Healthcare RCM Capabilities & RFP Resources
Everything You Need to Evaluate a Revenue-Cycle Partner.
DIJINATION provides information for healthcare organizations evaluating managed revenue-cycle and operational support.
Where We Support Your Revenue Cycle
Front-End Revenue Protection
Revenue protection starts before the patient receives care.
- Eligibility verification
- Benefits verification
- Registration QA
- Insurance discovery
- Prior authorization
- Referral verification
- Financial clearance
- Pre-service account review
- Documentation coordination
- Exception escalation
Mid-Cycle Operations
Improve the operational handoffs that affect clean claims and reimbursement.
- Billing support
- Coding support
- Charge review
- Documentation coordination
- Claim preparation
- Workflow management
- Quality assurance
- Exception handling
Denials & A/R
Recover revenue while identifying the causes of preventable denials.
- Denial classification
- Denial workqueues
- Root-cause analysis
- Payer follow-up
- Appeal support
- Documentation retrieval
- Underpayment review
- Pre-service account review
- Aging A/R
- Recovery reporting
Patient Financial Services
Support patients while protecting the organization’s financial performance.
- Patient financial calls
- Insurance questions
- Balance inquiries
- Payment-plan support
- Financial assistance screening support
- Pre-service outreach
- Post-service outreach
- Escalation management
- QA and reporting
Your Existing Systems. Our Managed Operations.
Dijination works alongside your existing environment.
We can support workflows involving:
Electronic Health Records (EHR)
Practice Management
RCM Platforms
Payer Portals
Communication Systems
Existing Internal Teams
A Practical Way to Start 90-Day Revenue Protection Pilot
Choose one operational area.
Establish a baseline.
Deploy the appropriate team.
Measure agreed KPIs.
Review the results.
Scale only if the business case is demonstrated.
