Unified Healthcare Technology & Revenue Cycle Solutions
A connected operational continuum engineered to bridge clinical charting, administrative coordination, and financial performance across enterprise health groups and clinical practices.
Patient Check-In & 270 Inquiry
Real-time payer response parsed via EDI 271
Clinical Charting + ICD/CPT Rules
Structured encumbrance validation against local edits
Adjudication & Auto-Reconciliation
Direct 835 Remittance posting with CAS denial routing
The 6-Stage Operational Continuum
Healthcare revenue cycles break when clinical, billing, and follow-up teams function in silos. Jorvus synchronizes every touchpoint into a seamless feedback loop.
Patient & Practice Operations
Front-end validation capturing demographics, real-time primary/secondary eligibility (270/271), pre-authorization verification, and centralized appointment coordination.
Charge Capture & Documentation
Native Jorvus EHR or external clinical ingestion. Structured specialty templates, automated ICD-10/CPT linking, physician encounter completion metrics, and missing-charge audits.
Coding & Claims Generation
Certified AAPC/AHIMA medical coding verification, specialty modifier evaluation, clearinghouse claim pre-scrubbing, and rapid generation of ANSI ASC X12N 837P files.
Payer Processing & Adjudication
Direct clearinghouse tracking, 277 Claim Status notifications, automated Electronic Remittance Advice (ERA 835) cross-matching, contractual write-off audits, and secondary bill drop.
Denial Management & Resolution
Standardized Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) extraction, corrective medical record attachment, and rapid Level I/II appeals.
A/R Protocol & Practice Visibility
Continuous aging tranche follow-up (30/60/90/120+), payer rep escalations, real-time executive KPI dashboards, practice cash-flow clarity, and recurring executive reviews.
Engineered for Institutional Resilience & Bottom-Line Yield
Explore the exact operational mechanics behind our seven foundational healthcare service lines.
Revenue Cycle Management (RCM)
Operational governance across the entire fiscal lifecycle. We handle the end-to-end orchestration from registration validation through fee schedule maintenance and payer contract adherence.
Medical Billing Execution
Systematic charge entry, automated claim scrubbing against current NCCI and LCD/NCD edits, swift primary, secondary, and tertiary submissions, and managed patient billing statements.
Provider Credentialing & Privileging
Eliminate non-credentialed rendering write-offs. Primary source verification, CAQH profile maintenance, state licensing, DEA tracking, hospital privileges, and commercial payer panel applications.
Medicare Part B (MAC Enrollment)
CMS-855I form submission & verification
Blue Cross Blue Shield State Panel
In-network group link and fee schedule sync
Commercial Managed Care (Aetna / UHC)
Contract execution & effective date logging
Denial Management & Appeals
Denials are categorized into technical, clinical necessity, timely filing, or authorization errors. We execute formal redetermination packages with relevant clinical documentation to recover lost margin.
Accounts Receivable (A/R) Recovery
Structured follow-up protocols targeting delinquent claims across standard aging bands (30, 60, 90, 120+ days). Our specialists engage payer representative lines, trigger re-openings, and unblock stalled revenue.
Practice Management Coordination
Streamlining front-office scheduling logic, provider resource calendaring, patient reminder dispatch, co-pay collection controls, and centralized executive reporting for clean oversight.
Jorvus EHR Platform
Cloud-native electronic health record built from the foundation up to eliminate double entry. Clinical notes translate straight into clean billing charge slips without third-party integration lags or data dropouts.
Evaluate Your Current Revenue Cycle Infrastructure
Uncover uncollected reimbursement, denial concentrations, and workflow bottlenecks. Submit a sample billing batch for an objective, confidential audit by our revenue specialists.