Revenue cycle and operational support built for specialized care.
Wound care and outpatient surgery organizations manage complex patient journeys, payer requirements, authorization processes and documentation demands while working to keep procedures moving and reimbursement on track. Reveloop provides operational and revenue cycle support across the patient-to-payment journey, helping organizations reduce administrative friction and maintain greater control over reimbursement.
Days
Days in AR
%
Clean claim rate
%
Denial rate
Less than
%
Cost to collect
%
Net collection rate
Built around the demands of specialized care.
For wound care and outpatient surgery providers, the work behind each procedure is just as important as the care itself. Patient information, benefits, authorization, documentation, charges and claims all need to remain aligned to support efficient operations and accurate reimbursement.
Reveloop supports these connected processes, helping organizations move from patient intake and scheduling through claims, payment and post-payment review.
Supporting the journey from intake to reimbursement
From preparing patients for care to managing reimbursement after services are delivered, Reveloop supports the operational processes behind the full revenue cycle.
Front End Operations (Before Care)
Support across the patient-to-payment journey
Accurate patient information, verified benefits and coordinated admissions help establish a stronger foundation for care and reduce preventable issues later in the revenue cycle.
Data Entry
Maintained accurate patient, demographic, insurance and related information across operational systems.
In-Network Benefits Verification
Verified coverage, benefits, payer requirements and patient responsibility for in-network services.
Out-of-Network Benefits Verification
Reviewed out-of-network coverage, benefits, and financial responsibility before services were provided.
Admissions & Scheduling
Managed patient admissions and scheduling processes while ensuring key information was captured accurately.
Middle Operations
Keep care, authorization and documentation aligned.
Keep authorization, documentation and charges aligned.
Once care begins, utilization review, authorization, documentation and charge processes need to work together. Reveloop supports these functions to help identify issues before they affect reimbursement.
Utilization Review & Authorization Management
Managed utilization review and authorization requirements to support coverage and payer compliance.
Daily Chart Audits
Reviewed patient charts for documentation gaps and inconsistencies that could affect billing or reimbursement.
Charge Submission
Reviewed and submitted charges based on documented services to support accurate and timely billing.
Prepayment Audit Management
Managed payer audit requirements before payment and addressed documentation or billing concerns identified during review.
Back end Operations
Turn completed services into collected revenue.
After care is delivered, effective back-end operations help organizations manage claims, resolve denials, address payer issues and maintain accurate patient accounts.
Claims Management
Managed claims through submission and follow-up to support timely and accurate reimbursement.
Denial Management
Reviewed and worked denied claims to support resolution and recover outstanding revenue.
Out-of-Network Repricing & Negotiations
Reviewed out-of-network claims and supported repricing and payer negotiations to pursue appropriate reimbursement.
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 billing.
Payer Post-Payment Audit Management
Reviewed and managed payer audits after payment to address requirements and protect reimbursed revenue.
Care Settings We Support
Operational support that fits your organization.
Wound care and outpatient surgery organizations operate across different care models and patient populations. Reveloop provides flexible operational and revenue cycle support across the processes that underpin these services.
Wound Care
Support the administrative and revenue cycle processes behind wound care services, from benefits verification and authorization through claims and reimbursement.
Outpatient Surgery
Support the patient access, authorization, charge capture and revenue cycle processes associated with outpatient surgical services.
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 specialized care moving.
Whether you’re looking to strengthen a specific part of your revenue cycle or need broader operational support, RevelooReveloop helps wound care and outpatient surgery organizations manage the operational work behind care, from intake and authorization to claims, payment and post-payment review. p can help.