★ Medical Billing Services Starting as Low as 2.5% of Collections*
OUR PROCESS

A Simple, Transparent Process Built to Strengthen Your Revenue Cycle

At SaMeD RCM Solutions, we follow a structured, results-focused Revenue Cycle Management process designed to improve billing accuracy, accelerate reimbursements, reduce denials, and strengthen financial performance.

From your initial assessment through ongoing performance optimization, our team works as an extension of your practice, providing clear communication, dependable support, and complete visibility throughout the revenue cycle.

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HIPAA-Compliant Processes
Secure Data Exchange
Clear Communication
Two physicians in white coats standing together in a clinic
FROM FIRST REVIEW TO FINAL RESOLUTION

Your Revenue Cycle, Managed End to End

Every stage is connected, monitored, and continually refined to help your practice maintain accuracy, visibility, and momentum.

01

ASSESS & ONBOARD

Steps 1-2

02

VERIFY & CODE

Steps 3-4

03

SUBMIT & POST

Steps 5-6

04

RESOLVE & RECOVER

Steps 7-8

05

SUPPORT & IMPROVE

Steps 9-10

STEP 01

Free Consultation & Practice Revenue Assessment

Every successful partnership begins with understanding your practice, its challenges, and its financial goals.

  • Current billing workflows
  • Practice size and medical specialty
  • Existing billing and collection challenges
  • Insurance payer mix
  • Claim rejection and denial trends
  • Accounts receivable performance
  • Practice management and EHR systems
  • Operational and financial goals
Based on our findings, we recommend a customized Revenue Cycle Management strategy aligned with the specific needs of your practice.
STEP 02

Seamless Client Onboarding

Once you choose to partner with us, we begin a structured onboarding process designed to support a smooth transition with minimal disruption to your daily operations.

  • Practice and provider information review
  • Credentialing and payer enrollment support, when required
  • Secure system-access setup
  • Practice management and EHR integration
  • Payer and insurance configuration review
  • Customized workflow development
  • Introduction to your assigned support team
  • HIPAA-compliant exchange of authorized information
Our goal is to establish an efficient workflow while helping your practice maintain operational continuity.
STEP 03

Insurance Eligibility & Benefits Verification

Accurate eligibility verification helps prevent avoidable denials, unexpected patient balances, and reimbursement delays. Depending on your service plan, our team can verify:

  • Active insurance coverage
  • Patient benefits
  • Copays, deductibles, and coinsurance
  • Coverage limitations
  • Prior authorization requirements
  • Referral requirements, when applicable
  • Primary and secondary insurance information
Verification results are documented and communicated according to your practice's established workflow.
STEP 04

Charge Entry & Medical Coding

Accurate charge entry and coding are essential for compliant billing and proper reimbursement. Our team focuses on:

  • Timely and accurate charge entry
  • ICD-10-CM diagnosis coding
  • CPT and HCPCS procedure coding
  • Modifier review and validation
  • Documentation-supported code selection
  • Payer-specific billing requirements
  • Identification of missing or incomplete information
All coding and billing activities are based on the clinical documentation supplied by the provider and applicable coding guidelines.
STEP 05

Claim Scrubbing & Submission

Before submission, claims are reviewed for common errors that could cause rejection, denial, or payment delays. Our process includes:

  • Claim-data validation
  • Demographic and insurance review
  • Coding and modifier checks
  • Payer-specific formatting
  • Clearinghouse edits and claim scrubbing
  • Timely electronic submission
  • Rejection monitoring and correction
  • Electronic claim-status tracking
Our objective is to submit accurate, complete claims and improve first-pass claim acceptance.
An RCM team reviewing practice performance dashboards in a meeting room
A COORDINATED EXTENSION OF YOUR PRACTICE

People, Process & Performance Working Together

Dedicated professionals combine payer knowledge, organized follow-up, and performance visibility to support every stage of your revenue cycle.

STEP 06

Payment Posting & Reconciliation

As payments and remittance information are received, our team accurately records and reconciles account activity. This may include:

  • Insurance payments
  • Patient payments
  • Electronic Remittance Advice and Explanation of Benefits
  • Contractual adjustments
  • Approved write-offs
  • Refunds and recoupments
  • Denial and remark codes
  • Payment reconciliation
Accurate posting provides a reliable view of outstanding balances and supports effective follow-up.
STEP 07

Denial Management & Appeals

When a claim is rejected or denied, our team investigates the issue and takes appropriate corrective action. Our denial-management process includes:

  • Rejection and denial identification
  • Root-cause analysis
  • Coding and billing correction, when supported
  • Submission of corrected claims
  • Timely appeal preparation
  • Supporting-documentation review
  • Monitoring of appeal outcomes
  • Identification of recurring denial patterns
  • Preventive workflow recommendations
The goal is not only to resolve individual denials but also to help prevent similar issues from recurring.
STEP 08

Accounts Receivable Follow-Up

Unpaid and underpaid claims can significantly affect practice cash flow. Our A/R specialists conduct timely, organized follow-up to help recover eligible outstanding revenue.

  • Unpaid insurance claims
  • Underpayments
  • Claims approaching timely-filing limits
  • Aging accounts receivable
  • Payer correspondence and claim-status reviews
  • Additional documentation requests
  • Corrected claims and appeals
  • Resolution of outstanding balances
Accounts are prioritized according to age, value, payer requirements, and collection potential.
STEP 09

Patient Billing & Support

A clear and respectful patient billing process can improve collections while supporting a positive patient experience. Based on your selected services, we can assist with:

  • Accurate patient statements
  • Patient balance review
  • Payment posting and tracking
  • Responses to billing inquiries
  • Insurance and responsibility clarification
  • Payment-plan coordination according to practice policy
  • Follow-up on eligible patient balances
All patient communication is handled professionally and in accordance with the practice's approved policies.
STEP 10

Performance Reporting & Continuous Improvement

Transparency is central to our approach. We provide regular reports that help you understand the financial health of your practice and identify opportunities for improvement.

  • Claims submitted
  • Charges and payments
  • Accounts receivable aging
  • Rejection and denial rates
  • Clean-claim performance
  • First-pass acceptance trends
  • Days in accounts receivable
  • Collection trends
  • Net collection rate
  • Outstanding balances
  • Revenue performance
  • Other agreed-upon Key Performance Indicators
Clean-Claim Trend↑
Days in A/R↓
Denial Rate↓
Collections↑
REVENUE PERFORMANCE
We review performance trends, identify problem areas, and recommend practical improvements to strengthen your revenue cycle over time.
OUR COMMITMENT TO YOUR PRACTICE

Accuracy, Compliance, Transparency & Measurable Performance

From initial eligibility verification to final payment resolution, SaMeD RCM Solutions continuously monitors and improves workflows to strengthen the financial health of your practice.

You focus on delivering exceptional patient care. We focus on supporting the financial health of your practice.

Strengthen Cash Flow

Maintain momentum throughout the revenue cycle.

Reduce Preventable Denials

Identify root causes and recurring patterns.

Improve Billing Accuracy

Support clean, complete, documented claims.

Accelerate Claim Resolution

Prioritize timely action and follow-up.

Reduce Administrative Workload

Let your team stay focused on patient care.

Increase Financial Visibility

Use clear reporting and meaningful KPIs.

Ready to Strengthen Your Revenue Cycle?

Partner with SaMeD RCM Solutions for a seamless, transparent, and performance-focused approach to medical billing and Revenue Cycle Management.

Get Your Free Practice Revenue Assessment Today Schedule Your Free Consultation