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TuriyaRCM

Services

Specialized expertise, or the entire revenue cycle

Start with the workflow that hurts most, or hand over the full lifecycle. Every service carries the same quality plan, reporting cadence and compliance discipline.

Specialized services

Targeted engagements

Medical Coding Services

Certified professional and facility coders across inpatient, outpatient, E/M, specialty and HCC risk adjustment.

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Coding Auditing Services

Pre-bill and post-bill audits that surface accuracy gaps, compliance risk and missed revenue.

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Clinical Documentation Improvement

Documentation review, compliant queries and physician education that improve clinical specificity.

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Revenue Integrity / Optimization

Charge capture review, payment variance analysis and leakage recovery across the revenue cycle.

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End-to-End RCM Services

Front-end, middle and back-end revenue cycle operations delivered as one accountable program.

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TuriyaCode — AI-Assisted Coding

The TuriyaRCM coding automation module: autonomous code suggestion with coder-in-the-loop validation and continuous learning.

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TuriyaLMS — Learning Management

The TuriyaRCM training module: structured coding, CDI and denial-management learning paths with certification-aligned assessments.

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End-to-end RCM

The full lifecycle at a glance

Front end prevents. Middle submits. Back end resolves and feeds learning back upstream.

Front End

Clear the patient before the service happens.

  • Eligibility & Benefits Verification

    • · Patient eligibility verification
    • · Insurance and benefits verification
    • · Coverage validation
    • · Demographic validation
    • · Pre-service financial clearance
    • · Coverage issue identification

  • Prior Authorization

    • · Authorization requirement checks
    • · Prior authorization processing
    • · Clinical documentation collection
    • · Authorization status tracking
    • · Payer communication and follow-up
    • · Escalation management
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Middle

Submit accurate, complete claims the first time.

  • Coding

    • · Medical coding
    • · Coding validation
    • · Documentation review
    • · Coding quality assurance
    • · Specialty coding

  • Billing

    • · Charge entry
    • · Claim creation and scrubbing
    • · Claim submission
    • · Billing validation
    • · Payer-specific requirements
    • · Claim status monitoring
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Back End

Resolve, recover and prevent recurrence.

  • AR Management

    • · Insurance and patient AR
    • · Aging analysis
    • · Account and payer follow-up
    • · Underpayment identification
    • · High-dollar account management
    • · Aging reduction strategies

  • Edits & Rejections

    • · Claim edit management
    • · Rejection identification and categorization
    • · Corrective action and resubmission
    • · Root-cause analysis
    • · Trend reporting

  • Denial Management

    • · Denial identification and classification
    • · Denial investigation
    • · Clinical and documentation review
    • · Appeal preparation and submission
    • · Payer follow-up
    • · Denial analytics

  • Denial Prevention

    • · Denial trend and root-cause analysis
    • · Front-end issue identification
    • · Coding error and documentation gap analysis
    • · Payer rule monitoring
    • · Process improvement
    • · Staff and provider education
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Ready to talk about your revenue cycle?

Share your current pain points — denials, AR aging, coding backlogs or documentation gaps — and we will bring a specific point of view, not a generic pitch.

Talk to an RCM ExpertExplore Our Services