Revenue Cycle Management Services
End-to-End Revenue Cycle Support—Handled by the Experts
Complete Healthcare Solutions brings decades of industry experience, a deep understanding of medical billing systems, and a responsive team approach. Here’s why so many practices trust us with their revenue cycle:
- Clean claims from day one through system integrations and experienced USA based billing staff
- Transparent reporting so you always know your practice’s financial status
- Reduced days in A/R through proactive claims follow-up and fast payment posting
- Less time on the phone with payers or patients—because we handle that for you
- Support for Lytec, Medisoft, and UnifiMD systems, with billing processes tailored to your platform
CREDENTIALING SERVICES
Our Approach: Accurate, Timely, Connected
We guide providers through the credentialing process to ensure enrollment is completed efficiently and integrated into billing systems from day one. Our process helps eliminate delays, reduces admin headaches, and ensures smoother claims workflows.
Onboarding Review
We assess credentialing status, payer enrollment needs, and setup timelines for new or expanding practices.
Platform Integration
Once enrollment is complete, we ensure systems like Lytec, Medisoft, and UnifiMD are correctly synced for clean claims.
Claims Readiness Support
We help align credentialing data with billing operations to prevent disruptions or rejections after submission.
Partner Referrals
Need full-service credentialing? We can refer you to trusted partners aligned with your specialty and workflow needs.
CODING SERVICES
Our Approach: Claim Accuracy Without Coding Headaches
We help practices improve accuracy, prevent denials, and resolve common coding issues by integrating tightly with billing and documentation workflows.
Claim Scrubbing Before Submission
Every claim submitted through our billing platform is run through error-checking protocols. This includes validation of CPT, ICD-10, and modifier codes to reduce rejections.
Error Flagging & Edits
We collaborate with your internal team to flag inconsistent or incomplete coding prior to claim generation—helping identify patterns and reduce repeat errors.
Coordination with Your Coding Team
If your in-house coder or EHR outputs frequent denials, we can help analyze issues, suggest documentation adjustments, and recommend compliance improvements.
Clearinghouse Rejection Resolution
We investigate and resolve rejections tied to coding inconsistencies or format errors, ensuring smoother claim flow and stronger revenue cycle management.
CLAIMS TO PAYMENT MANAGEMENT
Our Approach: End-to-End RCM Without Losing Control
We manage the full revenue cycle from claims submission to payment posting—keeping your team informed while taking operational tasks off their plate.
Claims Prep & Submission
We handle clean claim creation and timely submission with payer compliance in mind.
Eligibility & Insurance Verification
Real-time eligibility checks reduce claim denials and improve patient intake accuracy.
Denials & Rework Management
We identify, track, and resubmit denied claims while monitoring trends for long-term fixes.
Payment & Patient Support
We post payments, manage patient billing, and support staff with reporting and AR follow-up.
WORKFLOW MANAGEMENT
Our Approach: Practical, Collaborative, Customized
We don’t walk in with a one-size-fits-all template. Instead, we partner with your team to analyze, redesign, and optimize how your processes actually function—so your revenue cycle runs more efficiently and your team stays focused on care.
Discovery & Process Review
We conduct detailed intake sessions with your staff to understand current workflows—from check-in to claim submission—including who’s doing what and when.
Workflow Mapping & Optimization
We document each step of your workflow, identify inefficiencies, and provide recommendations to simplify, automate, or reassign tasks using tools you already have.
Technology Alignment
We ensure your EMR, practice management system, billing software, and clearinghouse connections are configured to support—not hinder—your operations.
Team Training & Change Management
When we introduce a better process, we also help implement it. Our team trains your staff on the revised workflows and offers support during transition periods.
Credentialing Services
Stay Compliant. Get Paid Faster. Reduce Administrative Headaches.
Credentialing is the first step in getting paid—and delays can disrupt your entire billing process. While we don’t provide full credentialing services, Complete Healthcare Solutions offers credentialing guidance as part of your onboarding and setup.
We help practices:
- Review credentialing status and payer enrollments during onboarding
- Align credentialing timelines with billing system setup (Lytec, Medisoft, UnifiMD)
- Refer to trusted credentialing partners when full-service support is needed
Start your revenue cycle with the right foundation and avoid delays that impact reimbursement.
Coding Services
Cleaner Claims. Better Compliance. Stronger Financial Performance.
We don’t replace your coders but we work with your internal teams, templates, and systems to validate coding accuracy before claims are submitted. Proper coding is critical to clean claims and timely payment.
We support practices by:
- Scrubbing claims for CPT, ICD-10, and modifier errors
- Flagging and correcting incomplete documentation
- Helping prevent rejections at the clearinghouse and payer levels
Accurate coding supports faster payments, protects against audits, and strengthens your financial reporting.
Workflow Management
Personalized Processes for Smoother Operations.
Every practice runs differently— so should your workflows. CHS evaluates your front-end and back-end processes, identifying bottlenecks and optimizing your systems for better billing, patient flow, and operational performance.
Our workflow support includes:
- Front-desk eligibility and intake improvements
- Claims submission and payment posting optimization
- Staff role clarity and process documentation
- Technology alignment with your EMR, PM, and clearinghouse systems
We don’t just suggest improvements. We help you build workflows that actually work.
Complete Claims to Payments Management
End-to-End Billing Support, So You Can Focus on Care.
From eligibility checks to final patient payments, CHS handles the full lifecycle of your billing and collections. Our team acts as an extension of your practice, ensuring claims move quickly, denials are addressed immediately, and revenue flows consistently.
We manage:
- Claims preparation, scrubbing, and electronic submission
- Eligibility verification before service
- Denial management and appeals
- Insurance and patient payment posting
- Patient billing and statement management
Take billing off your plate without losing visibility or control.
