Outsource Revenue Cycle Management Services
End-to-End Revenue Cycle Management Services to Scale Your Practice
Stop revenue leakage, reduce your days in A/R, and achieve a 96.69%+ clean claim rate with WeCare’s proactive and technology-driven RCM solutions.
- Average Industry Denial Rate: 10%+
- WeCare Denial Rate: < 4%
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Unlock Your Practice's Full Earning Potential
We optimize every stage of your revenue cycle to ensure speedy reimbursements and a healthier financial future for your practice.
Accelerated Revenue Cycles
We help you to reduce days in Accounts Receivable (A/R) by 30%. Also, we ensure that all claims are submitted rapidly, predictably & consistently for maximum daily cash flow.
Zero Revenue Leakage
Avoid unnecessary losses due to denied claims because our certified coders will proactively identify and pursue every possible billable dollar to optimize your bottom line.
Unrestricted Practice Growth
Remove bottlenecks in back office processes and allow clinical staff to only focus on providing excellent patient Care without any billing issues.
Put an End to the Cycle of Stalled Claims and Unpaid Revenue
You try to work so hard, and you still can’t seem to get past the many barriers created by the aggressive payer denial strategy. In addition to the loss of potential profit from each delayed claim, there are hidden administrative costs and increased employee stress as well.
With WeCare, you can take back control of all of your RCM-related problems. With our AAPC-certified coders and cutting-edge technologies, we will help you submit clean claims. Furthermore, we offer seamless integration into your current EHR system, thereby rescuing those old claims and increasing your cash flow while maintaining full functionality of your systems during the transition.
The WeCare Team utilizes an end-to-end workflow to transform your billing cycle into a high-performance revenue engine.
Basics of an Effective RCM?
We optimize every stage of your revenue cycle to ensure speedy reimbursements and a healthier financial future for your practice.
Revenue Cycle Management (RCM) is the complete financial lifecycle of a healthcare facility. It tracks patient care stages from initial scheduling and eligibility verification through to final claim payment and achieving a zero balance.
Revenue Cycle Management for medical practices isn’t about sending a bill. It is the financial foundation of a practice. An optimized system will prevent revenue leakages, ensure payment is made as quickly as possible to reduce the amount of time in Accounts Receivable (A/R), and keep administrative burdens from developing on clinical staff.
Managing a successful revenue cycle requires dealing with an array of changing coding requirements, increasingly restrictive compliance laws, and aggressive payer denial processes.
These changes require ongoing training and education for practitioners working in the field and/or hiring professional personnel to ensure that the best possible reimbursement dollars are being obtained.
Securing every contracted dollar your providers actually earned.
Catching and appealing payer fee schedule discrepancies instantly.
Highly optimizing your overhead compared to in-house billing teams.
Eliminating massive revenue write-offs from missed submission deadlines.
What Our Complete RCM Services Include
With WeCare’s proven, complete workflow solution, turn your stressful and complex billing process into a highly productive, profitable revenue engine.
Provider Credentialing & Enrollment
We Care’s team handles all the paperwork that is needed to keep your physicians in-network, preventing costly out-of-network claim rejections and delays from payers.
Pre-Registration & Eligibility Verification
We verify that patients have active insurance coverage and that they have sufficient benefits to cover treatment before an appointment takes place, thus preventing front-end denials and obtaining copays right away.
Prior Authorization Management
Prior to treatment, we obtain necessary approvals from payers, removing all administrative bottlenecks and protecting against medical necessity denials.
Charge Capture & Medical Coding
All clinical encounters are coded correctly using the most up-to-date CPT, ICD-10, and HCPCS codes by We Care’s AAPC-certified coders to ensure complete compliance and the best possible reimbursement for all clinical encounters.
Claim Scrubbing & Electronic Submission
We use advanced clearinghouse technology to review each claim submitted for accuracy prior to submission to payers; therefore, 96% + of all claims submitted are error-free prior to payer submission.
Proactive Denial Management
Instead of simply resolving denied claims, our specialists will aggressively appeal these claims as well as conduct a thorough root cause analysis to eliminate the possibility of similar issues occurring in the future.
Aggressive A/R Follow-Up
Specialists employed by WeCare actively pursue your 30, 60, and 90+ day aging buckets to recover “stuck” revenue and significantly reduce days in accounts receivable.
Payment Posting & Patient Statements
We quickly process ERAs and manual payments so that your ledger is always balanced while expertly managing patient balances and creating clear statements.
Custom Financial Analytics & Reporting
Obtain 24/7 visibility into the financial health of your practice. Real-time dashboards provided by WeCare track net collection percentages, first pass resolution percentages, and total profitability.
Specialized Billing for Your Exact Medical Niche
Generalist billers lose your money because they lack specialized knowledge. Our AAPC-certified coders are knowledgeable about the specific modifiers, complex documentation standards, and unique payer guidelines applicable to your specialty-specific needs.
Specialties We Master:
- Orthopedics & Sports Medicine complications)
- Primary Care & Internal Medicine
- Cardiology
- Dermatology
- Urgent Care Centers
- Ambulatory Surgery Centers (ASCs)
- Behavioral Health & Psychiatry
- Gastroenterology
Don’t see your specific discipline listed? Reach out to discover how our specialty-specific coding teams can seamlessly adapt to your unique practice requirements.
How It Works
WeCare's "Zero-Downtime" Onboarding Process
We understand that the fears associated with interrupted cash flow cause many practices to switch their billing partners. Therefore, we developed a seamless transition methodology that ensures your revenues continue flowing without missing a single beat during your transition.
Deep-Dive Revenue Diagnostics
Prior to assuming responsibility for your billing activities, we conduct an anonymous review of your historical billing records in the background. We find immediate revenue leaks; identify coding deficiencies; and quantify outstanding accounts, all without interfering with your current staff.
Frictionless EHR Synchronization
There is nothing new for your clinical personnel to learn regarding new software systems. Our technical specialists establish a 100 % HIPAA compliant link with your current EHR systems and map our workflows into those same systems automatically.
Live Handover & Legacy Rescue
We take over your daily billing functions with no interruptions in submitting claims. At the same time, a separate task force addresses your backlog of legacy accounts receivable, injecting the collected cash into your practice immediately.
Why Practices Trust Us With Their
Financial Health?
Trust must exist when you transfer responsibility for managing your revenue cycle. We create our partnerships based on radical transparency, superior billing expertise, and strong data security, all designed to protect both your financial base and your professional reputation.
Bulletproof HIPAA & CMS Compliance
Protecting patient information is our number one concern. We operate in strict compliance with all HIPAA protocols, CMS regulations, and OIG frameworks to help you minimize the risk of regulatory liability and audits.
Enterprise-Grade Data Security
Beyond meeting standard compliance requirements, we protect your business interests with enterprise-grade encryption, industry-leading secure cloud hosting, and continuously monitored vulnerabilities, assuring that all of your financial information will remain protected against cyber attacks.
Performance-Aligned Partnership
We make our financial success contingent upon yours. By using a performance-based fee structure, we earn our fees only when you receive payment for services performed, thus motivating our team to ensure complete, accurate revenue capture for every legitimate service you provide.
Total Financial Transparency
Don’t ever take a wild guess about how much money you’re making. With our secure, 24-hour access to your live reporting dashboard and full view of your Key Performance Indicators (KPIs), you will be able to see exactly what is happening with your cash flow at all times.
AAPC-Certified, Specialized Coders
We don’t use “generalists” for coding your claims. The certified coding specialists who work on your claims have expertise in the precise nuances, modifiers, and complex payer rules applicable to your medical specialty.
Dedicated Strategic Account Management
At WeCare, you will be assigned a dedicated, proactive account manager who will work with you personally throughout the year to optimize your practices’ financial health and immediately resolve any issues that may arise.
Fix your RCM with WeCare...
Stop losing revenue to avoidable denials and start maximizing your total practice profitability today.
What They’re Talking About Us?
Frequently Asked Questions
Questions? We’ve got you covered
Unlike many other companies, our billing service operates using a completely transparent, performance-based percentage of your net collected revenue (not billed charge). Therefore, there are never any upfront setup fees, software licensing fees, or seat minimums charged. And just to make it perfectly clear, we only get paid when you do.
Our billing professionals are able to easily interface with all of the major electronic Health Record (EHR) systems currently available, such as Epic, eClinicalWorks, AdvancedMD, Athenahealth, and Cerner. So, whether you’re using one system now or multiple systems later, we’ll fit right into whatever systems you’re using today, so you won’t need to worry about moving your data from one system to another or training your staff on new software.
Yes. In addition to using certified AAPC coders, each of them has been specifically trained on the unique documentation needs of specialties such as Orthopedic Surgery, Cardiology, Dermatology, Surgical Centers, and other specialties as well. That way, you can trust that they will accurately perform the coding of even the most complex, high acuity procedures for the highest possible amount of reimbursement allowed.
We manage patient liability with respect and professionalism. Whether it’s providing patients with a pre-service estimate for services provided, creating and sending statements automatically, or answering patient inquiries regarding their bill via inbound telephone support, we’ll help collect outstanding patient liability while helping protect your reputation.
No. While some companies may want you to sign a contract for three years or longer because they are trying to keep you locked in with their company for years, we believe that if we do an excellent job managing your finances for you every month, then you should choose to continue working with us because you want to and not because you are required to.
As such, we offer a variety of flexible agreement options that include no punitive multi-year lock-in provisions and/or hidden exit fees, which means that you will have the least amount of risk when entering into a partnership with us.
Our Compliance Officers continually watch federal and state guidelines to ensure that our clients’ Good Faith Estimates, prior authorization requests, and claim submissions comply fully with the Federal No Surprises Act and also vigorously negotiate disputed amounts owed by out-of-network payers on behalf of our clients.
Stop Giving Insurance Payors a Zero-Interest Loan
Let our experts look under the hood of your billing workflow. We’ll identify hidden revenue leaks, pinpoint coding gaps, and show you exactly how much cash is trapped in your current system, all with zero disruption to your daily operations.
No setup fees. No risk. Just results.