Revenue Cycle Management

Maximize Reimbursement Opportunities with Confidence.

Dedicated teams of certified coders to maximize revenue and improve accuracy.

Quality-Focused Services to Scale your RCM & Coding Teams

Explore our suite of services to solve for unique needs

Full-Service Coding Services

Risk Adjustment & HCC Coding

Outpatient Coding, Facility, Professional Fee

Inpatient Coding

CDI & Provider Education

Intake & Patient Registration

Home Health Coding

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Denial Management

Highly-skilled and experienced registered nurses resolving denials across State Authorization, Coding, and Medical Necessity aspects

UM, Pre Auth, Pre-Service & Post-Service Verifications

Efficient UM Clinical Reviews across different specializations, including pre- and post-service checks done by highly skilled, experienced Registered Nurses

Charge Capture

Ensures documentation and accurate capture of appropriate charges related to procedures

Telehealth & Remote Patient Monitoring

Ensuring delivery of quality care through telehealth, remote patient monitoring, case management support, and care coordination

Medical Records Management

Assisting your medical record management needs (i.e. intake, retrieval, sorting, tagging, etc.)

Home Health Care

Providing and enhancing processes for intake services, OASIS management, coding, patient education, and scheduling

Poor Quality is Costly. At Shearwater Health, Quality is Our Top Priority.

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Accuracy Score Verified by 3rd Party Audits

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Credentialed Coders & RCM Practitioners

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RCM Tasks Completed Annually

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Years of Management in CDI/ Coding Education

We Understand the Current Landscape

Coder Shortages Lead to Poor Quality

Poor quality makes it difficult to maximize revenue.

Increased Operations Costs

Financial pressure due to fluctuating patient volumes and labor market.

Delayed Revenue

Revenue leakage owing to late and/or inaccurate claims submission and denied claims.

Quality RCM Coding

Partner with us to Deliver Quality Outcomes at Scale

People

All our Coders are certified through AHIMA or AAPC

Our Coding Educators bear up to 10 years average professional experience

Our Coding Certification Programs boasts of >95% average pass rate for the last 5 years

Coding talent from certification programs bears >90% Industry-leading retention rate

Process

Identify and hire the best talent

Robust quality and training platform

Clear reporting

Six Sigma strategy and efficiencies

Opportunity to implement concurrent coding

Result

Reduce Cost with 30-60% savings

Improve cash flow through consistent turn around time compliance and reduce DNFB

Increase reimbursement through improved quality

Reduce burden of recruitment and people management

Our Accreditations & Certifications

Health Utilization Management Certification

08/01/2027

Workers' Compensation Utilization Management

04/01/2027

Still Unsure? See Us In Action!

Review our real-life examples of custom solutions we have created for revenue cycle management clients just like you.