Get Paid Faster, Keep More of What You Earn.
RivoRev RCM helps U.S. healthcare practices manage claims, reduce denials and improve collections, so your team can focus on patients instead of payers.
RivoRev RCM was built around a simple idea:
healthcare providers should spend their time caring for patients, not chasing claims. We are a growing healthcare revenue cycle management company that brings medical billing expertise, technology and disciplined processes together to support U.S. practices.
Duis integer lacus montes dis himenaeos metus fringilla ut fusce. Libero rutrum posuere condimentum feugiat facilisi consequat. Mauris nunc condimentum ultricies cubilia tellus magnis. Est sapien finibus parturient libero porta.
Core Specialties
Degree Revenue Cycle Support
Services
Trusted Partner
Your practice can’t afford to choose between providing excellent patient care or devoting resources to chasing down payments. With RivoRev RCM, you get the benefits of having highly customized processes for your specialty, systems and operations, while still leaving the revenue cycle management to experts.
Your billing process impacts cash flow, staff workload, patient experience and the operational health of your practice. RivoRev RCM offers structured workflows and reporting so that practice leaders can have an understanding of billing activity, outstanding issues and revenue-cycle trends.
Understand your specialty, practice structure, payer mix, billing workflow, systems and current challenges.
Define responsibilities, workflows, reporting expectations, communication channels and implementation requirements.
Establish the billing workflow, monitor activity and continuously improve processes using billing data and practice feedback.
RivoRev has provided us with the much-needed structure and clarity in our billing process. I appreciate their staff’s attentiveness, organization, and consistent follow-ups
The active eligibility of a plan does not ensure that claims are paid without any issues. There are several reasons why claims can be denied despite active eligibility.
For example, claims can be denied because of the requirements for authorization, coding or modifier issues, lack of information, specific payer guidelines, documentation, or filing requirements. RivoRev reviews the patterns of denial and helps to choose the appropriate next step correction, re-submission, or appeal.
With internal staff checking and re-checking claim status, contacting payers, correcting rejected claims, and chasing a/R, billing can become a huge administrative hurdle. RivoRev can take over agreed claim follow-up and a/R processes to let your staff focus on core practice operations.
A/R that is consistently aging needs more than just calls. Accounts should be grouped by their age, payer, the amount due, the reason for denial, their claim status, and what action is required or coming up. RivoRev supports structured A/R follow-up and prioritization of open accounts.
A billed amount is not always the amount that a payer will reimburse. Variations in payment amounts can be caused by the following: contractual adjustments, patient responsibility, payer policies, coding, authorization, or other claim-specific issues. The practice should always review the remittance information and the payment posting to ensure all discrepancies have been accounted for.
Revenue leakages can occur at various revenue cycle stages, for example, eligibility, charge capture, claim submission, denials, underpayments, payment posting, and aging A/R. The revenue-cycle review helps you spot down the frequent causes across the revenue cycle, instead of chasing every-damn-rejected claim as an outlier.
Some of the most common reasons include errors in claim forms or information, invalid data, formatting issues, lack of required information, or other submission-related issues. RivoRev assists you by analyzing the denied claims, pointing out a particular pattern, taking corrective action, and resubmitting the claims through the corrected workflow.
Verifying patient eligibility and insurance information is crucial well before a claim submission to avoid claim rejections as coverage-related problems are often denied. RivoRev offers eligibility verification services, where they are available in the respective engagement model.
A medical practice needs to consider outsourcing billing when they face staffing shortages, high claims volume, aging A/R, continual claim rejections, delayed cash applications, operational backlogs, and revenue cycle management challenges. Or if they simply want to gain more time and efficiency – individual billing operations can be outsourced too.
Delayed payments, growing accounts receivable, and an overloaded billing team lead many U.S. practices to
Your schedule is full. Your providers are seeing patients. Your staff is checking insurance, submitting
RivoRev RCM is a health-care revenue cycle management company that helps providers optimize billing, coding, and collections.
We partner with providers to combine industry expertise, technology, and data-driven processes to reduce revenue leakage and improve financial performance.
Poolangudi, Trichy, Tamil Nadu, India – 620025
