For each of your unique RCM challenges, we have a configurable solution.
As a technology-enabled revenue cycle management company, we help healthcare organizations develop the right mix of human expertise and intelligent automation to streamline workflows, improve cash flow, and reduce operating costs. Nova Arc takes a unique approach to configure integrated RCM solutions for your unique needs. We understand that no two healthcare organizations are exactly alike. Each presents a unique set of challenges that may change over time. We’ll work closely with you at every step to maximize your revenue.
All Solutions Overview
Gain a unified, enterprise-wide revenue cycle architecture. Nova Arc integrates front-end patient intake, mid-cycle clinical coding, central billing office operations, and executive analytics under an synchronized operational framework.
Comprehensive front-to-back revenue cycle management governed by a single master enterprise SLA. Designed for multi-hospital health systems to eliminate departmental silos and vendor handoffs with guaranteed net collection ratio performance.
Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place upfront. Includes automated 270/271 insurance eligibility, prior authorization tracking, registration QA, and Good Faith Estimates.
Our team of coding experts, with a deep understanding of the healthcare industry and AAPC/AHIMA credentials, delivers sub-24-hour chart turnaround, 98.6%+ coding accuracy, and optimal DRG and HCC risk-adjustment capture across all clinical specialties.
Nova Arc provides a comprehensive suite of RCM services that are tailored to the needs of each healthcare organization. Resolving aged receivables across 60, 90, and 120+ days, appealing complex denials, and accelerating cash recovery.
Obtain answers to critical questions related to performance benchmarking, root cause analysis, cash flow predictability, and payer variance through 24/7 executive cloud dashboards and machine learning denial trend detection.
Automation offers the promise of lower costs and increased efficiency, but only when it is applied effectively. Nova Arc’s RCM solutions combine advanced automation and powerful predictive analytics with real human expertise.
Realize the Abundant Potential of Your Revenue Cycle
By creating a high-performance revenue cycle, you will not only get the benefits of being fully paid for your services, you will directly contribute to creating a better patient experience, while freeing cash flow to invest more resources into transforming how you care for patients.
Realize the Transformative Power of the Right Technology
The right technology can change everything about revenue cycle management, from predictive analytics that help solve problems before they occur, to intelligent automation that removes monotonous tasks and errors, all working toward a high-precision revenue cycle like the healthcare industry has never seen.
Realize the Full Impact of Committed Collaboration
A technology-enhanced revenue cycle means that the skills and capabilities of the human element become even more important. You need high-touch service experts who partner with you to proactively solve problems, identify opportunities, and execute flawlessly day after day.
ENTERPRISE BLUEPRINTS
Detailed Architecture & Service Level Guarantees
Examine the operational workflows, sub-second integrations, and contractual SLA guarantees powering each Nova Arc solution area.
Comprehensive front-to-back revenue cycle ownership unifying patient access, clinical coding, central billing office, and collections under a single master enterprise SLA. Designed specifically for multi-hospital health systems to permanently eliminate vendor handoffs, departmental silos, and finger-pointing.
Covering the front-end RCM stage, this solution automates real-time insurance eligibility verification (EDI 270/271), prior authorization status checks, and patient cost estimation under the No Surprises Act. By validating coverage and securing authorizations before clinical care begins, it drastically reduces eligibility-related denials and shortens authorization turnaround time.
Operating at the mid-cycle RCM stage, our certified HIM operations perform clinical chart abstraction, comprehensive CPT/HCPCS and ICD-10-CM/PCS code assignment, and DRG/HCC documentation integrity reviews. This precision coding accelerates chart turnaround, shrinks Discharged Not Final Billed (DNFB) days, and prevents coding-related claim rejections.
Focusing on the back-end RCM stage, our extended business office teams handle aged receivables workqueue liquidation across 30, 60, and 90+ day aging buckets, appeal complex CARC/RARC claim denials, and recover contractual underpayments against fee schedules. This targeted resolution slashes average days in A/R (DAR) and accelerates net cash recovery.
Front-end registration and eligibility errors account for over 46% of all downstream claim denials in US healthcare systems. Nova Arc solves this by deploying automated robotic verification tools directly into your patient intake workflow.
Key Capabilities & Architecture:
Real-Time 270/271 EDI Integration: Instant querying across 1,200+ payers for co-pay, deductible remaining, coinsurance, and service-specific exclusions.
Automated Prior-Authorization: RPA bots ingest physician orders from Epic/Cerner and initiate portal authorizations before appointment check-in.
Good Faith Estimate Calculator: Fully compliant with the federal No Surprises Act, producing accurate pre-treatment price estimates in seconds.
Pre-Service Digital Capture: Secure SMS text-to-pay and contactless patient check-in increasing upfront self-pay collections by over 45%.
Deep Dive
Health Information Management & Coding
Nova Arc pairs AAPC and AHIMA credentialed coding teams with AI-assisted chart auditing to ensure every clinical service rendered is compliantly coded and fully reimbursed.
Key Capabilities & Architecture:
Sub-24-Hour Chart Turnaround: Dedicated specialty pods ensure encounter charts are coded and audited within 24 hours of clinical discharge.
Clinical Documentation Improvement (CDI): Proactive physician querying and documentation coaching to capture true patient acuity and elevate CMI.
Hierarchical Condition Category (HCC) Capture: Risk adjustment optimization for Medicare Advantage and value-based care contracts.
Dual-Layer Quality Auditing: Regular peer reviews and randomized algorithmic audits ensuring a consistent 98.6%+ coding quality rate.
Deep Dive
Extended Business Office & Aged A/R
When internal staffing shortages threaten revenue capture, Nova Arc functions as a seamless, high-volume extension of your business office, handling insurance follow-up and aged account recovery.
Key Capabilities & Architecture:
Aged Receivables Liquidation: Relentless investigation of claims over 60, 90, and 120+ days using algorithmic triage to recover trapped cash.
High-Dollar Clinical Appeals: Dedicated escalation teams challenging complex medical necessity and clinical unbundling rejections.
Electronic Remittance & Payment Posting: Daily reconciliation of 835 remittance files, contractual adjustments, and copay allocations.
Flexible Engagement Models: Full outsourced business office or targeted contingency-based recovery projects with zero upfront cost.
Deep Dive
Revenue Cycle Analytics & Reporting
Gain complete financial transparency with real-time analytics designed for healthcare CFOs, VP of Revenue Cycle, and practice administrators.
Key Capabilities & Architecture:
Payer Scorecards & Denial Root Cause: Track CARC/RARC patterns by commercial insurer to pinpoint systemic underpayments and adjudications.
Predictive Cash Flow Intelligence: Machine learning forecasts expected 30, 60, and 90-day cash collections based on historical adjudication velocity.
Provider Productivity & RVU Analytics: Monitor clinician billing velocity, encounter completion times, and charge lag in real time.
Automated MGMA Benchmarking: Instantly compare your days in A/R, clean claim rate, and cost to collect against national peer percentiles.