counseling

Marriage and Family Counseling

Psychiatry

Addiction Medicine

Mental Health Primary

Dual Diagnosis

Family Medicine

Internal Medicine

Pediatrics

MEET OUR TEAM

Experts in Healthcare RCM

Cathy Enochs (1).jpg

Cathy Enochs

CFO

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Mubeena Siddiqui

CEO

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Noelia Ruiz-Angel

Head of Growth & Development

Certified in key areas of RCM through AAPC and HCA, including Certified Coders, Certified Billers, and Certified Health Compliance experts.

Maximize Your Revenue Cycle Potential with ClarityMed Solutions!

ClarityMed Solutions offers a tailored, hassle-free approach to streamline Revenue Cycle Management (RCM). Our expert team handles everything from patient registration and billing to collections and credentialing, ensuring optimal efficiency and accuracy.

 

By partnering with ClarityMed, healthcare providers can focus on delivering exceptional patient care while benefiting from our customized solutions designed to address their unique challenges, objectives, and timelines.

Accounts Receivable

3%-10% Increase in Revenue

RCM

Onshore RCM Experts

15-30% Reduction A/R Days

10-20% Reduction in Administrative Costs

20-30% Reduction in Claim Denials

Healthcare Organization Challenges & Potential Lost Revenue

LOST REVENUE

Billing Errors

20%

Denial rate; 3-10% revenue loss (AAPC).

Patient Collections

30-40%

Uncollected accounts (MGMA).

Claim Denials

$118

Losing up per claim to resolve (AMA)

Staffing

20-30%

Turnover; skill shortages persist.

A couple at a business meeting
A couple at a business meeting

Certified Experts

Our team holds certifications in essential areas of RCM from AAPC and HCA, with expertise spanning Certified Coders, Certified Billers, and Certified Health Compliance specialists.

Latest Articles

Revenue Cycle Management: The Unsung Hero of Healthcare Finance
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