Clarus RCM

Clarus RCM provides end-to-end revenue cycle management services to healthcare providers, payers, and medical billing companies through a global delivery model with operations in India and Manila. The company offers comprehensive RCM services spanning eligibility verification, patient scheduling, medical coding, claims management, AR follow-up, and denial management.

The organization employs AAPC-certified coders and maintains HIPAA compliance certification (CHPSE). Clarus supports over 30 medical specialties including cardiology, orthopedics, radiology, and emergency medicine. The company offers flexible engagement models including percentage of collections, monthly FTE rates, and transaction pricing. Their service approach emphasizes technology-enabled solutions integrated with various practice management platforms.

Clarus holds memberships with HFMA and NAHC, demonstrating industry engagement. The company reports achieving over 97% coding accuracy and promises 18-20% collection increases through their services, though independent verification of these metrics is not provided on their website.

Organizations should consider Clarus RCM when seeking significant cost reduction through offshore RCM operations while maintaining service quality. The company's strength lies in its ability to handle complete revenue cycle outsourcing for multi-specialty practices and health systems that want to eliminate internal billing departments.

Expect a global delivery model with dedicated account managers, monthly reporting, and integration with existing practice management systems. The flexible pricing options allow organizations to choose between risk-sharing (percentage of collections) or fixed-cost models based on their preferences.

Clarus RCM operates exclusively in healthcare revenue cycle management, serving providers, payers, and medical billing companies. The company maintains specific expertise in healthcare compliance including HIPAA certification, ICD-10 coding standards, and CCI coding edits. Their healthcare focus spans acute care hospitals, ambulatory practices across 30+ specialties, home health agencies, and health plans.

The company offers healthcare-specific services including HCC risk adjustment coding for Medicare Advantage plans, HEDIS measures reporting for health plans, and home health-specific billing services, demonstrating vertical specialization within healthcare.

The ideal client is a hospital, multi-specialty medical group, home health agency, or medical billing company processing high claim volumes across multiple specialties that seeks to reduce operational costs through offshore RCM outsourcing. Organizations comfortable with global delivery models and seeking comprehensive end-to-end services rather than point solutions will find the best fit.