Synergy RCM Solutions

Trusted Destination for Comprehensive & Revenue Cycle Management Solutions

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Synergy RCM is a trusted partner for healthcare organizations, offering cutting-edge revenue cycle management solutions. With decades of industry experience, our team of experts streamlines billing processes, maximizes reimbursements, and ensures regulatory compliance to drive financial success.

A distinguished global outsourcing firm dedicated to crafting extraordinary Customer Experience (CX) solutions for businesses across the globe. Immerse yourself in our commitment to excellence as we redefine the landscape of outsourcing.

We wholeheartedly embrace the transformative capabilities of automation. Seamlessly woven into our operational fabric, automation is the cornerstone of our commitment to enhancing efficiency, minimizing costs, and orchestrating a flawless customer journey.

A ‘One Stop Shop’ Offering. We take care of your entire Revenue Cycle.

We recognize the challenges healthcare providers encounter. From analytics and automation to patient payments, we assist providers in maximizing revenue while minimizing workload. Join the hundreds of providers who have already transformed their revenue cycle with Synergy RCM today.

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Services We Offer

Provider Enrollment & Credentialing

Provider Enrollment and Credentialing are crucial processes in healthcare administration, ensuring that healthcare providers are qualified, authorized, and enrolled to deliver medical services.

Patient Scheduling

Effective patient scheduling is essential in healthcare management, affecting patient satisfaction, provider efficiency, and clinic operations. It involves organizing appointments to maximize resource use and minimize wait times and conflicts.

Prior Authorization & Eligibility Verification

Prior Authorization and Eligibility Verification are essential in healthcare administration to ensure insurance coverage and provider payment. They help manage costs, prevent unnecessary treatments, and streamline billing.

Account Receivables

Accounts Receivable (AR) in healthcare refers to outstanding payments owed for services provided. Effective AR management is crucial for maintaining cash flow and ensuring financial stability.

Medical Billing & Coding

Medical Billing and Coding are essential processes in healthcare that ensure providers are reimbursed for services rendered and that patient records are accurately maintained.

Payment Posting

Payment Posting is a crucial part of medical billing, involving the recording of payments from insurance companies and patients into the healthcare provider’s accounting system.

Denial Management

Denial Management is the process of identifying, analyzing, and resolving denied or rejected claims from insurance companies. It involves understanding the reasons for denials, taking corrective action, and resubmitting claims to ensure timely reimbursement.

Patient Financials

Patient Financials refer to the financial aspects of healthcare services that directly involve patients, including billing, payments, insurance coverage, and financial assistance programs.
1

Billing Lag Days < 24 Hours

Time from service date to claim submission is under 24 hours

Clean Claims Ratio > 95%

Over 95% of submitted claims are error-free on the first submission
5

Rejections Rate < 1%

Less than 1% of submitted claims are rejected by payers
2

Days in Accounts Receivable (AR) < 30 Days

Accounts receivable remain outstanding for less than 30 days on average
3

Accounts Receivable > 90 Days < 10%

Less than 10% of total accounts receivable are outstanding over 90 days
4

Denials Rate < 5%

Rate of claim denials is kept under 5%

Net Collection Ratios > 95%

Collecting over 95% of collectible revenue
6

Real-Time Reporting

Customers have access to up-to-date revenue cycle metrics
7

Timely Payer Policy Validation

Payer policies validated promptly to avoid claim rejections
8

Issue Tracking and Escalation Metrics

Robust procedures for tracking and resolving issues efficiently