End-to-End Revenue Integrity
We engineer a seamless financial ecosystem that captures every dollar you earn, from the moment a patient schedules an appointment to the final deposit in your bank.
Many practices mistake "billing" for "data entry." This misconception costs the healthcare industry billions in lost revenue every year. True Revenue Cycle Management (RCM) is a complex, multi-stage process that requires clinical knowledge, regulatory expertise, and relentless follow-up. At Litmus RCM, we treat your revenue cycle as a living ecosystem. We do not just process claims; we prevent errors. We do not just post payments; we analyze trends. We take ownership of the entire financial journey, reducing the friction between your services and your reimbursement. Our goal is simple: Maximize revenue while minimizing the administrative burden on your staff.
Phase 1: The Front-End (Patient Access)
Revenue cycle success begins before the doctor sees the patient. Errors here account for over 40% of all denials.
Registration & Demographics: We validate all patient data points to prevent “identity mismatch” denials.
Eligibility & Benefits Verification: We confirm coverage, deductibles, and co-pays in real-time to ensure the patient can pay their share.
Prior Authorization Management: We track and secure necessary authorizations for procedures, preventing costly retrospective denials.
Phase 2: The Mid-Cycle (Coding & Charge Capture)
This is where clinical care translates into financial data. Precision here is the difference between an audit risk and a clean claim.
Medical Coding (ICD-10, CPT, HCPCS): Our certified coders review clinical documentation to assign the most specific, compliant codes, maximizing allowable reimbursement.
Charge Entry & Audit: We verify that every service performed is captured and billed. We look for “missing charges”—services you did but forgot to bill.
CCI Edits & Scrubbing: We run claims through rigorous “scrubbers” to catch bundling issues or incompatible codes before submission.
Phase 3: The Back-End (Claims & Recovery)
This is the engine of cash flow. We aggressively pursue payment through every available channel.
Claims Submission: Daily transmission of claims to payers with a focus on “First Pass Yield” (getting it right the first time).
Denial Management: We treat denials as an emergency. We perform root-cause analysis, correct the error, and appeal the decision with evidence-based arguments.
AR Follow-Up: We do not let claims rot. Our team systematically works accounts aged 30, 60, and 90+ days, calling payers to resolve “pending” or “lost” claims.
Phase 4: Reporting & Analytics
You cannot manage what you cannot measure.
Financial Dashboards: Real-time visibility into your Key Performance Indicators (KPIs) like Days in AR, Net Collection Rate, and Denial Rate.
Validation
Submission
