Complete RCM Operations

End-to-End RCM & Allied Services

From first appointment to final dollar collected, Zebltech operates as your extended billing and collections department.

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The Complete RCM Process

Our comprehensive approach covers every touchpoint in the revenue cycle, ensuring nothing falls through the cracks and every dollar is captured.

Patient Access

Registration & Verification

Coding & CDI

Medical Coding

Charge Capture

Entry & Validation

Claims & Scrubbing

Submission

Payments

Posting & Reconciliation

AR & Denials

Follow-up & Appeals

Patient Billing

& Collections

Analytics

& Optimization

Patient Access & Front-End Services

First Touchpoint

Our patient access team ensures every encounter starts with clean, verified data—setting the foundation for successful claims and timely payment.

Appointment scheduling and registration

Demographics & insurance capture

Eligibility & benefits verification

Prior authorisations (inpatient, outpatient, procedures)

Referrals coordination

KPIs Impacted

Registration Accuracy

Clean patient & insurance data

Eligibility Success Rate

Pre-verified coverage

Authorization Turnaround

Fast prior auth processing

Medical Coding & Documentation Integrity

Clinical Translation

Coding drives appropriate reimbursement, denial reduction, and compliance. Our certified coders translate clinical documentation into accurate, compliant billing codes.

Specialty-specific ICD-10, CPT, HCPCS coding

Facility and professional (pro-fee) coding

Coding forms for coders with specialty-specific templates

Pre-bill and post-bill coding audits

Provider education and CDI feedback loops

Compliance with CMS guidelines and payer policies

Impact: Accurate coding ensures proper reimbursement, reduces denials, and protects against compliance risks and audits.

Charge Capture & Charge Entry

Revenue Capture

Missed or delayed charges translate directly into revenue leakage. We ensure every service is captured, validated, and entered accurately.

Daily charge capture from EHR, Chargecapture app, spreadsheets, or hospital census

Reconciliation of encounters, rounds lists, and schedules

Charge validation (modifiers, units, POS, provider linking)

Timely and accurate entry into practice management / billing systems

Note: Our Chargecapture app (covered in the Technology & Analytics page) is tightly integrated with this department for seamless mobile charge capture.

Claims Submission, Scrubbing & Clearinghouse Management

Claims Processing

We monitor every step between your billing system and payer adjudication, minimizing rejections and ensuring timely submissions.

Electronic and paper claims generation

Payer-specific rules and edits

Clearinghouse rejections work queues

Timely filing monitoring and resubmissions

Coordination with payers and clearinghouses

Real-time claim status tracking

Payment Posting & Reconciliation

Cash Application

Accurate, timely payment posting ensures your financial reports reflect reality and supports effective AR management.

ERA/EOB posting (insurance + patient payments)

Handling of adjustments, write-offs and refunds per policy

Daily deposit reconciliation with bank statements

Support for finance during month-end close

AR Management & Denial Resolution

Recovery & Appeals

Aging AR and repeated denials choke cash flow. Our specialists work structured queues to bring receivables under control and prevent future denials.

Segmented AR follow-up (by payer, age bucket, balance)

Denial categorisation and root-cause analysis

Appeal letter creation and submissions

Coordination with front desk and coding to fix root causes

Monthly denial trend dashboards

Proactive denial prevention strategies

Analytics Integration: Monthly denial trend dashboards are available through our Technology & Analytics platform for real-time insights.

Underpayment Recovery & Contract Compliance

Revenue Optimization

Underpayments silently erode your revenue. We identify, recover, and help prevent future underpayments through contract compliance monitoring.

Underpayment identification vs. contracted rates

Re-open and re-bill legitimate underpaid claims

Periodic payer contract performance reviews

Recommendations for renegotiation opportunities

Physician & Hospital Billing Expertise

We understand the unique requirements and workflows for both professional and facility billing.

Physician / Pro-Fee Billing

Professional Services

Hospitalist, ED, OPD, telehealth, multi-specialty
E/M coding, procedures, modifiers, and place of service
Provider enrollment/credentialing support
MIPS/MACRA and quality measure assistance

Hospital / Facility Billing

Institutional Services

Inpatient, outpatient, day-care, diagnostic facilities
UB-04 claims, revenue codes, and charge masters
DRG/facility billing workflows and alignment
Medicare cost reporting and value-based programs

Prior Authorisations as a Dedicated Service

Authorization Management

Prior authorization delays cause revenue bottlenecks and patient dissatisfaction. We manage the entire process end-to-end.

Benefit verification and documentation gathering

Prior auth submission and tracking

Peer-to-peer coordination support (where aligned with client)

Dashboards on approval rates and turnaround times

Compliance, QA & RCM Consulting

Quality & Compliance

Beyond day-to-day operations, we provide audit, compliance, and consulting services to continuously improve your RCM performance.

Coding audits & documentation audits

Process audits for front desk, billing, AR

Policy and SOP creation

Training and knowledge base for client staff

Ready to Streamline Your Entire Revenue Cycle?

Let's discuss how Zebltech can transform your billing operations and maximize your revenue.

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