Healthcare Revenue Cycle Management

Healthcare Revenue Cycle Management

Aptara offers revenue cycle management services to the Healthcare industry delivering measurable and swift business impact to clients through operational excellence - improving revenue, cash, margins, speed, and customer relationships.

Over 15 years of rich experience in US Healthcare Industry brings continuous value to our clients.

Our solutions encompass a comprehensive suite of back office services for physicians, hospitals and insurers:

  • Provider Services
  • Payer Services
  • IT and Technology Services
  • Training Academy

Aptara’s solutions are focused on increasing the operating margins and cash flow generation of our healthcare clients by deploying efficient processes, re-engineering methodologies and innovative technology enabled automation. Our unrelenting focus on process excellence and rigor to deliver year on year productivity and quality improvements has established us as the trusted outsourced service delivery partner for clients across USA.

Our Values:

  • Dedication to every client’s success.
  • Trust and personal responsibility in all relationships.
  • Innovation that matters - for our clients and company.

Our Expertise :

  • Deep expertise and experience in serving the healthcare industry
  • Documented ability to deliver on time and according to specifications
  • Passion for achieving the highest level of quality
  • Broad understanding of clients’ long and short term goals and focus on building partner relationships
  • Emphasis on continuous process improvements for meaningful contribution to our client’s competitive edge
  • With effective Business Impact Analysis (BIA) team we are proud to say we have active business continuity and resiliency planning

Provider Services

The corner stone of our services is operational efficiency in tandem with effective adherence to compliance requirements.

Our end-to-end solutions in the provider domain helps physicians, physician groups and hospitals to focus on their core functions.

  • Physician coding
  • Facility and hospital coding
  • Medical billing
  • Charge posting
  • Payment posting
  • Denial management
  • AR follow-up

Payer Services

We provide a full range of Claims Administrative services across various healthcare entities including Insurance companies, Health Plans & Health Maintenance Organizations (HMO), Third Party Administrators (TPA) and Provider networks (PPO). Our services give you the highest payment accuracy with lowest operational cost. We practice matured process flows & state-of-the-art quality assurance procedures.

Our service offerings provide an opportunity to leverage our resources and expertise for end to end review of claims, networks and healthcare analytics. Our experience on the provider and payer domains has sensitized us in maintaining high levels of provider satisfaction at various levels of the business engagement.

  • Front end claims processing
  • Claims re- pricing
  • Claims adjudication
  • Appeals and grievances
  • Membership enrollment
  • Quality assurance on pre & post claim settlement
  • Claims recovery
  • Data analytics
  • Cost containment services

IT and Technology Services

  • 24/7 Help desk support
  • Contact center
  • Call center
  • i HEALTH (Medical Coding)
  • iNDCAP ( Claims Processing)
  • i Code (Encoder)

Training Academy

We provide training programs to individuals to equip them to start their career in the Healthcare RCM industry. We also offer specialized training programs for healthcare professionals to take certifications offered by AAPC, AHIMA etc.

If you would like to know more about our Healthcare RCM services or would like to speak with us for a consulting engagement, kindly contact us to schedule a meeting with our experts. We look forward to hearing from you!