Pointwest is a full-service healthcare revenue cycle business partner that adapts to your unique requirements of care. We provide the right resources needed to guarantee quality and support for your company needs as demands grow.

When inadequate processes, under leveraged technology and resources shortages get in the way of achieving your goals, Pointwest subject matter experts are critical to healthy operations and have the expertise to help.

Why choose Pointwest

for Revenue Cycle Management Services?

Global Delivery Model

With the Pointwest hybrid model, we have more flexibility in offering not only extended hours of operations but also cost efficiencies without compromising quality of work.

Innovative Technology Solutions

Pointwest enables you to thrive in the digital age by partnering with you to quickly respond to market changes and emerging opportunities with innovative, digitally-enabled business solutions.

Robust Reporting

Tired of incoherent reports that fail to paint the holistic view of your practice? Wanting to make data-driven business decisions? Gain unparalleled transparency into your operations’ financial health with our robust reporting.

Revenue Cycle Management
Services

Medical Auditing

With the ever-changing regulations in the modern healthcare industry, it is vital that your organization undergoes regular medical record auditing. Medical record auditing not only protects you from fraudulent activity, but it can also be used to reveal inconsistencies with national averages

Claims Submissions

Pointwest will focus on increasing clean claims submissions with claim error identification and ability to perform claim edits. With comprehensive batch and claims reconciliation processes, rapid reimbursement with electric claims submissions is possible.

Patient Access and Experience

With coverage criteria ever changing, Pointwest experts help you leverage a virtual eligibility and enrollment program to effectively increase enrollments, expand accessibility and guide patients through the complexities of government and commercial plan requirements.

Revenue Integrity

When payers reimburse less than your contract rate, these reductions in revenue add up over time severely impacting your bottom line. Pointwest can identify the root cause of these payment variances, put insurers on notice that future instances will be challenged, seal contract loopholes, and proactively drive expected reimbursement.

A/R and Denial Management

Our A/R Processing and appeal mechanisms are not just about managing receivables; they are about optimizing them. We combat tirelessly to ensure you get paid timely and righteously. Our Denial Management approach is analytical and actionable. We don’t just resolve denials; we get to their root, ensuring they do not recur.

Coding Charge Entry

Coding errors are one of the largest sources of waste and lost revenue for healthcare providers. Medical record auditing services can help you identify and eliminate many of these frequent coding errors. Our experts can detect patterns of downcoding or upcoding, both of which could negatively impact your business. Accurate coding also supports generating reliable healthcare data for research, analytics, and quality reporting purposes.

Here’s how
we help businesses

with their Revenue Cycle
Management

Revenue Cycle Services maximizes business functionally by working account receivables, claims denials, and managing cash flow to ensure a healthy bottom line for business enhancements.

Guiding your successes is our highest priority. With reliable account managers, client success implementation project managers, customer support and education departments, we ensure you are covered – from provider practices to enterprise facilities.

We believe in connecting with the healthcare community, patients, providers, payers, and technology innovators. Our direct connections enable us to provide healthcare facilities with the broadest of extended content regarding compliance and regulations changes to prevent payment delays and enhance profitability. We offer a full range of integrated patient billing and payment solutions.

#TakeITFurther

#TakeITFurther and learn more about our revenue cycle management services.
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Raul Ramos   Managing Director Angelica Landers   Director - Healthcare Solutions
Pointwest Technologies - US Pointwest Technologies - US

Founded in 2003 serving the IT-BPM industry, Pointwest builds possibilities and creates value for satisfied Fortune 100, Asian conglomerates, and local powerhouse clients with world-class IT and BPM services backed by international standards, methodologies, and innovative practices. Pointwest specializes in application development modernization, digital transformation consulting and solution, and automation-enabled BPM services.

Application Modernization | Data Engineering & AI-ML |
Cloud Strategy & Migration | Business Process Management