Discover
We learn your specialty, systems, payer mix, and the challenges taking time away from care.
OUR SERVICES
Care for your patients. Support for everything behind it.
From the first eligibility check to the final payment, our connected revenue cycle services help your practice work with clarity and confidence.
Let’s talk about your practice
ORIANTHA HEALTHCARE SOLUTIONS · PEOPLE FIRSTBuilt around your practice
Every step deserves expert attention.
Choose focused support for a single workflow, or connect your entire revenue cycle with one team.
01 / RCM SERVICES01
Eligibility & benefits verification
Confirm coverage, understand patient benefits, and identify insurance requirements before services are provided.
- Active insurance eligibility and coverage dates
- Member, subscriber, and plan information
- Deductible and remaining deductible
02 / RCM SERVICES02
Medical coding
Translate clinical documentation into appropriate diagnosis, procedure, and service codes to support accurate claims.
- ICD-10-CM diagnosis coding
- CPT coding for documented procedures and professional services
- HCPCS coding for applicable services, supplies, and billable items
03 / RCM SERVICES03
Claims management
Manage claims from preparation and submission through corrections, status monitoring, payer follow-up, and resolution.
- Claim preparation and review
- Primary and secondary claim submission
- Rejected claim management
04 / RCM SERVICES04
Denial management
Review denial reasons, correct or appeal claims when appropriate, and identify recurring issues across your revenue cycle.
- Denial identification and detailed claim review
- Root cause analysis
- Claim correction and resubmission
05 / RCM SERVICES05
A/R follow-up
Work outstanding accounts, investigate payment issues, and follow up with payers to move unpaid claims toward resolution.
- Insurance claim and denied claim follow-up
- Aging A/R management
- Insurance verification and claim status review
06 / RCM SERVICES06
Patient billing
Manage patient balances, statements, payment posting, and billing questions with clear, professional communication.
- Patient balance review
- Patient statements
- Outstanding balance follow-up
07 / RCM SERVICES07
Provider credentialing
Support payer enrollment, credentialing applications, CAQH profiles, recredentialing, and provider information updates.
- Provider and payer enrollment
- Credentialing application support
- CAQH profile maintenance and updates
08 / RCM SERVICES08
Revenue analytics
Understand billing performance, payer trends, denials, outstanding A/R, and collections through organized revenue reporting.
- A/R and aging analysis
- Payer performance
- Denial analysis
YOUR SPECIALTY. YOUR WORKFLOW.
Support that fits the way you care.
Every specialty has its own documentation, payer requirements, and patient needs. We begin by understanding yours, then shape a workflow around your team.
A thoughtful transition
A clear path. A connected team.
From the first conversation to ongoing support, you should always know what happens next.
Build your plan
Together, we agree on responsibilities, reporting, priorities, and a realistic transition schedule.
Connect & launch
We organize access, document workflows, and work with your team through the handover.
Review & improve
Regular reviews keep you informed and turn recurring issues into practical improvements.
Ready for a cleaner claims week?
Bring a recent aging report. We will walk through denials, days in A/R, and a realistic cutover plan — no pressure pitch.