Catalyst RMC provides data-driven revenue cycle management services, including medical billing and coding, to healthcare providers across the United States. By utilizing robust analytics and personalized reporting, the company enhances financial transparency, reduces billing errors, and maximizes revenue for its clients.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers often face challenges in managing their revenue cycle effectively, leading to billing errors, reduced financial transparency, and ultimately, lost revenue. The complexities of medical billing and coding, coupled with evolving payer regulations, make it difficult for providers to optimize their revenue streams.
Solution
Catalyst RCM offers data-driven revenue cycle management (RCM) services designed to enhance financial performance for healthcare providers. The company provides comprehensive services and software that deliver transparent, comprehensive, and actionable data. By leveraging a consultative approach and robust data analytics, Catalyst RCM identifies areas for performance improvement, reduces billing errors, and maximizes revenue collection. Their personalized reporting underscores the synergies between operational and financial levers, providing insights to guide future actions and strategic decision-making.
Target Audience
Catalyst RCM primarily serves healthcare providers across the United States, including physician practices, ambulatory surgical centers, laboratories, and long-term acute care facilities.
Features
- Variable cost structure that aligns RCM expenses with revenue growth.
- Robust data analytics platform providing real-time business intelligence through Key Performance Indicators (KPIs).
- Personalized client reporting tailored to highlight successful performance metrics and areas for improvement.
- Enrollment services to assist with payer enrollment for claims and electronic data interchange.
- Eligibility and authorization services to avoid claim denials and reduced cash flow.
- Charge capture review to ensure accurate coding and prevent revenue loss due to improper billing.
- Medical coding services to ensure compliance with coding guidelines and carrier policies.
- Claims submission expertise across various insurance plans, including Fee-For-Service, HMOs, POS, and PPOs.
- Payment posting to ensure all services are reimbursed under payer contracts.
- Accounts receivable management with dedicated team members monitoring claim status and resolving potential issues.