Scope of RCM

Our Comprehensive Scope Includes:

We focus on streamlining every stage of the healthcare revenue cycle to ensure accuracy, compliance, and transparency. Our services include:

• Patient Registration & Data Management – Ensuring accurate demographic, insurance, and clinical data capture at the very first step.
• Insurance Eligibility & Benefit Verification – Verifying coverage, deductibles, co-pays, and pre-authorizations to avoid claim denials.
• Medical Coding – Delivering precise and compliant coding aligned with ICD, CPT, and HCPCS guidelines to ensure accurate claim submission.
• Claims Management & Billing – Preparing, submitting, and tracking claims with payers to accelerate reimbursements and reduce AR days.
• Payment Posting & Reconciliation – Recording payments accurately, identifying underpayments, and reconciling accounts for transparency.
• Denial Management – Analyzing denied claims, correcting errors, and resubmitting to minimize revenue leakage.
• Reporting & Analytics – Providing detailed insights into performance metrics to help providers make informed financial decisions.

Why Medura RCM?

Our approach goes beyond traditional billing—we act as a strategic partner in strengthening the financial health of healthcare practices. By using advanced technologies, certified professionals, and best practices, Medura RCM ensures faster reimbursements, reduced operational costs, and greater compliance with healthcare regulations.

With Medura RCM, providers gain a reliable partner committed to delivering accuracy, transparency, and measurable financial outcomes, so they can focus on their true priority: delivering exceptional patient care.