Operational and revenue cycle support built for hospitals.
Hospitals manage complex patient journeys, high volumes of services, multiple payer requirements and demanding administrative workflows. Reveloop provides operational and revenue cycle support across the patient-to-payment journey, helping hospitals strengthen processes, reduce administrative burden and maintain control over reimbursement.
Days
Days in AR
%
Clean claim rate
%
Denial rate
Less than
%
Cost to collect
%
Net collection rate
Built around the complexity of hospital operations.
Build a stronger foundation for every patient episode.
Hospital operations bring together patient access, clinical teams, payers and revenue cycle functions across a wide range of services and levels of care. Keeping these processes connected is essential to supporting efficient patient experiences, accurate billing and timely reimbursement.
Reveloop supports the operational processes behind that journey, helping hospitals manage everything from patient intake and authorization through claims, payment and payer audits.
Supporting the journey from patient access to reimbursement
From the first patient interaction through final payment and post-payment review, Reveloop supports the processes that keep hospital operations and revenue cycles moving.
Front End Operations
Create a stronger foundation for every patient encounter.
The front end sets the stage for the patient experience and the revenue cycle. Accurate information, verified coverage, coordinated scheduling and responsive patient support help hospitals begin each encounter on the right footing.
Data Entry
Maintained accurate patient, demographic, insurance and related information across operational systems.
Eligibility & Verification of Benefits
Verified coverage, benefits, payer requirements and patient financial responsibility before services were provided.
Scheduling
Coordinated appointments while aligning patient, provider, service and scheduling requirements.
Concierge Services
Provided responsive patient support to help patients navigate administrative processes and access the information they need throughout their healthcare journey.
Middle Operations
Keep care, authorization and documentation aligned.
Keep clinical, payer and billing requirements aligned.
Hospital services often require authorization, utilization review, clinical documentation and accurate charge capture to work together. Reveloop supports these processes to help reduce gaps before they affect reimbursement.
Authorization Management
Managed payer authorization requirements to support timely approval and continued coverage for services.
Utilization Review Management
Managed utilization review processes to help align patient care with payer requirements and coverage criteria.
Clinical Review
Reviewed clinical information against service and payer requirements to support appropriate authorization and reimbursement.
Daily Chart Audits
Reviewed patient charts for documentation gaps and inconsistencies that could affect compliance, billing or reimbursement.
Coding & Charge Submission
Applied accurate coding and submitted charges based on documented services to support clean and timely claims.
Back end Operations
Turn hospital services into accurate, collected revenue.
Once care has been delivered, effective back-end operations help hospitals manage claims, resolve reimbursement issues, maintain accurate accounts and respond to payer requirements.
Claims Management
Managed claims through submission, follow-up and resolution to support timely reimbursement.
Denial Management
Reviewed and worked denied claims to identify resolution opportunities and recover outstanding revenue.
Repricing & Negotiations
Reviewed reimbursement opportunities and supported payer negotiations to help hospitals pursue appropriate payment.
Payment Posting
Recorded payments, adjustments and related transactions to maintain accurate patient and payer accounts.
Patient Statement Billing
Managed patient statements and outstanding balances to support accurate and consistent patient billing.
Refund Management
Reviewed and processed eligible refunds to maintain accurate accounts and resolve overpayments appropriately.
Government Payer Post-Payment Audit Management
Managed post-payment audit requirements for government payers, helping hospitals review findings, prepare documentation and respond to payer requests.
Medicare Audit Management
Supported the review, documentation and response processes associated with Medicare post-payment audits.
Hospital Organizations We Support:
Operational support that scales with your organization.
Every hospital has its own mix of services, patient populations, payer relationships and operational demands. Reveloop provides flexible support across the processes that underpin hospital operations and reimbursement.
Acute Care Hospitals
Support the patient access, utilization, billing and revenue cycle processes associated with acute hospital care.
Health Systems
Extend operational capacity across multiple facilities, teams and revenue cycle functions.
Specialty Hospitals
Support the administrative and reimbursement processes associated with specialized hospital services.
Hospital-Based Services
Operational support for organizations managing residential behavioral health programs.
Operational Performance
Performance Standards Built Around a Stronger Revenue Cycle
Our RCM operations are guided by clear performance benchmarks across patient access, billing, reimbursement, and accounts receivable helping teams maintain consistency, visibility, and control throughout the revenue cycle.
Reveloop supports the operational processes behind that journey, helping hospitals manage everything from patient intake and authorization through claims, payment and payer audits.
Operational Metrics
AR aging over
120
Days
under 15%
In network quadrant
99%
performance
Out of network quadrant
47%
performance
Payment Operations under
02
Days
Payment Posting TAT
Charge Lag
2
Under
Days
DNFB/ Charges on hold
Under
3%
VOB TAT
30
Under
Minutes
Keep your hospital focused on patient care.
Reveloop helps hospitals manage the operational work behind the patient journey, from the first interaction through reimbursement and post-payment review.