Apex Global Healthcare Solutions is your strategic growth partner for revenue cycle solutions. We are experts in modern revenue cycle management operations with deep experience in the ever-changing complexities of healthcare.
We use technology and expertise to yield the revenue to realize your vision. At Apex Global, we use a combination of AI-enhanced technology, data-driven services, and specialized support to maximize the performance of your revenue cycle. This means you can focus on the most important part of your business: caring for patients.
The revenue cycle includes all the administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, according to the Healthcare Financial Management Association (HFMA).
Here is what's involved in the revenue cycle :-
Charge capture :- Rendering medical services into billable charges. Claim submission :- Submitting claims of billable fees to insurance companies. Coding :- Properly coding diagnoses and procedures. Patient collections :- Determining patient balances and collecting payments. Preregistration :- Collecting preregistration information, such as insurance coverage, before a patient arrives for inpatient or outpatient procedures. Registration :- Collecting subsequent patient information during registration to establish a medical record number and meet various regulatory, financial and clinical requirements. Remittance processing :- Applying or rejecting payments through remittance processing. Third-party follow-up :- Collecting payments from third-party insurers. Utilization review :- Examining the necessity of medical services.