Complete Revenue Cycle Management
From first visit to final payment — we manage it all. A single solution to simplify your financial operations and maximize revenue.
Introduction
Managing your full revenue cycle — eligibility, coding, billing, follow-up, and collections — can quickly drain your time and energy. At Shangrila, we provide complete Revenue Cycle Management (RCM) that integrates every part of your billing and reimbursement process. From verifying insurance before the appointment to posting payments and handling patient balances, we work as your extended team. Our goal is to reduce errors, speed up cash flow, and give you full control over your practice’s financial health.
Key Features
- Insurance eligibility checks prior to appointments
- Expert coding and charge entry for accuracy and compliance
- Claim submission and tracking with real-time visibility
- Denial management and appeals to protect your revenue
- Payment posting and reconciliation for full financial clarity
- Patient billing and support to resolve remaining dues
Benefits
- Maximize reimbursements by optimizing every stage of the cycle
- Gain financial insight through custom reporting and dashboards
- Eliminate workflow gaps with a fully integrated solution
- Shorten your AR cycle and reduce bad debt
- Simplify operations by partnering with a single vendor
How It Works
Verify Patient Insurance
We confirm active coverage before services are rendered.
Capture and Code Charges
Services are documented, coded, and entered. .
Submit and Monitor Claims
Claims are sent to payers and tracked until resolution.
Handle Denials and Appeals
Rejected claims are analyzed, corrected, and resubmitted.
Post Payments and Bill Patients
Once payments are posted, remaining balances are billed to patients.