Revenue cycle and operational support built for emergency medicine.
Emergency departments operate in a fast-paced environment where patient access, eligibility, clinical documentation, coding and reimbursement must move quickly. Reveloop provides operational and revenue cycle support designed to help emergency medicine organizations manage high-volume workflows while keeping reimbursement on track.
Days
Days in AR
%
Clean claim rate
%
Denial rate
Less than
%
Cost to collect
%
Net collection rate
Built around the pace of emergency medicine.
Build a stronger foundation for every patient episode.
Emergency medicine requires rapid coordination across patients, providers, payers and revenue cycle teams. Accurate information and efficient processes are essential when care cannot wait.
Reveloop supports the operational processes behind emergency medicine, helping organizations manage patient access, payer requirements, documentation and reimbursement across high-volume environments.
How we support you —The three stages
Front End Operations
Keep patient access moving from the moment of arrival.
Emergency departments need efficient administrative processes that capture accurate information while supporting timely access to care.
Data Entry
Maintained accurate patient, demographic, insurance, and related information across operational systems.
Eligibility & Verification of Benefits
Verified coverage, benefits and payer requirements to support accurate billing and patient responsibility.
Scheduling
Supported scheduling and administrative coordination where applicable to emergency medicine workflows.
Concierge Services
Provided responsive administrative support to help patients navigate registration, billing and related processes.
Middle Operations
Keep clinical documentation and billing requirements aligned.
The speed of emergency care makes accurate documentation, utilization processes and charge capture especially important to downstream reimbursement.
Authorization Management
Managed applicable payer authorization requirements to support coverage and reimbursement.
Utilization Review Management
Managed utilization requirements to help align services with payer coverage criteria.
Clinical Review
Reviewed clinical information against applicable payer and service requirements.
Daily Chart Audits
Reviewed documentation for gaps or inconsistencies that could affect coding, billing or reimbursement.
Coding & Charge Submission
Applied accurate coding and submitted charges based on documented emergency services.
Back-end Operations
Move high-volume claims through to payment.
Efficient back-end processes help emergency medicine organizations manage large volumes of claims, resolve denials and maintain accurate patient and payer accounts.
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 accounts.
Patient Statement Billing
Managed patient statements and outstanding balances to support accurate patient billing.
Refund Management
Reviewed and processed eligible refunds to maintain accurate accounts and resolve overpayments.
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.
Who we support within emergency medicine.
We support emergency medicine across hospital, freestanding and physician-led settings, helping organizations manage the demands of high-volume emergency care.
Hospital Emergency Departments
Support the high-volume patient access, billing and revenue cycle processes associated with hospital emergency care.
Freestanding Emergency Departments
Keep claims, denials and payer processes moving.
Emergency Medicine Physician Groups
Extend operational capacity across patient access, coding, claims and reimbursement for emergency medicine groups.
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 emergency care moving.
Reveloop helps emergency medicine organizations manage the operational work behind patient access, documentation, billing and reimbursement, so teams can stay focused on delivering timely care.