ARCW Solution:
Enhancing Revenue and Financial Performance

Revenue Cycle Development

  • Prior Authorization - securing insurance approval prior to providing services to assure claims are paid

  • Patient Registration - clinic and pharmacy enrollment, insurance documentation and verification, scheduling

  • Patient Financial Counseling - educating patients about their financial requirements to support care

  • Customer Service – training staff to ensure patients choose your clinic, and then return for future services

  • Charge Entry – charge capture, coding and submission

  • Collections – follow up with patients and payors to assure payment, payment posting,  follow up on denied claims, write-offs

  • Fee Schedule - establish and annually review a master schedule for all health care services and sliding fee schedule

Health Care Financial Management

  • Budgeting – annual projected visits, charges, collection rates, contractual adjustments and projected write-offs

  • Financial Accounting – posting payments, accruing revenue, reconciling billing and financial management systems

  • Provider Credentialing - enrollment of health care providers, medical and mental health, with payors

Capitalizing on Payment Reform

  • Medicaid - advocacy for care coordination reimbursement through a state plan amendment

  • Contract Negotiations - enrollment of medical clinic and pharmacy with health care payors



Contact Us

If you would like to learn more about how ARCW Solutions can partner with you, please contact Kate Vlahoulis at kate.vlahoulis@arcw.org or call 414-225-1567.