Reveloop

CARDIOLOGY

Revenue cycle and operational support built for cardiology.

Cardiology organizations manage complex referrals, scheduled services, payer requirements and multiple stages of patient care. Reveloop provides operational and revenue cycle support across these processes, helping cardiology organizations keep patient access, clinical requirements and reimbursement connected.

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Clean claim rate

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Denial rate

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Cost to collect

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Net collection rate

Built around the demands of cardiology.

Build a stronger foundation for every patient episode.

Cardiology care often involves multiple services, appointments and payer requirements that need to stay coordinated. Accurate patient information, timely authorization, complete documentation and precise coding all contribute to a stronger revenue cycle

Reveloop supports the operational processes behind cardiology care, helping organizations move efficiently from patient access through reimbursement.

How we support you —The three stages

Front End Operations (Before Care)

Get every patient ready for care.

Accurate information, verified coverage and coordinated scheduling help cardiology organizations prepare patients for services while reducing avoidable administrative issues. 

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 administrative support to help patients navigate appointments, billing and related processes.

Middle Operations

Keep care, clinical requirements and charges aligned.

Authorization Management

Managed payer authorization requirements to support timely approval of covered cardiology services.

Utilization Review

Managed utilization requirements to help align services with payer coverage criteria.

Clinical Review

Reviewed clinical information against payer and service requirements to support appropriate authorization and reimbursement.

Daily Chart Audits

Reviewed patient charts for documentation gaps and inconsistencies that could affect compliance or reimbursement.

Coding & Charge Submission

Applied accurate coding and submitted charges based on documented cardiology services.

Back end Operations

Keep reimbursement moving after care is delivered.

Claims Management

Managed claims through submission and follow-up to support timely reimbursement.

Denial Management

Reviewed and worked denied claims to support resolution and revenue recovery.

Repricing & Negotiations

Supported payer repricing and negotiations to help pursue appropriate reimbursement.

Payment Posting

Recorded payments, adjustments and related transactions to maintain accurate patient and payer accounts.

Government Payer Post-Payment Audit Management

Managed post-payment audit requirements and responses for government payer reviews.

Medicare Audit Management

Supported documentation review and response processes for Medicare audits.

Medicaid Audit Management

Supported documentation review and response processes for Medicaid audits.

Care settings we support within Cardiology

We support cardiology organizations across physician practices, specialty groups and hospital-based settings, adapting to the needs of each care environment.

Cardiology Practices

Support patient access, authorization, billing and reimbursement across independent and physician-led cardiology practices.

Cardiology Groups

Extend operational capacity across multi-provider cardiology groups managing high volumes of patients and services.

Hospital-Based Cardiology 

Support the administrative and revenue cycle processes associated with cardiology services delivered within hospital settings

OPERATIONAL METRIC

AR aging over 120 days – under 15%

Payment posting TAT – under 2 days

In network quadrant performance- over 99%

Out of network quadrant performance – Over 47%

VOB TAT – Under 30 minutes

Charge Lag – under 2 days

DNFB/ Charges on hold – under 3%

Keep Your Cardiology Operations Moving.

From patient access and authorization to claims, payment and patient billing, Reveloop helps cardiology organizations manage the processes behind a stronger revenue cycle.

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