Revenue Cycle Management
ClearPathRCM is transforming how practices approach their revenue cycle, unlocking new avenues for growth
Revolutionize your revenue cycle.
Enhance your financial performance with our comprehensive revenue cycle management solutions. Whether you need full outsourcing or flexible partnerships, we’re here to support you. Discover how to choose the right revenue cycle partner.
Build a revenue cycle solution Unique to you.
Explore our suite of Revenue Cycle Management Services that we offer
Eligibility Verification Solutions
Ensure patients’ coverage is accurately verified before services are rendered.
- Confirm insurance plan details and benefits.
- Identify potential coverage issues proactively.
- Reduce claim denials with precise eligibility checks.
Pre-Certification & Authorization Solutions
Streamline the approval process to prevent delays and ensure compliance.
- Obtain required pre-authorizations for services.
- Coordinate with payers to meet policy guidelines.
- Minimize authorization-related claim rejections.
Other Patient Access Solutions
Enhance the patient onboarding experience with efficient access processes.
- Manage patient scheduling and registration.
- Conduct financial counseling and estimate out-of-pocket costs.
- Support seamless coordination across the care journey.
Clinical Coding Solutions
Accurate and compliant coding to optimize reimbursements and reduce errors.
- Assign precise codes for diagnoses and procedures.
- Ensure adherence to ICD, CPT, and HCPCS standards.
- Minimize coding-related denials and delays.
Clinical Documentation Improvement Solutions
Improve documentation to reflect the full scope of patient care and compliance.
- Identify gaps in clinical records for better accuracy.
- Align documentation with coding and billing standards.
- Enhance compliance with regulatory and payer requirements.
Other Mid-Revenue Cycle Solutions
Support seamless transitions between clinical and financial operations.
- Manage charge capture and audit processes.
- Ensure compliance through continuous monitoring.
- Integrate technology to bridge operational gaps.
Claims Processing Solutions
Streamline claim submissions for faster and accurate reimbursements.
- Ensure clean claim submissions with thorough validations.
- Monitor claim statuses to prevent delays.
- Resolve rejected claims efficiently.
Denial Management Solutions
Recover revenue lost to denials with systematic resolution strategies.
- Identify root causes of claim denials.
- Implement targeted solutions to reduce future denials.
- Appeal and resolve denied claims for maximum recovery.
Other Back-End Revenue Cycle Solutions
Optimize post-service financial operations to ensure consistent cash flow.
- Manage accounts receivable and follow-ups.
- Conduct thorough payer reconciliation and reporting.
- Support end-to-end revenue recovery processes.
Designed with purpose.
We at ClearPathRCM harness technology, automation, and expertise to embed best practices, optimizing processes, streamlining workflows, and boosting overall performance.
Built around the needs of the patient.
A streamlined RCM process benefits both healthcare systems and patients. With healthcare consumerism at its peak, it's time to future-proof the patient experience.
Why practices love working with us
ClearPathCRM was founded by three healthcare RCM professionals who saw firsthand the challenges with traditional revenue cycle solutions and knew there was a better way to help practices maximize revenue. ClearPathCRM was born from their commitment to make that happen.
Increase Your Collection Rate
Up to
98%
Collections Rate
Speed Up AR Follow-Up
Get
30-Day
AR Follow-Up
Decrease Your Cost to Collect
Up to
<5.0%
Cost to Collect