Health RCM services
The full revenue cycle.
Worked with purpose.
SAMG supports multi-specialty hospitals, billing teams, and RCM partners with services that cover the detail and follow-through behind a healthy revenue cycle.
Service scope
Open the work.
See what SAMG does.
Each service is designed as a practical operating area. Open a panel for the detailed activities the team can perform within your agreed delivery scope.
01Eligibility & benefits verification
Clarify coverage, benefits, and financial information before the account advances.
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Eligibility & benefits verification
Clarify coverage, benefits, and financial information before the account advances.
- Validate active coverage and member details
- Review co-pay, deductible, co-insurance, and benefit limits
- Check referral and authorisation requirements
- Record clear findings for the next team
02Charge entry & charge capture
Create timely, dependable billing records from approved source information.
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Charge entry & charge capture
Create timely, dependable billing records from approved source information.
- Enter charges from approved clinical or billing sources
- Check patient, provider, date-of-service, and location data
- Review charge completeness before billing
- Escalate unclear details for correction
03Coding & documentation review
Surface coding or documentation questions before they create payer delays.
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Coding & documentation review
Surface coding or documentation questions before they create payer delays.
- Review diagnosis, procedure, modifier, and provider information
- Check charge and code alignment
- Identify items requiring clarification
- Coordinate correction before billing
04Claims submission & edit follow-up
Move clean claims forward and work edits before they turn into aged balances.
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Claims submission & edit follow-up
Move clean claims forward and work edits before they turn into aged balances.
- Prepare and submit claims through the agreed route
- Monitor acknowledgement, acceptance, and rejection activity
- Research payer or clearinghouse edits
- Correct and resubmit eligible accounts
05Payment posting & reconciliation
Post payment activity accurately and make open balance issues visible for action.
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Payment posting & reconciliation
Post payment activity accurately and make open balance issues visible for action.
- Post ERA, EOB, EFT, and manual payment information
- Apply adjustments and patient-responsibility amounts
- Identify denials, underpayments, and variances
- Route exceptions into the appropriate A/R workflow
06A/R, denials & pre-collection
Focus receivables activity where it can advance the account and support recovery.
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A/R, denials & pre-collection
Focus receivables activity where it can advance the account and support recovery.
- Prioritise follow-up by age, value, payer, and reason
- Research denials and support appeals or reconsiderations
- Document account activity and next ownership
- Prepare eligible balances for pre-collection review
Flexible delivery
Direct hospital support
or third-party capacity.
SAMG can take on a full operating scope or strengthen individual functions where backlog, denial pressure, or workflow complexity needs focused support.
Discuss your service scope