Welcome to NWRCM

Northwest Revenue Cycle Management (NWRCM) is a boutique, full-service RCM outsourcer that leverages a blend of domestic thought leadership and international labor cost-efficiency to maximize the reimbursement of healthcare providers. By marrying US leadership, company culture, quality standards, and turnaround expectations with the economies of scale offered by international teams, they effectively deliver the best of both worlds free from the drawbacks of either.

NWRCM is most differentiated by their rigorous honesty, which is directed at themselves, payers, and their clients alike. They hold themselves to exceedingly high standards, backed by contractually guaranteed quality thresholds (95%+) and supported by robust staff training, education, and compliance testing. With payers, they are more comfortable than most at operating within the grey – aggressively holding payers to their contractual obligations and pursuing every legal method to pressure them into complete and timely reimbursement. And with clients, they go above and beyond the work they’re explicitly contracted to perform, using their experience with the client’s processes and documentation to diagnose inefficiencies and spearhead remediation.

In all three cases, NWRCM’s dedication in partnering with providers to uncover and remediate the true root causes of suboptimal reimbursement, regardless of where in the chain those issues lie, is emblematic of their client-first methodology. They are a boutique, high-touch partner at their core that is careful with their promises and the growth of their client list so as to never overextend and underdeliver. They’ve eschewed the “smoke and mirrors” expected of international teams in favor of continual process improvement and staff education investments. Fundamentally, they feel that it’s not enough to just maximize production numbers – the actual financial outcomes of the work must match or exceed those expectations.

Further strengthening NWRCM’s client-first commitments is the fact that they do not rely on function-specific teams to complete client work. Rather, each client has a dedicated team of subject matter experts that work as an extension of the client’s own staff. This gives them the space, time, and familiarity needed to understand the specific nuances of the client and the types of claims they bill for. These teams operate in a staggered fashion out of NWRCM’s facilities, matching the specific working hours of the client to ensure maximal availability. Said facilities are outfitted with robust biometric screening, CCTV feeds, and HIPAA-compliant cybersecurity measures to ensure sensitive patient data is protected.

The caliber of NWRCM’s teams also vastly outstrips the rest of their international peer, translating to consistently better outcomes for their clients. Whereas most outsourcers attempt to maximize their margins by understaffing and/or hiring green talent, NWRCM prides itself on hiring only the most qualified professionals. Staff are not only expected to have all the required certifications, but to pass NWRCM’s own set of internally developed subject matter exams to help combat credential fraud. NWRCM’s leadership consistently meets with their teams to instill in them a deep desire to understand “why” – why their processes are structured how they are; why that leads to better reimbursement for the client; and most importantly, why client claims are being denied or underpaid due to preventable errors. NWRCM’s teams use a combination of advanced RCM software and data analytics to verify the answers to those questions, passing that knowledge back to the client.

Testimonial

Testimonials Regarding NWRCM Services

Testimonial

..I cannot express the pleasure we have working with NWRCM. The work ethic, the communication and knowledge of the healthcare industry has had a dramatic impact on the Practice. Our Collections have increased dramatically, provider and staff satisfaction has risen, patients are happy that we fight to have claims re-processed reducing their liability are just a few of the attributes we benefit from working with truly professional organization.

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Our Services

NWRCM Services

Scope of RCM

In mature markets such as North America, RCM has become one of the most popular functions for healthcare providers to outsource, mainly due ...


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Medical Coding

The Billing Process represents the heart – the most integral portion – of the entire revenue cycle management value chain. It greatly....


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Insurance Verification

Our Team can handle new Enrollments, Completion of Credentialing Applications with Various Health Plans & Follow-Up Until Credentialed.                               

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Insurance Eligibility & Benefit Verification

NWRCM can assist practices reduce their denials and its accounts receivable cycle while increasing revenue. In the verification of benefits we dramatically reduce the impact of ineligibility.

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