Revenue and insurance
Revenue Cycle Management and Medical Coding
The full financial cycle, from patient registration until the money reaches the facility's account, for insurance claims and cash payments.
6 defined deliverablesand a clear timeline
Who it is for
For a facility with a high share of rejected claims or delayed payments.
What you receive
- Checking patient coverage before the visit.
- Requesting and following up on prior approvals.
- Medical coding of diagnoses and procedures, reviewed before submission.
- Submitting claims on time, and reviewing and correcting the reason for each rejection before resubmitting.
- Reconciling collected amounts against claimed amounts, including cash payments.
- A monthly report on acceptance and rejection rates, rejection reasons and recovered amounts.
How we deliver it
- Reviewing rejected and late claims and uncollected amounts.
- Connecting the facility to the Netus Health claims management system.
- Resubmitting rejected claims that are still within the deadline.
- Training reception staff and doctors on documentation that prevents rejections.
- Daily operation: coding, submission and follow-up.
- A monthly report to the owner.
Timeline
Days 1–7Reviewing past claims and connecting to the system
Days 8–15Resubmitting rejections and training staff
Days 16–30Full daily operation
Month 2First payments from resubmitted claims
Month 3The acceptance rate stabilises
The value to your facilityClaims submitted on time, and rejections followed up until they are collected.
Related services
Claims Management and Automatic Resubmission SystemNetus Health's own system resubmits rejected claims automatically before the deadline passes. Available with revenue cycle management or on its own.Insurance Empanelment (Daman and Thiqa)We prepare, submit and follow the Daman, Thiqa and other insurer files until the contract is signed, so the facility can receive insured patients and bill directly.
Start with a meeting, then a 7-working-day assessment
We learn about your facility, explain the assessment, and you leave the meeting with a clear next step.