End-to-end support
for a healthier
revenue cycle.
ClariMed RCM provides comprehensive revenue cycle services designed to improve accuracy, reduce delays, strengthen cash flow, and support long-term financial performance.
Our solutions can be delivered individually or combined into a complete revenue cycle management program.
Medical Billing
Accurate billing is the foundation of a reliable revenue cycle.
Our medical billing services help healthcare organizations submit clean claims, reduce avoidable errors, and improve reimbursement timelines.
Services
- Charge entry and claim preparation
- Coding and documentation review support
- Claim submission
- Claim status monitoring
- Correction and resubmission
- Payment and adjustment review
- Billing workflow optimization
Key Benefits
- Cleaner claims
- Fewer billing errors
- Faster claim submission
- Improved reimbursement visibility
- More consistent cash flow
Claims Management
We manage claims from submission through resolution to help prevent delays and reduce outstanding balances.
Our team tracks claim activity, identifies issues early, and follows up with payers until the claim reaches an appropriate outcome.
Services
- Electronic and paper claim submission
- Claim acknowledgment review
- Payer status follow-up
- Rejected claim correction
- Underpayment identification
- Claim escalation
- Timely filing monitoring
Key Benefits
- Reduced claim delays
- Faster issue resolution
- Better payer follow-up
- Improved claim visibility
- Lower unresolved claim volume
Denial Management
Denials can quickly become a major source of lost revenue.
Our denial management process focuses on identifying root causes, recovering eligible revenue, and reducing the likelihood of repeat denials.
Services
- Denial classification
- Root-cause analysis
- Appeal preparation and submission
- Payer follow-up
- Corrected claim submission
- Trend reporting
- Denial prevention recommendations
Key Benefits
- Lower denial rates
- Higher recovery of denied revenue
- Better understanding of denial causes
- Improved first-pass claim acceptance
- Stronger prevention processes
Revenue Cycle Optimization
We help healthcare organizations identify inefficiencies and improve performance across the complete revenue cycle.
Our optimization services are designed for organizations that need better visibility, stronger workflows, and more predictable financial outcomes.
Services
- Workflow assessment
- Revenue cycle performance review
- Key metric analysis
- Process gap identification
- Standard operating procedure development
- Team workflow recommendations
- Performance improvement planning
Key Benefits
- Better operational control
- Improved team efficiency
- Reduced revenue leakage
- Clearer performance measurement
- More predictable financial results
Accounts Receivable Management
Aging accounts require consistent attention and a structured follow-up process.
Our accounts receivable management services help reduce outstanding balances, improve collections, and bring greater control to aging claims.
Services
- Insurance account follow-up
- Aging analysis
- High-value account prioritization
- Underpayment review
- Payer communication
- Escalation and appeal support
- Patient balance review support
Key Benefits
- Reduced days in accounts receivable
- Lower aging balances
- Improved collections
- Better prioritization of outstanding accounts
- Increased revenue recovery
Payment Posting
Accurate payment posting provides the financial visibility needed to manage the revenue cycle effectively.
Our team ensures payments, adjustments, denials, and patient responsibility amounts are recorded correctly and consistently.
Services
- Electronic remittance posting
- Manual payment posting
- Adjustment posting
- Denial code review
- Patient responsibility allocation
- Deposit reconciliation support
- Variance identification
Key Benefits
- More accurate account balances
- Faster reconciliation
- Better denial visibility
- Reduced posting errors
- Improved financial reporting
Eligibility and Benefits Verification
Verifying patient coverage before service helps reduce preventable denials and unexpected patient balances.
We confirm insurance eligibility and available benefits so your team can make informed decisions before care is delivered.
Services
- Active coverage confirmation
- Benefit verification
- Copayment and deductible review
- Coinsurance confirmation
- Referral and authorization requirement review
- Coverage limitation identification
- Patient responsibility estimates support
Key Benefits
- Fewer eligibility-related denials
- Better patient communication
- Reduced front-end errors
- Improved collection opportunities
- More accurate financial expectations
Provider Credentialing
Credentialing delays can prevent providers from billing and receiving reimbursement.
Our credentialing support helps providers complete enrollment requirements accurately and efficiently.
Services
- Initial payer enrollment
- Recredentialing support
- CAQH profile maintenance
- Demographic updates
- Application status follow-up
- Document tracking
- Payer communication
Key Benefits
- Faster enrollment progress
- Reduced administrative burden
- Better documentation control
- Fewer application delays
- Improved provider readiness
Practical technology that works with your systems.
We bring the tools and structure — without forcing a disruptive platform change.
Clearinghouse & EHR Connectivity
We work within your existing EHR, practice management, and clearinghouse platforms — nothing has to be replaced.
Reporting & Analytics
Clear dashboards give you visibility into claims, denials, aging, and cash flow at every stage.
Secure Data Handling
HIPAA-aligned workflows, access controls, and audit trails protect sensitive information across every engagement.
Connected to the systems you already use.
We exchange data securely across common healthcare systems so information moves accurately between your team and ours.
- Works within your existing EHR and practice management systems
- Electronic claim and remittance (837 / 835) exchange
- Secure data transfer through encrypted, access-controlled channels
- Standardized formats for interoperable health records
- No disruptive platform migration required
Support shaped to your organization.
Full Revenue Cycle Management
A complete end-to-end solution for organizations that want a dedicated revenue cycle partner.
Targeted Support
Focused assistance for specific areas such as denials, accounts receivable, billing, payment posting, or credentialing.
Performance Improvement Projects
Short-term engagements designed to assess current performance and implement focused operational improvements.
From discovery to reporting.
Discovery
We review your current operations, goals, challenges, and performance indicators.
Assessment
We identify workflow gaps, financial risks, and improvement opportunities.
Implementation
We create and launch a practical plan aligned with your organization.
Management
Our team carries out the required revenue cycle activities and provides consistent support.
Reporting
We provide clear updates, measurable results, and ongoing recommendations.