At Velora, we understand that managing a profitable medical practice requires more than just excellent clinical care—it requires a strong financial foundation. That’s why we offer comprehensive Revenue Cycle Management (RCM) Services that streamline your billing processes, reduce claim denials, and improve overall collections.

Our RCM solutions are built to ensure your practice gets paid faster and more accurately. We take care of everything from verifying patient insurance eligibility to submitting clean claims and posting payments—all while providing insightful financial reporting. Whether you’re a solo provider or a multi-specialty group, Velora helps you improve your bottom line and reduce administrative burden.

Here’s an in-depth look at our RCM service suite:

1. Billing and Collection

The heart of any RCM system is the billing and collection process. Velora provides end-to-end billing services that ensure timely reimbursement and efficient collection of patient and insurance payments.

Key Features:

• 🧾 Claims Preparation & Submission: We prepare and submit professional and institutional claims to payers electronically.
• 💬 Patient Billing: Timely generation and mailing of patient statements to ensure clarity and prompt payment.
• 📞 Follow-Up Services: Active follow-up on outstanding claims and patient balances to reduce aging A/R.
• ⚖️ Denial Management: Identification, appeal, and correction of denied claims to recover lost revenue.

Our experienced billing specialists work as an extension of your office, ensuring that every dollar earned is a dollar collected.

2. Charge Entry

Accurate charge entry is essential for maximizing reimbursement and avoiding delays. At Velora, we ensure that all services rendered are captured and translated into clean, billable charges.

Key Features:

• 🩺 Code Validation: Our trained coders review procedure and diagnosis codes for accuracy and compliance.
• ⚙️ Automated Workflow Integration: Charges are processed in real time from your EHR, reducing manual errors.
• 🗂️ Specialty-Specific Knowledge: We tailor charge entry processes to your specialty’s unique coding and billing needs.

This ensures your practice submits accurate claims the first time, reducing rework and speeding up reimbursements.

3. Claim Scrubbing

Before a claim goes out the door, it must be 100% accurate. Velora’s Claim Scrubbing service uses both automated tools and human expertise to check for errors and inconsistencies that could lead to denials.

Key Features:

• 🧠 Automated Rule Engines: Identify common payer-specific errors before claims are submitted.
• 👩‍⚕️ Manual Review by Experts: Our team ensures documentation supports coding and billing requirements.
• 📉 Rejection Prevention: Avoid delays by submitting clean claims on the first attempt.

By catching issues early, we help you improve your clean claim rate and reduce costly delays in payment.

4. Claim Submission

Once claims are scrubbed and validated, Velora handles the timely submission to insurance companies, clearinghouses, or government payers.

Key Features:

• 📤 Electronic and Paper Submissions: We handle all claim types based on payer requirements.
• ⏱️ Fast Turnaround Times: Claims are submitted daily to prevent backlog and keep cash flow steady.
• 🔄 Clearinghouse Integration: Real-time status updates ensure transparency and early detection of rejections.

We take the burden off your staff and ensure claims move efficiently through the revenue pipeline.

5. Eligibility Verification

One of the most common causes of claim denial is eligibility issues. Velora’s Eligibility Verification service ensures patients are covered before services are rendered.

Key Features:

• 🔍 Pre-Visit Insurance Checks: Verify eligibility and benefits in advance of appointments.
• 💼 Real-Time Verification: Instant access to copays, deductibles, and coverage limitations.
• 📋 Documentation of Coverage: Eligibility results are documented and shared with your team to prevent surprises.

This proactive approach reduces denials and ensures financial responsibility is clearly communicated upfront.

6. Financial Statement Reporting

Understanding your practice’s financial health is essential to making informed decisions. Velora provides comprehensive Financial Statement Reporting to give you complete visibility into your revenue cycle.

Key Features:

• 📊 Monthly A/R Reports: Know what’s been billed, collected, and still outstanding.
• 📈 Collection Performance Metrics: Track your collection rates, average reimbursement times, and denial trends.
• 📎 Customized Dashboards: Get reports tailored to your practice, specialties, and KPIs.

We don’t just process numbers—we help you interpret them to improve efficiency and profitability.

7. Payment Posting

After claims are paid, accurate Payment Posting ensures your accounts are up-to-date and discrepancies are flagged immediately.

Key Features:

• 💵 ERA and Manual Payment Posting: We post payments from electronic remittance advice (ERA) and manual EOBs quickly and accurately.
• 🚫 Denial Identification: Denied or underpaid claims are flagged immediately for follow-up.
• 🧾 Patient Balance Updates: Remaining balances are updated in real time to allow timely patient billing.

Accurate payment posting helps maintain clean ledgers, streamlines collections, and supports informed decision-making.

Why Choose Velora for Revenue Cycle Management?

Revenue Cycle Management is the financial engine of your practice—and Velora is here to keep that engine running smoothly. With our deep understanding of healthcare billing and insurance processes, we ensure that your practice maximizes every reimbursement opportunity while minimizing delays and errors.

Here’s what sets Velora apart:

• 🧠 Expert Staff: Our billing professionals, coders, and analysts are trained in specialty-specific billing and compliance.
• 🔄 End-to-End Services: From patient intake to final collections, we handle every aspect of the revenue cycle.
• 🔐 HIPAA-Compliant: Your data is protected with industry-leading privacy and security protocols.
• 📉 Denial Reduction: We proactively work to reduce denials, rejections, and appeals through clean claim submissions.
• 📊 Full Transparency: Real-time reporting and dashboards provide insight into your financial performance at all times.

The Results You Can Expect

By outsourcing your Revenue Cycle Management to Velora, your practice can expect:

• 💰 Increased cash flow and reduced accounts receivable
• 🕒 Shorter reimbursement cycles
• ✅ Fewer claim denials and rejections
• 🧘‍♀️ Less administrative burden on your internal team
• 📈 Better visibility into financial performance and opportunities for growth

Whether you’re a small clinic or a multi-location healthcare organization, we scale our RCM services to meet your needs and goals.

Let Velora Optimize Your Revenue Cycle

Navigating medical billing, insurance compliance, and payer policies is time-consuming and complex. Velora takes on that burden so your team can focus on what matters most—delivering excellent patient care.

Let’s build a partnership that strengthens your financial performance and streamlines your operations. With Velora, every claim is tracked, every dollar is pursued, and every patient interaction contributes to a healthier revenue cycle.

Contact Velora today to schedule a consultation and learn how our RCM solutions can elevate your practice’s financial future.