Solutions — Healthcare Revenue Cycle Management
Every Denied Claim Is Revenue Left Behind.
EXCO supports healthcare providers across the revenue cycle, from credentialing and eligibility to billing, claims and payment posting, with reporting that shows exactly where revenue leaks.
- Revenue Cycle Management
- Medical Billing & Coding
- Credentialing
- Insurance Eligibility
- Claim Management
- Payment Posting
The Problem
Revenue Leaks at Every Stage of the Cycle.
Missed eligibility checks, coding errors, slow follow-up and unposted payments each cost a little. Together they create a large gap between care delivered and cash collected.
EXCO combines trained RCM specialists with data and reporting, so every claim is tracked and every leak is visible.
Eligibility not verified
Claims are denied because coverage was not checked before the visit.
Coding errors
Incorrect or incomplete coding leads to denials and underpayment.
Slow claim follow-up
Unworked denials age past filing limits.
Unposted payments
Payments and adjustments are posted late or incorrectly.
No visibility
Leaders cannot see days in A/R, denial rates or collection trends.
Our Approach
Assess First. Build in Sprints. Run It Properly.
We start inside your business, not with a template. Every solution follows the same disciplined delivery model, so you see working output early and own a documented, maintainable result.
- 01
Deep-Dive Discovery
We work alongside your teams to understand how your business really runs, its systems, people and pain points. Every solution is built around that, never a template.
- 1–3 weeks
- On-site or remote
- 02
Design & Blueprint
Agree the target architecture, data model, scope, budget and success measures before any build.
- Architecture
- Success metrics
- 03
Build in Sprints
Two-week sprints with a working demo at the end of each one. No big reveal at the end.
- 2-week sprints
- Agile delivery
- 04
Test & Validate
Every output is reconciled and tested against source data and business rules before go-live.
- Data testing
- UAT
- 05
Go Live & Hand Over
Controlled release with documentation, training and knowledge transfer to your team.
- Runbooks
- Training
- 06
Operate & Improve
Keep it yourself, or let EXCO monitor, support and extend it under a managed service.
- Managed service
- Continuous improvement
What We Deliver
Six RCM Services. One Accountable Partner.
Each service can be delivered on its own or as an end-to-end revenue cycle programme.
Clinical Credentialing Verification
Provider enrolment and credentialing with payers, tracked to completion.
- Provider enrolment
- Payer credentialing
- Re-credentialing tracking
- Document management
Insurance Verification & Eligibility
Coverage and benefits checked before the visit to prevent avoidable denials.
- Eligibility checks
- Benefits verification
- Prior authorisation support
- Patient responsibility estimates
Medical Billing & Coding
Accurate coding and clean claim submission, reviewed against payer rules.
- Medical coding
- Charge entry
- Claim scrubbing
- Clean claim submission
Collections & Claim Management
Systematic follow-up on unpaid and denied claims until resolved.
- Denial management
- A/R follow-up
- Appeals preparation
- Aged claim recovery
Payment Posting
Accurate, timely posting of payments, adjustments and remittances.
- ERA / EOB posting
- Adjustment posting
- Payment reconciliation
- Underpayment flagging
RCM Analytics & Tailored Software
Dashboards and tailored tools that show where revenue is lost and why.
- Days in A/R tracking
- Denial root-cause analysis
- Collection trend reporting
- Tailored workflow software
Typical Engagements
Revenue Cycle Outcomes We Work Towards
Healthcare · Front Office
Eligibility Verification Desk
Pre-visit eligibility and benefits checks for scheduled appointments.
Goal: Fewer eligibility-related denials
Healthcare · Back Office
Denial Management Programme
Aged denials worked by root cause with appeals where justified.
Goal: Faster recovery of denied revenue
Healthcare · Analytics
RCM Performance Dashboard
Days in A/R, denial rate and collections in one weekly dashboard.
Goal: Clear visibility of revenue leakage
Healthcare · Providers
Credentialing Catch-Up
Backlog of provider enrolments organised, submitted and tracked.
Goal: Providers able to bill sooner
FAQ
Common Questions
Can RCM be outsourced to Bangladesh?
Yes. Our Dhaka-based RCM specialists work in your systems and hours, with role-based access and weekly performance reporting.
How is patient data protected?
Access is role-based and logged, and our team works within your systems and security policies.
Related
Paired With the RightSolutions & Services.
Industry
Healthcare
Revenue cycle management, credentialing, billing and coding, claims and tailored software for providers.
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Software Development
Web and app development, ERP, call management apps and tailored business software, tested and supported.
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Data Visualization & BI
Dashboards, visual analytics and KPI frameworks on Power BI, Tableau, Superset or any leading BI platform.
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Business Automation
Workflow automation and robotic process automation that remove repetitive manual work.
ExploreFor US, UK, EU & Middle East clients
Senior engineers with up to 14 years' experience, at a fraction of US, UK or European rates, with working hours that overlap yours.
For Bangladeshi businesses
The same international-standard team that serves global clients, with special local pricing in BDT.
Contracted SLAs, honest billing
Response times and deliverables are written into your contract. If we miss a contracted SLA, you don't pay for that incident. No hidden charges.
Close the Gap Between Care and Cash Collected.
Tell us where your revenue cycle hurts most. We will show you how to fix it.