From insurance verification and prior authorization to the final payment of a balance, we can help you simplify your revenue cycle management processes with intelligent, technology-enabled healthcare revenue cycle management services.
Every successful patient encounter starts with accurate and complete information. Our Patient Access solutions help healthcare organizations verify patient demographics, confirm insurance coverage, and identify missing or inconsistent information before the visit.
Our experienced team proactively reviews eligibility, benefits, insurance details, and registration information to identify potential issues at the front end. By resolving discrepancies before they move downstream, we help organizations minimize avoidable delays, reduce front-end denial risk, and create a smoother patient experience.
Through a structured and proactive approach, we help strengthen the point of access while supporting greater efficiency across the revenue cycle.
Nova Arc understands the key goals, priorities, and needs of a high-functioning Patient Access department. Our experienced team can help you identify missing information and confirm insurance details prior to the visit — ensuring nothing is missed that could hold up your claims.
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We are experts in the ever-changing complexities of healthcare regulations, and we employ a variety of technology-enhanced tools to help ensure your health information is documented and coded correctly, efficiently, and in full compliance.
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Whether working with hospital or physician billing, our team of experts will work with you to overcome payor complexities, minimize billing confusion, and recover revenue through decreased days in A/R and identification of lost revenue.
Learn moreOur comprehensive approach to understanding and streamlining your revenue cycle means you can stop worrying about revenue and keep your attention on patients.
We begin by establishing accurate patient and insurance information through eligibility verification, benefits validation, scheduling and registration QA, prior authorization, financial clearance, and medical necessity checks.
Clinical documentation and encounter information are reviewed to support accurate medical coding, charge capture, HCC/risk adjustment, facility/DRG, and professional fee coding while identifying documentation gaps.
Our team performs coding QA, CDI review, CAC review, physician query management, and compliance audits to help ensure coding accuracy, consistency, and appropriate reimbursement.
Clean claims are prepared, validated, scrubbed, and submitted electronically. Once payments are received, payment posting and reconciliation are performed to maintain accurate account balances and financial records.
Outstanding accounts are monitored and analyzed to identify denials, underpayments, payer issues, and aging balances. Appropriate follow-up, appeals, recovery actions, and contract compliance reviews are performed.
We support patient billing, self-pay collections, credit balance and refund management, EDI enrollment, and other recovery activities to help organizations optimize the full revenue cycle.
Proactive front-end validation, certified clinical coding, and relentless recovery delivered across health systems nationwide.
“The patient access process has become much more organized and consistent. Issues that previously surfaced later are now identified much earlier, giving our team the opportunity to resolve them before they affect the patient or the claim.”
“Having accurate insurance and patient information before the encounter has made a significant difference in how our teams prepare for each visit. It has improved visibility and helped us address potential issues proactively.”
“The biggest value has been the ability to catch missing or inconsistent information before it moves downstream. Our teams can focus on resolving exceptions instead of repeatedly correcting avoidable errors.”
“When patient and insurance information is accurate from the start, everything becomes easier—from scheduling and registration to billing. The process is more efficient for our staff and more seamless for our patients.”
Whether you need end-to-end full cycle medical billing, dedicated aged A/R recovery, or specialized clinical coding pods, our revenue architects will customize an engagement model that guarantees measurable ROI.
