MORE MONEY...
FASTER !!!
Maximize Revenue,
Minimize Hassle with
AI-Powered RCM
At Revstream, we simplify revenue cycle management by combining AI-powered automation and expert-driven processes. From eligibility verification to final reimbursement, we streamline billing, reduce denials, and accelerate cash flow. Our data-driven approach ensures higher first-pass claim approvals, optimized financial performance, and minimal administrative burdenempowering both physicians and RCM providers to focus on patient care while maximizing revenue.
What RevStream’s RCM Delivers
From Registrations to Reimbursements, What We Do…
We oer end-to-end and modular RCM services that span the full revenue lifecycle, from front-end eligibility checks and charge capture to back-end denial management and collections. When working with us, you can outsource your entire workflow or choose specific functions that need support.
FRONT-END REVENUE CYCLE SERVICES:
Insurance Verification: Our team
verifies coverage, benefits, and planspecific rules in real time to prevent
eligibility-related denials.
Prior Authorization: We handle the
submission and follow-up of prior
authorizations to ensure procedures
are approved before service delivery.
MID REVENUE CYCLE SERVICES:
Medical Coding: RevStream’s
certified coders assign accurate CPT,
ICD, and HCPCS codes to ensure
compliant and reimbursable claims.
Charge Entry: We enter and validate
all charges against clinical
documentation to ensure clean claims
and correct billing.
Documentation Compliance:
Our experts review clinical notes for
completeness, accuracy, and
alignment with payer requirements to
minimize audit risk and claim
rejections.
BACK-END REVENUE CYCLE SERVICES:
Claims Submission: We prepare and
submit clean, error-free claims to
payers promptly, reducing delays and
rejections.
Accounts Receivable (A/R)
Management: RevStream’s team
monitors unpaid claims, follows up
with payers, and works to reduce
outstanding balances eciently.
Denial Resolution: We analyze root
causes, correct issues, and resubmit
denied claims quickly to recover lost
revenue.
Patient Billing & Support:
We manage patient statements,
handle inquiries, and oer support to
ensure timely and clear
communication around balances due.
The Unique RevStream Method
How We Power Your Revenue Cycle
- Custom Onboarding: Our team begins with a deep-dive into your workflows, payer mix, and financial challenges to gain an in-depth understanding of the current revenue cycle position of the practice.
- Process Mapping & System Integration: We align with your EHR/PMS systems and configure data exchange for clean claims and faster reimbursements.
- Pre-Registration: We gather patient demographics and insurance information before the visit to enable smooth onboarding
- Patient Registration: Additional personal and medical history is captured accurately to support downstream processes.
- Insurance Verification & Authorization: Coverage details and required pre-authorizations are confirmed to prevent denials.
- Charge Capture & Coding: All services are documented and coded using industry-standard ICD-10 and CPT codes.
- Claim Optimization: All claims go through automated scrubbing and rule-based validation before submission.
- Pro-Active Denial Management: Our Intelligent tech with predictive analytics, works to ensure that there are minimal denials. On the other hand, denied or underpaid claims are reviewed, corrected, and re-submitted quickly.
- Seamless Payment Posting: Payments from payers are posted to patient accounts with accuracy and transparency.
- Patient Billing:Patients are billed for any outstanding balances, including co-pays and non-covered services.
- Enhanced Collections: We follow up on unpaid balances via reminders, payment plans, or collections support. Our team also initiates and smoothly executes payment reconciliation for comprehensive reporting and improved collections.
- Performance Monitoring: Real-time dashboards, weekly r eports, and issue escalation protocols keep you in control.
- Expert Teams: Your account is managed by certified coders, A/R specialists, and client success managers for total accountability.
Key Features
Real-Time Eligibility & Benefits Verification
We eliminate eligibility-related denials at the source. Our automated system checks insurance coverage, co-pays, deductibles, and pre-authorizations instantly, so you can schedule confidently and start collecting revenue from day one.
AI-Augmented Coding & Charge Entry
Certified coders + AI driven precision = quick and clean claims. We ensure accurate CPT, ICD, and HCPCS coding with automated compliance checks to reduce audit risk and boost reimbursements, seamlessly integrated with your current systems.
Smart Claims Submission & Real-Time Tracking
Every claim is scrubbed for payer compliance before submission. Our live dashboard tracks claim status and flags issues early. With automated aging alerts, we minimize delays and keep your A/R days low.
Automated Denial Management & Comprehensive Appeals
We don’t just fix denials, we prevent them. Our analytics identify root causes, automate resubmissions, and build smarter appeal strategies to maximize recovery with minimal rework.
Seamless Payment Posting & Reconciliation
Our automated tools post payments accurately, flag discrepancies, and trigger quick resolutions. Say goodbye to revenue leakage and hello to financial clarity.
Data-Driven Insights for Revenue Optimization
Gain full visibility into financial performance with real-time dashboards and predictive analytics. We help you spot trends, track payers, and make data-backed decisions to grow collections and cut losses.
Ready to Maximize Reimbursements?
Connect with us to learn how RevStream’s tailored RCM services can
unlock smarter revenue management for your practice
The RevStream Dierentiator
Three Models, One Clear Winner
In the world of revenue cycle management, providers often face a trade-o between full-service outsourcing and self-managed technology platforms. At RevStream, we believe you shouldn’t have to choose. That’s why we deliver the best of both worlds.
RevStream’s hybrid model combines intelligent automation with skilled operational teams. No
overhead. No blind spots. Just outcomes that scale with your practice.
Ready to put your Revenue Growth on Autopilot?
Measurable Impact By Numbers
Claim Approval
Rate
Overall Revenue
Collections
backlogs
Denials &
Write-Offs