Revenue Cycle Management
End-to-end management from patient eligibility and co-pays to coded claims, payment posting and collections, freeing your staff to focus on patient care.
Seamless synergy of data, technology and people
Revenue cycle management for UAE healthcare providers. Our certified coders and claim QC validation check every claim before it reaches the payer, so you get paid right the first time while you focus on your patients.
Quality is built into the process, not added at the end. The QC validation step catches errors before submission, when they are cheapest to fix.
Claims data entry and medical records scanning
Certified coders assign ICD-10, CPT, HCPCS and DRG codes
Claims checked against coding, medical necessity and payer rules
Clean e-claims submitted to payers on time
Rejections corrected and resubmitted quickly
Payment reconciliation and denial analysis reports
Most denials come from avoidable errors: a code mismatch, a missing authorization, a payer rule nobody noticed. Our claims scrubber and coding specialists review every claim against these rules before it is submitted, following UAE regulatory requirements and international best practice.
Diagnosis and procedure combinations checked across ICD-10-CM/AM, CPT, HCPCS, DRG and DSL code sets.
Confirms the documented diagnosis supports each service billed, before submission.
Verifies patient coverage, benefits and that required prior approvals are in place.
Applies payer-specific rules, contract terms and submission requirements.
Checks that medical records support every service claimed, and flags gaps.
Coding quality assessments against best practice and the latest audit guidelines.
Automated pre-submission rule checks on every claim.
Flagged claims corrected by certified coders.
Why claims fail, with an action plan to prevent it.
Cost-effective, innovative solutions in medical billing, clinical coding and claims processing that minimize denials, improve turnaround time and ensure timely reimbursement.
End-to-end management from patient eligibility and co-pays to coded claims, payment posting and collections, freeing your staff to focus on patient care.
Inpatient and outpatient coding by certified coders, for all major specialties.
Clean e-claims submitted on time, with rejections tracked, corrected and resubmitted quickly.
Clear reports on claims submitted, money received, balances outstanding and denials by insurer and physician.
Review of medical records to confirm documentation supports the services claimed.
Expert advice on your revenue cycle, payer and provider reconciliation projects, and process improvement.
Our team holds CCS, CDIP, CPHQ and CPMA certifications.
Data plays a key role in informed decisions. We analyse your claims, documentation and payments to show where revenue is lost and how to recover it.
Strong analytics and reports under DataVista
Many denials start before a claim is coded. We train the people who create the record.
Essential insurance concepts for patient access, front office and in-house insurance teams: patient identification, eligibility and benefits verification, prior authorization and conditions of coverage.
Documentation best practice for physicians, focused on the weaknesses found in your current records, based on specialty and the complexity of procedures.
Leave your insurance claim and denial problems to us, and focus on your medical practice.
IT solutions that improve your process flow with a focus on cost reduction, covering the key aspects of a hospital or clinic.
An in-house billing team brings salaries, visas, medical and health insurance, recruitment, training and leave costs. Outsourcing replaces them with one predictable fee that adjusts to your volume.
We assess your current systems and practices, then design changes to your processes, policies and procedures that reduce cost and enhance profit.
Download our e-brochure (PDF)Profit Plus is an information and business process management services provider based in the United Arab Emirates. Our network of associates helps us deliver cutting-edge solutions in healthcare data analytics, health insurance and revenue cycle management.
We are a venture by experienced physicians, financial experts, software engineers and clinical coding specialists. Since 2015 we have followed regulatory compliance and international best practice to ensure timely reimbursement of our clients' claims.
Make coding easier for healthcare facilities, enable accurate and efficient claim processing, and provide the best revenue management in a cost-effective way.
To be a reliable partner of choice in the areas we deliver, helping transform operations to improve performance, efficiency and revenue.
Tell us about your facility and we will show you where denials and costs can be reduced.
RCM, coding and claims updates for UAE healthcare providers.