Revenue cycle services shaped around your operation.
From front-end patient intake to clinical documentation, compliance, and back-end reimbursement swarms, ARDA Health-Tech couples high-touch human expertise with autonomous intelligence.
Core Revenue Cycle Disciplines
Granular, high-accuracy execution across every operational touchpoint in your revenue pipeline.
Eligibility & Benefits (EVBV)
Proactive verification of coverage, copays, deductibles, and pre-existing clauses prior to date of service, eliminating front-end downstream denials.
Prior Authorization
Rapid payer submission and clinical necessity documentation tracking, expediting approvals and preventing procedure cancellations or uncompensated care.
Medical Coding & Auditing
Certified professional coders (CPC, CCS) specializing in inpatient, outpatient, and specialty care settings, ensuring compliance and optimal specificity.
Charge Entry & Scrubbing
Meticulous encounter charge entry paired with NCCI edit verification, LCD/NCD compliance checks, and cross-code scrubbers before clearinghouse handoff.
Medical Billing & Clean Filing
Rigorous electronic claim submission adhering to primary, secondary, and tertiary payer rules, achieving consistent 98%+ first-pass clean claim rates.
Payment Posting & Reconciliation
Automated ERA/835 matching paired with expert manual EOB posting, zero-balance variance verification, and end-of-day bank ledger reconciliations.
A/R Follow-Up & Collections
Targeted recovery workflows addressing aged A/R buckets, stubborn insurance follow-ups, and patient balance resolution with empathy and clarity.
Denial Management
Systematic root-cause analysis of rejected and denied claims, coupled with rapid appeal turnaround, CARC/RARC classification, and payer trend reporting.
Appeals & Triage Swarms
Nurse-reviewed clinical appeal packages for complex medical necessity, step therapy, and level-of-care denials with deep regulatory defense.
Patient A/R & Calling
Compassionate patient financial counseling, transparent statement delivery, flexible digital payment options, and responsive inbound/outbound inquiry resolution.
Provider Credentialing
Streamlined provider enrollment across commercial payers, Medicare, and Medicaid, ensuring zero disruption in billing eligibility when clinicians join.
EDI Rejection Resolution
Real-time correction of 277CA clearinghouse rejections, payer front-end edits, and missing demographic identifiers within 24 hours of generation.
Credit Balance Resolution
Systematic resolution of patient overpayments, dual-insurance coordination surpluses, and compliant refund processing to protect against compliance penalties.
End-to-End RCM Framework
A synchronized, continuous pipeline integrating front, mid, and back-office revenue cycles into one accountable operation.
Front-End Intake & Clearance
Comprehensive digital patient access: eligibility verification, prior authorization clearance, financial clearance, and pre-service copay collections before care is delivered.
Mid-Cycle Clinical Documentation
Synchronized CDI and dual-certified medical coding ensuring provider chart notes accurately reflect clinical complexity, acuity, and payer billing guidelines.
Back-End Collections & Remittance
Continuous claims monitoring, automated ERA posting, dedicated insurance follow-up, and denial swarms ensuring every earned dollar converts to liquidity.
Comprehensive Revenue Cycle Management
Our comprehensive revenue cycle management covers patient access, scheduling, charge capture, claims submission, payment posting, and denial management as a unified operation.
AI RCM Solutions
Autonomous artificial intelligence coupled with human-in-the-loop oversight to eliminate repetitive manual overhead and elevate recovery yields.
Autonomous Intake Clearance
Automated insurance discovery, real-time 270/271 batch verification, and algorithmic prior-auth routing clearing 85%+ of scheduled visits touchlessly.
AI Automated Claims Scrubbing
Machine learning scrubbers trained across millions of historical claims that detect unbundled codes, modifier mismatches, and medical policy nuances before submission.
Predictive Denial Swarms
Predictive analytics identifying high-probability denial vulnerabilities in real time and automatically synthesizing compliant clinical appeal packages.
Intelligent Remittance Matching
Neural network-assisted payment posting that auto-reconciles complex bulk ERAs, PLB adjustments, split payments, and cross-over secondary coordination.