Trusted by Healthcare Teams • 40+ Payers • HIPAA Secure
Revenue Cycle Management
Services

Fast, Accurate Medical Billing

Your priority is providing exceptional patient care. Our priority is helping you achieve a healthier revenue cycle through accurate, efficient, and compliant medical billing services.

At Svizzera Healthcare Solutions, we provide comprehensive RCM services, including medical billing, insurance verification, medical coding, charge entry, denial management, payment posting, and accounts receivable follow-up.

Same-day charge entry · Zero charge lag

Daily reconciliation vs scheduled visits

Missing charge alerts in daily workflow

HIPAA-focused · BAA provided at onboarding

REVENUE CYCLE MANAGEMENT SERVICES

RCM Solutions Designed for Your Practice

End-to-end revenue cycle management covering every stage from patient scheduling through final payment collection.

Pre-Service Setup

Revenue Readiness

We build a strong revenue cycle foundation so your practice is fully prepared to deliver patient care while maximizing reimbursement and operational efficiency. From provider credentialing and payer enrollment to EDI/EFT setup and insurance eligibility verification — every prerequisite is handled before claims are submitted.

Clean Claims & Speed

Revenue Optimization

We streamline every stage of the billing process to reduce claim denials, accelerate reimbursements, and improve cash flow. Accurate medical coding, claims scrubbing, electronic submission, payment posting, denial management, and systematic AR follow-up — all managed by your dedicated team.

Actionable Data

Revenue Intelligence

Turn data into better financial performance with actionable insights, performance monitoring, and continuous process improvement. Detailed RCM reporting and analytics give you full visibility into denial trends, AR aging, collections, and payer-level performance across your entire practice.

Practice Growth

Revenue Growth & Practice Excellence

Drive sustainable growth with intelligent insights and continuous performance improvement. Revenue cycle consulting, denial prevention strategies, performance benchmarking, and proactive KPI monitoring help you identify opportunities and optimize your financial outcomes over time.

Provider Analytics

Practice Improvement

Empower your practice with meaningful insights that drive smarter decisions and better outcomes. Provider, payer, and location analytics combined with value-based care support and care gap analysis help you improve both clinical and financial performance across your organization.

Transparent Billing

Patient Experience

A seamless financial experience is an essential part of quality patient care. Clear patient billing and statements, patient engagement and recall programs, and transparent financial communication help improve patient satisfaction and reduce billing-related friction.

HOW IT WORKS

Your Revenue Cycle Managed End-to-End

From upfront insurance verification to denial appeals and final payment reconciliation, we manage every single step.

01Phase 01
Insurance Eligibility Verification

Insurance Eligibility Verification

Before services are rendered, we verify patient insurance coverage, benefits, copays, deductibles, and prior authorization requirements to prevent claim denials.

02Phase 02
Medical Coding & Charge Capture

Medical Coding & Charge Capture

Certified coders assign accurate ICD-10, CPT, and HCPCS codes. Charges are captured completely and compliantly for every encounter.

03Phase 03
Claims Scrubbing & Submission

Claims Scrubbing & Submission

Claims are scrubbed for errors, validated against payer rules, and submitted electronically to maximize first-pass acceptance rates.

04Phase 04
Payment Posting & Reconciliation

Payment Posting & Reconciliation

Payments are posted accurately, EOBs are reviewed, and discrepancies between contracted and paid amounts are flagged for follow-up.

05Phase 05
Denial Management & Appeals

Denial Management & Appeals

Denied claims are analyzed, corrected, and resubmitted. Formal appeals are filed with supporting documentation when required.

INDUSTRY INSIGHT
3–5%

of net revenue recovered by practices that implement systematic charge capture reconciliation.

Source: Healthcare charge capture industry research (2024). Recovery rates vary by practice size, specialty, and current charge entry processes.

WHY SVIZZERA

Why Healthcare Providers Choose Svizzera for RCM

Dedicated, named teams. No rotating agents. Full transparency. Measurable results.

Complete Lifecycle

End-to-End RCM Coverage

From patient scheduling and insurance verification through final payment collection and reporting — every stage of your revenue cycle managed under one dedicated team.

Real-Time Metrics

Transparent Performance Reporting

Monthly performance reports with approval rates, denial rates, AR aging, collections, and turnaround times. No vanity metrics. No hidden numbers.

Dedicated Pods

Named, Dedicated Teams

Your practice gets a named account manager and dedicated billing specialists who learn your payers, specialties, and workflow patterns.

100% HIPAA

HIPAA-Focused Operations

BAA provided before PHI access. Encrypted communications, role-based access controls, documented audit trails, and annual staff HIPAA training.

24-48h Submissions

Faster Reimbursements

Clean claims submitted within 24-48 hours. Denials worked within 48 hours. Systematic AR follow-up to reduce days in accounts receivable.

30+ Specialties

All Specialties, All Payers

Primary care, specialty practices, ASCs, infusion centers, multi-provider organizations. All commercial payers, Medicare Advantage, Medicaid MCOs.

MAJOR PAYERS WE SUBMIT TO

UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers
UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers
UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers
UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers
FAQ

Frequently Asked Questions

Answers to the most common questions healthcare organizations ask before partnering with Svizzera.