SINGLE-SLA CO-SOURCING

End-to-End Full-Cycle RCM: Unified Enterprise Operations

Eliminate vendor finger-pointing, handoff delays, and fragmented accountability. Nova Arc provides complete revenue cycle ownership from initial patient scheduling through final account balance liquidation.

End-to-End Full-Cycle RCM: Unified Enterprise Operations
99.4%
First-pass clean claim submission rate
98.8%
Net collection ratio on allowable balances
26.4 Days
Average health system gross days in A/R
100%
Single-SLA accountability with guaranteed performance
COMPLETE OPERATIONAL COVERAGE

Front-to-Back Disciplines Governed by Guaranteed Outcomes

Our full-cycle model replaces multiple disconnected vendors with a single, synchronized operating team governed by strict contractual benchmarks.

Front-End Intake Clearance

Complete patient demographic validation, real-time 270/271 eligibility verification, prior authorization approval, and pre-service financial clearance.

  • Real-time insurance checks
  • Automated prior authorization
  • No Surprises Act GFE compliance

Mid-Cycle HIM & Coding

Certified coding across Inpatient (MS-DRG/APR-DRG), Outpatient (APC), and Professional Fee encounters with clinical documentation improvement.

  • Sub-24h coding turnaround
  • 98.6%+ coding accuracy audit
  • CDI physician query workflow

Claims Management & EDI 837

Intelligent claim scrubbing against over 5 million payer rules, EDI 837 generation, clearinghouse management, and real-time electronic tracking.

  • Sub-second rule validation
  • Direct payer gateway dispatch
  • Immediate rejection resolution

Payment Posting & Reconciliation

Automated EDI 835 ERA posting, zero-variance bank reconciliation, secondary payer crossover claim billing, and credit balance auditing.

  • Daily electronic remittance balancing
  • Zero-variance bank tie-out
  • Immediate denial tagging

Denial Appeals & A/R Liquidation

Proactive follow-up on unpaid claims starting at day 15, specialized appeal packet assembly for clinical denials, and aggressive aged balance liquidation.

  • 92% denial overturn rate
  • Level 1-3 formal appeals
  • Payer contract compliance auditing

Executive Analytics & Governance

Weekly client governance meetings, real-time executive BI dashboards, payer scorecarding, and HFMA MAP key metric benchmarking.

  • 24/7 web dashboard access
  • Dedicated engagement director
  • Contractual performance guarantees
THE SINGLE-SLA ADVANTAGE

Why Health Systems Transition from Point Vendors to Unified RCM

When front-end access, mid-cycle coding, and back-end billing are managed by different vendors, everyone points fingers when denials spike. Nova Arc assumes complete accountability.

  • Guaranteed Net Collection Ratio

    Our contracts include contractual performance guarantees on net collections, clean claims, and days in A/R.

  • Dedicated Co-Sourced Pods

    Your teams work with dedicated billing and coding specialists who understand your exact hospital policies and regional payer rules.

  • Immediate Issue Remediation

    When a payer changes an adjudication policy, our billing team immediately updates front-end intake and coding guidelines within 24 hours.

  • Seamless EHR Integration

    We work directly inside your Epic, Cerner, Meditech, or Athenahealth instance with complete audit logging and transparency.

Why Health Systems Transition from Point Vendors to Unified RCM

Transform Your Entire Revenue Cycle with Single-SLA Accountability

Learn how our full-cycle model accelerated cash flow by $14.2M for a regional hospital network.

Request Full-Cycle Blueprint

Ready to Elevate Your Revenue Cycle Performance?

Speak with our senior revenue cycle architects for an objective operational diagnostic, baseline denial analysis, and customized ROI projection.