Revenue Cycle
Management Solutions

Healthcare is experiencing an unprecedented pace of change and complexity. We’re here to help.

SOLUTIONS MADE FOR YOU

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

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.

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End-to-End Full-Cycle RCM

End-to-End Full-Cycle RCM

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.

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Patient Access Solutions

Patient Access

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.

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Health Information Management

Health Information Management

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.

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Extended Business Office

Extended Business Office

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.

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Analytics and Reporting

Analytics and Reporting

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.

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INTELLIGENT PROBLEM-SOLVING

Technology, with human insight

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.

Flagship Enterprise Solution • Health Systems

End-to-End Full-Cycle RCM & Front-to-Back Operations

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.

98.6%
Net Collections Ratio (NCR)
29.4d
Guaranteed Days in A/R
99.2%
First-Pass Clean Claim Rate
20%
Management Fee At-Risk Escrow
Front-to-Back RCM Architecture One Master SLA
1. Pre-Service Patient Access
270/271 Eligibility • EDI 278 Prior Auth • GFE
<0.5% Errors
2. Mid-Cycle HIM & Coding
Inpatient DRG • CDI Chart Auditing • Queries
<24h Turnaround
3. Central Billing Office
837 Scrubbing • 835 Posting • Variance Audits
99.2% Clean
4. Back-End Denials & A/R
Predictive Appeals • Self-Pay • 60d Refunds
29.4d DAR
Solution Area 01

Patient Access Services

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.

99.8%
Upfront Eligibility Accuracy
< 3s
Real-Time EDI 270/271 Queries
+45%
Point-of-Service Collection Uplift
100%
No Surprises Act Compliance
Front-End Intake Monitor Active Gateway
Real-Time EDI 270/271
Aetna Commercial PPO
Verified (1.8s)
Good Faith Estimate
Self-Pay Colonoscopy
Auto-Calculated
Prior-Auth Verification
Auth #AUTH-908129
Attached to EHR
Solution Area 02

Health Information Management & Coding

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.

< 24h
Chart Turnaround Guarantee
98.6%
Coding Accuracy & Quality Audit
100%
AAPC & AHIMA Certified Specialists
+14%
Average CMI / RVU Capture Lift
HIM Clinical Coding Console Certified Audit
Inpatient DRG Audit
DRG 470 • Major Joint Replacement
Verified Accurate
HCC Risk Capture
Chronic Condition Validation
+0.48 RAF Score
Physician Query Automation
Acuity Clarification Pending
Query Dispatched
Solution Area 03

Extended Business Office & Aged A/R

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.

32%
Reduction in Days in A/R
$1.8B+
Secured in Provider Recoveries
120+
Day Aged Claim Liquidation
0$
Upfront Risk / Contingency Options
A/R Recovery Workqueues Priority Triage
Aged A/R Tier 3 (120+ Days)
$482,000 Recovered This Month
Liquidated
CARC 197 / Missing Auth
Automated Retro-Auth Generated
Appealed
ERA 835 Reconciliation
Direct Clearinghouse Depository
Auto-Posted
Solution Area 04

Revenue Cycle Analytics & Reporting

Spanning cross-cycle RCM stages, our analytics engine performs denial root-cause clustering, electronic remittance (835 ERA vs. 837) reconciliation, and payer contract variance monitoring against MGMA benchmarks. By delivering end-to-end transparency, it drives down systemic denial rates and delivers predictable cash flow forecasting.

100%
Real-Time Denial Visibility
90d
Predictive Cash Flow Forecasting
MGMA
National Benchmark Comparison
24/7
Executive Cloud BI Access
Executive BI Intelligence Real-Time Sync
Net Collection Ratio
All Payers Combined
97.8% (Target: 95%)
Denial Root-Cause Radar
Payer Rule Shift Detected
Policy Alert
30-Day Cash Projection
AI Predictive Modeling
$4.2M Projected

Ready to Transform Your Revenue Cycle Operations?

Schedule a personalized solution demonstration with our revenue cycle architects and receive a complimentary 90-day aged receivables assessment.