Comprehensive Revenue Cycle Services
Options RCM offers a full spectrum of services designed to enhance accuracy and efficiency at every stage — from front-end processes to final payment. Hospitals can choose targeted support for specific areas or partner with CHC Consulting for complete end-to-end management. Each service is tailored for rural and community hospitals, combining advanced technology with proven processes to deliver measurable financial results.
Front End
Registration • Verification • Pre-Authorization • Medical Necessity • Price Estimator
Revenue cycle success begins at the first patient interaction. Options RCM strengthens front-end processes with tools and expertise that ensure accuracy from the start. Our solution helps you verify insurance coverage, confirm authorizations, and document medical necessity before services are provided to reduce denials and delays. Automated verification and price-estimation tools improve transparency for patients and predictability for your finance team, resulting in faster reimbursement and stronger cash flow.
Pre-Bill
Clean Claims • Authorization • Discharged Not Final Billed • Coding
Before a claim is sent, accuracy and compliance are critical. Options RCM streamlines pre-bill processes by ensuring authorizations are secured, DNFB accounts are cleared promptly, and coding fully supports compliant billing. Quality checks catch missing documentation and discrepancies early, minimizing rework and preventing denials. Your gains include improved revenue integrity, shorter A/R cycles, and reduced compliance risk, without adding headcount.
Billing & Follow-Up
Account Billing • Resolution
Even the most efficient hospitals can lose revenue between billing and payment. Options RCM manages billing and account follow-up to ensure claims are submitted promptly, tracked effectively, and resolved quickly. Our dedicated billing team works directly with payers to resolve rejections, address underpayments, and follow aged claims. Transparent reporting provides hospital leadership with visibility into outstanding accounts and measurable improvements in cash performance.
Cash Posting
Daily RA Posting & Balancing
Accurate payment posting is essential for reliable financial reporting. Options RCM performs daily remittance advice (RA) posting and balancing to ensure all payments are applied correctly and variances are addressed immediately. Our structured reconciliation process prevents posting backlogs, supports timely month-end close, and gives CFOs an up-to-date view of cash flow and payer trends.
Denial Management
Track, Trend & Resolve Technical and Clinical Denials
Denied claims create avoidable revenue loss and administrative strain. Options RCM uses analytics and root-cause tracking to identify why denials occur, then develops and delivers targeted staff training and education or recommends process improvement solutions that prevent recurrence. Our experts resolve both technical and clinical denials quickly while monitoring payer behavior to improve accountability. Hospitals recover lost revenue, reduce write-offs, and gain actionable insight to strengthen long-term performance.
Payment Validation
Payment Validation • Payer Contract Management
Accurate payments protect margins and support financial integrity. Options RCM validates each payment against payer contracts, modeling expected reimbursement and flagging underpayments or variances. We maintain contract data and monitor payer compliance to ensure hospitals receive appropriate payment for every claim. Leadership teams gain assurance that reimbursements are accurate and the data to support more effective payer negotiations.
Revenue cycle management is more than a “back-office” function, it’s a driver of financial stability. Yet many rural and community hospitals face familiar challenges with their revenue cycle: limited staff, outdated systems, and payer denials that delay or reduce reimbursement.
