Revenue Cycle Management

Software Industry Affiliations

Epic Healthcare Software
Services For Business Leaders

100+

successful projects in 5 years

97%

client retention in the last 10 years

10,000+

users adopted our Telehealth platform during the COVID crisis within a month.

Leaders in Healthcare Solutions

We develop RCM software to enable medical facilities to shorten revenue cycles by combining EHR workflows and payment collections into a centralized source with advanced features and custom integrations.

RCM Task Management System Development

Our solutions include the development of task manager systems specifically for RCM that help medical facilities streamline billing processes and improve revenue. These systems enable the determination of patient eligibility, collection of patient copays and other payments, and tracking, coding, and follow-up on claims. By automating and simplifying these tasks, the systems can help medical facilities reduce the time and effort spent on billing processes, freeing up resources to focus on other aspects of patient care.

Insurance Discovery System Development

Our experts build cloud-based, AI-driven systems to streamline the process of managing accounts and collecting payments. These systems use an automated coverage identifier that leverages analytics and machine learning to verify patient demographics, insurance profiles, and benefits, and correct any errors or discrepancies. By automating these tasks, the systems can help pharmacies more accurately bill and collect payments, improving their financial operations.

Remittance Application Development

Our solutions include the development of remittance and money transfer applications that help medical providers streamline their financial operations. These applications use cloud-based architecture to enable the automatic posting of accounts receivable (AR) and rapid balancing of payments, improving efficiency and enabling faster claim filing and effective management of Explanation of Benefits (EOB) claims. These tools can help medical providers more efficiently manage their financial operations and improve the accuracy and speed of their billing and payment processes.

Healthcare Payment System Development

Pegasus One’s experts have expertise in customizing healthcare payment modules for various systems, including Medicare, inpatient PPS, outpatient PPS, MACRA, long-term care hospital PPS, and others. These modules enable patients to pay for value-based care through direct copays or insurance coverage, helping healthcare providers streamline their financial operations and improve the patient experience.

Specialty Billing Software Development

Our solutions include the development of specialty billing software for healthcare providers affiliated with multi-specialty physician groups. This software is designed to manage a range of financial tasks, including charge entry, payment posting, AR follow-up, patient billing, and medical claims filing, among others. The software includes features that aim to reduce errors and delays, helping providers streamline their financial operations and improve the accuracy and efficiency of their billing processes.

Smart Payment Collection Development

Our solutions include the development of smart payment collection systems that give medical facilities the ability to track, view, and manage payments with custom tools. These tools enable the creation of payment plans, management of patient accounts receivable (AR), and the improvement of insurance receivables, helping facilities streamline their financial operations and improve the accuracy and efficiency of their billing processes.

Patient Accounting Solutions

Our solutions include the development of comprehensive custom solutions to manage inpatient and outpatient billing. These solutions are designed to help organizations gain control of their financial data while streamlining workflows, and include features such as contract management, claim resolution, claim denial tracking, episodic billing, and more. These tools are intended to help organizations improve the efficiency and accuracy of their billing processes, enabling them to better manage their financial operations.

Financial Clearance Solutions

Our engineers develop financial clearance solutions specifically for medical facilities and healthcare systems to help reduce uncompensated care and enable patients to easily find funding sources for medical bills. These solutions are designed to increase patient reimbursement and satisfaction by streamlining the process of finding and securing funding for medical care. By providing patients with more options for paying for care, these solutions can help medical facilities and healthcare systems improve their financial performance and enhance the patient experience.

Medical Record Abstraction Solutions

Pegasus One’s developers specialize in creating custom solutions to automate the process of determining the status of patient encounters, assigning and validating diagnoses based on recorded evidence, and submitting claims for reimbursement. These solutions are designed to improve accuracy and optimize reimbursement results, helping healthcare providers streamline their financial operations and improve the efficiency and effectiveness of their billing processes.

Enterprise Solutions

Our solutions include the development of innovative tools to help large medical enterprises manage costs and resources, focus on quality management, and coordinate patients and employees. These tools include features for tracking waitlists, generating reservations, and scheduling across departments, enabling medical facilities to more efficiently and effectively manage their operations. By streamlining these processes, these solutions can help medical enterprises improve the quality of care they provide and enhance the patient experience.

Cost Containment Solutions

Our solutions include the development of custom cost containment tools to help payer organizations optimize the claim cycle and reduce healthcare spending. These solutions enable organizations to reduce overutilization, increase transparency, audit medical accounts, and administer and reprice PPO networks. By streamlining these processes and improving transparency, these tools can help payer organizations better control their costs and improve the efficiency of their operations.

Ready to discuss?

We have a lot more to talk about. Set up a consultation and we will connect you to our healthcare expert for a one-on-one session immediately.

Custom Revenue Cycle Management Features

Accounts Receivable (AR)

Our solutions include the development of features that use AI-driven automation and predictive algorithms to help healthcare professionals more effectively manage accounts receivable (AR). These tools are designed to reduce write-offs and maximize revenue by automating and optimizing various aspects of the AR process. By providing healthcare professionals with the tools they need to more efficiently manage AR, these solutions can help improve financial performance and free up resources to focus on other aspects of patient care.

Denial Resolution

Our experts have developed denial analysis, resolution, and follow-up features to help improve collections and automatically correct coding and other issues with medical insurance companies. These tools are designed to help healthcare providers streamline the process of resolving denials and improving the accuracy of their billing, enabling them to more effectively manage their financial operations and improve the efficiency of their billing processes.

BI Tools

Our solutions include the development of custom Business Intelligence (BI) tools that provide complete visibility into a practice’s income and performance. These tools generate accurate real-time reports and valuable insights to help ensure optimized medical billing. By providing a comprehensive view of financial performance and enabling the analysis of key metrics, these tools can help medical practices better understand their operations and make informed decisions to improve performance and optimize their billing processes.

Insurance Eligibility Verification

Our solutions include the development of features that enable real-time verification of insurance eligibility for Medicare, Medicaid, and private health insurance plans from a centralized access point. These tools can help healthcare providers quickly and accurately determine patients’ insurance coverage, streamlining the process of managing financial information and improving the efficiency of their billing processes. By providing real-time access to this information, these features can help providers better understand their patients’ insurance coverage and make more informed decisions about their care.

Patient Portal

Pegasus One’s developers create user-friendly portals to enable patients to easily schedule appointments, make online payments, receive notifications, and communicate remotely with healthcare facilities. These portals are designed to provide patients with convenient, accessible tools to manage their healthcare experiences and interact with providers, enhancing the patient experience and improving the efficiency of operations.

Telehealth

Our solutions include the development of custom features that enable healthcare providers to remotely access patient charts and view, change, and save records in an encrypted, HIPAA-compliant environment. These tools are designed to facilitate telehealth operations and enable providers to remotely manage patient records and other data. By providing secure, convenient access to patient information, these features can help healthcare providers improve the efficiency and effectiveness of their operations, while ensuring compliance with relevant regulations.

100% Compliance Guaranteed

Pegasus One ensures compliance with all major healthcare software standards, such as HL7 for data interoperability, HIPAA for privacy and security, FDA for medical device regulations, and EPCS for electronic prescribing of controlled substances.

Read our casestudy on the Microsoft Customer Success website

The Microsoft Azure-based application developed by Pegasus One implemented an AI-based solution that uses Azure Cognitive Services and customized machine learning, along with big data analytics. It has increased the adoption of our total health platform and enabled our users to greatly increase operational efficiencies and patient participation.

Lori Marshall
Founder, IN.S.P.I.R.E

Recent Healthcare Wins

Telehealth app served more than 10,000 patients in a short span of time

Neuroscientist/Psychiatrist powered LMS for mental health management

IoT Health Care

Holistic platform providing a self-guided therapeutic environment, powered by AI

Quick reads

Authored articles from Pegasus One about Healthcare and related topics.

  • Healthcare technology to reduce missed appointments

  • Transforming Healthcare With AI

    The Future Of Healthcare
  • Tackling the Covid vaccine logistics challenges with technology

Ready to talk?

Hire Silicon Valley caliber engineers at a fraction of the cost. Developers across 100+ skill sets specializing in healthcare technologies are a click away.

We deliver extra-ordinary outcomes
for extra-ordinary clients

Working with you was an awesome experience! Thank you for improving our site performance fifteen-fold within a few days.... Working with you was an awesome experience! Thank you for improving our site performance fifteen-fold within a few days

Johnson Bruce

Thanks to you, our company now has time to concentrate on the important things, and not worry about who will devlop and grow our product

Kathleen Webber

As a verteran of many systems-development projects, I was particularly impressed with your implementation speed, adaptability to multiple changes, timely improvement recommendations, warnings about potential problems.

Nathan Chaffey

your company has worked on a variety of complex projects for us. We return again and again because your team is very talented and dedicated to delivering high-quality work products at a very competitive price point.

Donnie McWilson

PEGASUS ONE AT
A GLANCE

Inc 5000

4-time Inc 5000 honoree (2019, 2020, 2021 & 2023)

Rating Star New

Rated 4.9 stars by clients on Clutch

AI Inner Circle

Part of the prestigious Microsoft AI Inner Circle program.

Healthcare Gov Covered California

Part of multiple prestigious civil-society betterment projects

Inc 5000 Microsoft Gold Amazon Parnet Company

Microsoft Solutions Partner and AWS Advanced Consulting Partner

Webby Awards

Apps consistently featured by leading design awards.