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RCM Services

Lighting your claims with Experts

Precision-driven Revenue Cycle Management designed to maximize your collections and eliminate billing complexities.

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HEALTHTRACK | REAL-TIME ANALYTICS
Total Revenue Q4
$6.84M
+22.5%
Patient Volume
3,800
+15.8%
REVENUE BY DEPT
● Radiology ● Cardio ● Ortho ● Other
GROWTH DRIVERS
Claims92%
AR Recovery85%
KEY METRICS TREND
WEEKLY PERFORMANCE
30%+ Average Revenue Growth
95%+ Reduction in Denials
2x Faster Reimbursements
99.8% Accuracy Rate

Streamline and Optimize Financial Performance

Light Healthcare addresses the unique financial challenges faced by modern healthcare practices through a comprehensive, 8-step Revenue Cycle Management system designed for precision and speed. We focus on maximizing your revenue so you can focus on your patients.

Insurance Verification

Insurance Verification

Stop claim denials before they happen. Our team performs multi-step eligibility checks 48 hours before patient visits to ensure accurate billing and patient peace of mind. We verify coverage, co-pays, and deductibles to prevent front-end rejections.

Medical Coding

Precision coding by certified experts. We utilize advanced medical necessity scrubbing and stay current with all NCCI edits and HCPCS updates to maximize legal reimbursement. Our coders ensure compliance with the latest ICD-10 guidelines.

Medical Coding
Claim Submission

Claim Submission

Fast, error-free submissions. With a fleet of dedicated associates and a 48-hour filing window, we ensure your claims reach payers with unmatched speed and accuracy. Electronic submissions directly to clearinghouses minimize delays.

Payment Posting

Total financial transparency. We provide swift and accurate reconciliation of ERAs and EOBs, ensuring every dollar is accounted for in your secure software. Daily balancing prevents revenue leakage and keeps your books current.

Payment Posting
Denial Management

Denial Management

Recover every cent. Our data-driven approach minimizes revenue leakage by identifying root causes and aggressively appealing denials within 24 hours. We don't just fix denials; we prevent them from recurring.

AR Management

Relentless pursuit of aging accounts. We maintain a seamless workflow for tracking unpaid claims and patient balances, recovering revenue that others leave behind. Strategic focus on 30/60/90 day buckets ensures steady cash flow.

AR Management
Underpayment Analysis

Underpayment Analysis

Capture the remaining 20%. We perform deep-dive audits to recover underpayments that often require significant effort but yield high returns. We ensure payers adhere to their contracted rates and fee schedules.

Customized Reports

Insights that drive growth. Go beyond standard software defaults with our MIS-driven reports, giving you a clear view of your practice's financial health. Transparent analytics empower you to make data-backed business decisions.

Customized Reports

The Light Healthcare Transformation

See the measurable impact we deliver within the first 90 days of partnership.

BEFORE LIGHT HEALTHCARE
  • 22% Denial Rate Inconsistent coding and eligibility checks causing high rejections.
  • 45-Day AR Cycle Slow payment posting and lack of follow-up on aging accounts.
  • Limited Visibility Vague reports with no clear insights into financial performance.
AFTER LIGHT HEALTHCARE
  • < 3% Denial Rate Clean claims guaranteed through multi-step precision scrubbing.
  • 18-Day AR Cycle Aggressive 48-hour filing and daily payment reconciliation.
  • Real-time Analytics Custom MIS reports providing total financial transparency.

PARTNER WITH LIGHT HEALTHCARE TO SIMPLIFY VALUE-BASED CARE

FREE CONSULTATION