Discover the pros and cons of AI-augmented risk adjustment and how tech + expertise drive results.

RCM solutions across payment models to meet your unique goals

Our single most important mandate is to prioritize your success. We build lasting partnerships by listening closely and coming up with workable, high-performing solutions that scale

Profession & Facility Fee-for-Service: Cost effective and Comprehensive

Improve compliance and revenue recognition with clinical documentation support embedded directly in providers’ current workflow for real-time support and rapid revenue recognition

Denial rate across all business lines
< 0 %
First pass rate
0 %
Decreased AR days from 40 to 28, accelerating cash flow
0

Eligibility Verification

Confirm coverage pre-service to reduce denials

Prior Authorizations

Clear procedures for insurer reimbursement quickly and accurately

Claims Management

Streamline submissions to speed up payments

Denials Management

Address denials quickly to recover delayed revenue

Patient Payments

Simplify collections to boost cash flow

Referral Management

Maintain continuity of care by ensuring appointments are made timely and specialists have all relevant patient information prior to the visit

Option to Deploy Staff Augmentation Services

Dedicated Chirok Health team members can act as fully-integrated members of an organization’s coding, billing or revenue cycle teams

Value-Based Care: Additional Services

HEDIS Quality Measure Abstraction

Ensure accurate data collection and reporting to meet compliance standards, improve care outcomes, and enhance performance across key healthcare metrics

Retrospective Review

Align patient health status with value-based care premium rate setting, ensuring compliance while maintaining overall financial integrity

Drive RCM Success with Reporting & Insights

Accurate coding and billing are vital to success, but it’s tough to do alone—leveraging external expertise allows
managing guideline changes efficiently, ensuring scalability, optimizing costs, and capturing opportunities

RCM Solutions

Gain Real-Time Insights

Up-to-date data on your financial performance to monitor key metrics and trends

Identify Areas for Improvement

Analytics to pinpoint inefficiencies and opportunities, paired with a plan to improve

Make Informed Decisions

Achieve sustained growth by meeting the demands of a highly regulated industry while keeping costs in check

Why Chirok Health for RCM Solutions?

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