End-to-End Medical RCM Services

Medical RCM services

Seamless End-to-End RCM Solutions Designed for Your Medical Practice’s Growth

  • Reduce claim denials and accelerate reimbursements
  • Complete revenue cycle support from eligibility to collections
  • Reduce operational costs by up to 50% with efficient, results-driven RCM solutions
  • Tailored workflows for your specialty and PMS
  • HIPAA-compliant team with healthcare expertise

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What We Do:

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Insurance eligibility verification and benefits breakdown

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Obtaining prior authorizations for complex procedures

Accurate claims submission to primary and secondary payers

Timely payment posting and reconciliation

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Aggressive AR follow-up and denial resolution

Key Components of Our End-to-End RCM Process

We verify insurance coverage, co-pays, deductibles, and policy limitations upfront to prevent downstream claim issues.

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Our team secures prior approvals from payers for high-value or specialty procedures, reducing treatment delays and denials.

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We submit clean claims to primary and secondary payers using payer-specific rules and ensure all required documentation is attached.

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Our payment posting team accurately posts ERAs/EOBs and reconciles payments to track collections and identify underpayments.

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We follow up on aging claims, correct rejections or denials, and refile with supporting documents to maximize collections.

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You get access to key performance indicators like claim acceptance rate, denial trends, AR aging, and collection percentages.

Complete Control Over Your Revenue Cycle—From First Call to Final Payment

At Horizon Healthcare Solutions, we provide full-spectrum RCM support that starts before the patient visit and continues until every dollar is collected. Our comprehensive workflow reduces administrative load on your in-house staff, helping you stay focused on patient care.

From verifying eligibility to following up on unpaid claims, every step is handled by trained billing experts who know your specialty and the U.S. payer landscape. We work within your existing EHR/PMS, ensuring a smooth transition and minimal disruption.

You also receive detailed insight into your financial health through regular reporting, all while remaining fully HIPAA-compliant. With us, your revenue cycle runs cleaner, faster, and smarter.

Common Challenges in Medical RCM

01

Disconnected Billing Processes

Lack of coordination between verification, billing, and AR teams often results in lost revenue or billing errors.

02

Frequent Eligibility Errors

Submitting claims without accurate coverage details causes unnecessary rejections and delays in payment.

03

Missed Prior Authorizations

Skipping prior authorizations for high-cost procedures leads to claim denials that could have been avoided.

04

Delayed or Inaccurate Payment Posting

Improper posting of EOBs or ERAs can lead to false AR balances and lost income from underpayments.

05

Poor Denial Follow-Up

Without a consistent strategy, denied claims pile up and become write-offs due to missed appeal deadlines.

06

Lack of Performance Visibility

Practices often operate blind without proper reports on AR aging, claim acceptance, or payer performance.

Entire Revenue Cycle

A Smarter Way to Manage Your Entire Revenue Cycle

Horizon Healthcare Solutions takes the complexity out of medical RCM by offering end-to-end services tailored to your needs. Our step-by-step approach ensures that each claim is optimized for approval before it ever reaches the payer.

By partnering with us, you gain a dedicated team that keeps your AR low, your reimbursements fast, and your processes compliant. We adapt to your existing software and specialty requirements, offering flexibility without sacrificing accuracy.

Our goal is simple: to help you collect every dollar you earn while reducing your administrative burden. Trust Horizon to bring clarity, consistency, and cash flow back into your practice.

How We Add Value to Your Practice

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Up to 50% Cost Savings
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Clean Claim Submission Rate
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Reduction in Accounts Receivable
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Boost in Cash Flow
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Reduction in Denial Rates

Redefining Industry Excellence

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HIPAA Compliant

Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.

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Proven Results and Cost Efficiency

Our expert billing solutions deliver up to 50% cost savings with higher claim acceptance rates, driving reliable revenue growth for dental practices.
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Customized, Client-Centric Approach

Tailored to the unique needs of each practice, we enhance efficiency, streamline processes, and boost patient satisfaction through targeted billing and RCM solutions.
Committed to Your Success

Committed to Your Success

Our greatest satisfaction is helping a client increase their revenue, decrease expenses and bring their AR under control, and we celebrate these successes daily.

Comprehensive Claims Reviews

Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.

Ease and Simplicity

Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.

Reliable Support, When You Need It

Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.

Get started with Horizon Healthcare Solutions today

Elevate your revenue cycle management to new heights.

Connect with us today and see how our expertise can drive growth and efficiency for your practice!

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