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SamITHealth
Enterprise RCM & Health IT Solutions

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 spend less time chasing revenue and more time on care.

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 checks, and advanced analytics to optimize cash flow and operational efficiency. Our team blends certified coders, physician advisors, and seasoned revenue cycle managers with AI-enabled automation to reduce manual work, accelerate claims turnaround, and improve reimbursement accuracy across ambulatory, acute and specialty practices.

Key ecosystem touchpoints include: patient access and eligibility verification; point-of-care capture and charge entry; ICD/CPT/HCPCS coding and clinical documentation improvement (CDI); claims submission with payer-specific edits; AR follow-up with root-cause analysis; denial appeals and recovery; and robust reporting that ties KPI improvements to financial outcomes. SamITHealth supports hybrid deployments — fully managed, co-managed, or technology-only — and helps clients converge people, process, and platform into a resilient revenue engine.

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 days in AR.
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 across all major commercial and government payers. Our global delivery model is designed to be flexible — supporting onsite, nearshore and offshore arrangements as needed by our clients.

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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