Comprehensive Revenue Cycle Management Services

From accurate ICD-10 coding to final payment posting, ACARD Healthcare manages every step of your revenue cycle with certified expertise and HIPAA-compliant processes.

01
Accurate. Compliant. Specialty-Specific.

Medical Coding

Our CPC and CCS-certified coders deliver precise ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding across 30+ specialties. We combine deep clinical knowledge with rigorous quality assurance to ensure every code is defensible, compliant, and optimized for maximum reimbursement.

  • ICD-10-CM and ICD-10-PCS diagnosis and procedure coding
  • CPT and HCPCS Level II code assignment
  • Evaluation & Management (E/M) coding
  • Specialty-specific coding: cardiology, orthopedics, oncology, radiology, and more
  • Hierarchical Condition Category (HCC) risk adjustment coding
  • Prospective and retrospective coding reviews
  • Coding query management and physician education
02
Faster Reimbursements. Less Administrative Burden.

Medical Billing

Our end-to-end medical billing services streamline your revenue cycle from charge capture to final payment. We handle all payer types — commercial, Medicare, Medicaid, and managed care — with a focus on clean claim submission and rapid reimbursement.

  • Charge capture and entry verification
  • Insurance eligibility and benefits verification
  • Prior authorization management
  • Electronic and paper claim submission
  • Medicare and Medicaid billing compliance
  • Patient statement generation and follow-up
  • Real-time billing performance reporting
03
Higher First-Pass Rates. Fewer Rejections.

Claims Processing

We apply rigorous pre-submission audits and payer-specific edits to every claim before it goes out the door. Our systematic approach to clean claim submission consistently achieves first-pass acceptance rates above 98%, reducing rework and accelerating cash flow.

  • Pre-submission claim scrubbing and validation
  • Payer-specific edit rules and compliance checks
  • Electronic Data Interchange (EDI) claim transmission
  • Real-time claim status tracking and monitoring
  • Rejection analysis and resubmission management
  • Coordination of benefits (COB) processing
  • Secondary and tertiary claim filing
04
Recover Lost Revenue. Prevent Future Denials.

Denial Management

Denied claims represent significant lost revenue for every healthcare organization. Our denial management team combines systematic root-cause analysis with aggressive appeals to recover revenue and implement process improvements that prevent recurring denials.

  • Denial categorization and root-cause analysis
  • Timely appeals and reconsideration requests
  • Payer-specific denial trend reporting
  • Clinical documentation improvement (CDI) recommendations
  • Payer contract review and underpayment identification
  • Denial prevention workflow implementation
  • Monthly denial performance dashboards
05
Minimize Aging. Maximize Cash Flow.

AR Follow-Up

Aging accounts receivable directly impacts your organization's financial health. Our proactive AR follow-up team works every outstanding claim systematically, prioritizing high-value accounts and ensuring no revenue is left on the table due to inaction.

  • Systematic follow-up on all outstanding claims
  • Prioritized work queues by payer, age, and dollar value
  • Payer portal and phone follow-up
  • AR aging analysis and reporting
  • Underpayment identification and recovery
  • Write-off analysis and recommendations
  • Monthly AR performance benchmarking
06
Accurate. Timely. Variance-Analyzed.

Payment Posting

Accurate payment posting is the foundation of a healthy revenue cycle. Our team processes EOBs, ERAs, and patient payments with precision, identifying contractual variances and underpayments that would otherwise go undetected.

  • Electronic Remittance Advice (ERA) processing
  • Manual Explanation of Benefits (EOB) posting
  • Patient payment and copay posting
  • Contractual adjustment and write-off posting
  • Variance analysis and underpayment identification
  • Reconciliation of deposits to posted payments
  • Daily and monthly payment reconciliation reports
07
Compliance Assurance. Revenue Integrity.

Coding Audits

Regular coding audits are essential for maintaining compliance, identifying revenue leakage, and reducing audit risk. Our certified auditors conduct thorough prospective and retrospective reviews, delivering actionable findings and targeted education.

  • Prospective coding audits (pre-bill review)
  • Retrospective coding audits (post-bill review)
  • E/M documentation and coding audits
  • Specialty-specific coding accuracy reviews
  • Compliance risk assessment and reporting
  • Coder education and feedback sessions
  • Audit trail documentation for regulatory defense

Our Proven Process

A structured, transparent approach that delivers consistent results from day one.

01

Discovery & Onboarding

We assess your current workflows, payer mix, and pain points to design a customized RCM solution aligned with your goals.

02

Integration & Setup

Our team integrates with your existing EHR and practice management systems with minimal disruption to daily operations.

03

Execution & Monitoring

Certified professionals execute every task with rigorous quality controls and real-time performance monitoring.

04

Reporting & Optimization

Monthly performance dashboards and regular strategy reviews ensure continuous improvement and maximum revenue capture.

Ready to Improve Your Revenue Cycle?

Talk to our RCM specialists and get a customized plan for your organization.

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