Sigma RCM is a trusted partner for healthcare organizations, offering cutting-edge revenue cycle management solutions. With decades of industry experience, our team of experts streamlines billing processes, maximizes reimbursements, and ensures regulatory compliance to drive financial success.
A distinguished global outsourcing firm dedicated to crafting extraordinary Customer Experience (CX) solutions for businesses across the globe. Immerse yourself in our commitment to excellence as we redefine the landscape of outsourcing.
We wholeheartedly embrace the transformative capabilities of automation. Seamlessly woven into our operational fabric, automation is the cornerstone of our commitment to enhancing efficiency, minimizing costs, and orchestrating a flawless customer journey.
A ‘One Stop Shop’ Offering.
We take care of your entire Revenue Cycle.
Provider Enrollment and Credentialing are crucial processes in healthcare administration, ensuring that healthcare providers are qualified, authorized, and enrolled to deliver medical services.
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Effective patient scheduling is essential in healthcare management, affecting patient satisfaction, provider efficiency, and clinic operations. It involves organizing appointments to maximize resource use and minimize wait times and conflicts.
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Prior Authorization and Eligibility Verification are essential in healthcare administration to ensure insurance coverage and provider payment. They help manage costs, prevent unnecessary treatments, and streamline billing.
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Accounts Receivable (AR) in healthcare refers to outstanding payments owed for services provided. Effective AR management is crucial for maintaining cash flow and ensuring financial stability.
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Medical Billing and Coding are essential processes in healthcare that ensure providers are reimbursed for services rendered and that patient records are accurately maintained.
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Payment Posting is a crucial part of medical billing, involving the recording of payments from insurance companies and patients into the healthcare provider’s accounting system. This ensures accurate tracking of financial transactions and proper revenue cycle management.
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Denial Management is the process of identifying, analyzing, and resolving denied or rejected claims from insurance companies. It involves understanding the reasons for denials, taking corrective action, and resubmitting claims to ensure timely reimbursement.
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Patient Financials refer to the financial aspects of healthcare services that directly involve patients, including billing, payments, insurance coverage, and financial assistance programs. Know More...
We recognize the challenges healthcare providers encounter. From analytics and automation to patient payments, we assist providers in maximizing revenue while minimizing workload. Join the hundreds of providers who have already transformed their revenue cycle with Sigma RCM today.
Our Core Values
At Sigma RCM, our core values define who we are, what we produce, and how we perceive the world
Lifetime Client Relationships
We aim to deliver services that foster long-term client loyalty.
Innovative Healthcare Software
We create simple, effective software solutions that enhance healthcare.
Transparent Relationships
We cultivate open and honest relationships with both clients and employees.
Unified Team Environment
We build a positive team culture that promotes collective unity.
Continuous Improvement
We are passionate and determined to improve every day.
Profitable Ingenuity
We generate profit through creativity, diligence, and determination.
Commitment to Healing
We believe healthcare is about healing people, and we each play our part
Sigma RCM KPIs AND BENCHMARKS
Tangible Provider Results
Sigma RCM commits with its esteemed customers to provide
Billing Lag Days < 24 Hours
Time from service date to claim submission is under 24 hours
Clean Claims Ratio > 95% Over 95% of submitted claims are error-free on the first submission
Rejections Rate < 1%
Less than 1% of submitted claims are rejected by payers
Days in Accounts Receivable (AR) < 30 Days
Accounts receivable remain outstanding for less than 30 days on average
Accounts Receivable > 90 Days < 10%
Less than 10% of total accounts receivable are outstanding over 90 days
Denials Rate < 5%
Rate of claim denials is kept under 5%
Net Collection Ratios > 95%
Collecting over 95% of collectible revenue
Real-Time Reporting
Customers have access to up-to-date revenue cycle metrics
Timely Payer Policy Validation
Payer policies validated promptly to avoid claim rejections
Issue Tracking and Escalation Metrics
Robust procedures for tracking and resolving issues efficiently