Revenue Cycle Management crafted for modern healthcare

SamITHealth's RCM suite transforms billing operations from claim submission through payment posting with deep domain expertise, modern automation, and a compliance-first approach — so providers can focus on care and revenue integrity.

Comprehensive RCM — long description

SamITHealth delivers an integrated Revenue Cycle Management offering that combines specialized clinical coding, payer-smart claims scrubbing, proactive denials prevention, medical necessity validation, and data-driven AR workflows.

Key ecosystem touchpoints include: patient access and eligibility verification; point-of-care capture and charge entry; ICD/CPT/HCPCS coding and clinical documentation improvement; claims scrubbing and payer rules; denials prevention and appeals; and revenue analytics that connect to financial reconciliation.

Coding
Coding & CDI
Certified coders and CDI specialists ensure compliant, complete clinical capture for optimal reimbursement.
Analytics
Analytics & Insights
Role-based dashboards and predictive models surface the highest-impact interventions and track recovery ROI.

Our RCM Services

End-to-end services built to measurably improve revenue capture and operational productivity.

Patient Access & Eligibility

Clearinghouse-grade insurance eligibility verification, benefits estimation and pre-certification to prevent revenue leakage before charges post.

Coding & Clinical Documentation Improvement

Coder + clinician model for accurate abstraction and evidence-based CDI to support medical necessity and reduce denials.

Claims Management & Scrubbing

Automated payer edits, claim bundling, coordination of benefits, and submission monitoring to increase first-pass acceptance.

Accounts Receivable & AR Follow-up

Prioritized AR workflows with KPI-driven outreach and payer negotiation strategies to accelerate collections.

Denials Prevention & Appeals

Root-cause denial analysis, targeted process fixes, and staffed appeals teams for complex recoveries.

Revenue Analytics & Reporting

Custom dashboards, automated KPI reporting and financial reconciliation that connect operational activity to net collections.

Selected Case Studies

Hospital case study
Large Regional Health System — 18% increase in net collections
SamITHealth implemented co-managed coding, automated claims scrubbing and AR prioritization. Within 9 months the client saw an 18% increase in net collections and a 26% reduction in DNFB.
Specialty clinic
Multi-specialty Clinic — 37% reduction in denials
Through focused CDI, real-time payer guidance, and denial appeals, the clinic reduced administrative burden and restored revenue from previously underpaid claims.

About SamITHealth

SamITHealth combines healthcare domain expertise with a modern technology backbone to deliver resilient revenue operations. We are HIPAA-compliant, SOC-ready, and follow payer-specific rules to minimize risk and maximize collections.

Compliance & Security

Encrypted data flows, strict access controls, and continuous audit trails ensure regulatory alignment and data protection.

Flexible Engagement Models

Technology-only, co-managed, or fully managed services to match organizational maturity and goals.

Contact Sales

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