RCM Companies and Billing Partners
Review documentationagainst client requirements.With less total reviewer effort.
Configure checks across each client's programs, payers, and levels of care. Flag missing signatures, documentation timing gaps, and service-time discrepancies with the source record beside each finding, so reviewers verify without hunting through charts.
About 30 min
To prepare an appeal letter, down from hours
As reported by Circle customers
Billing teams inherit the records they receive. Circle gives your team verified context to protect cutoffs, guide provider clients, and defend claims.
Reimbursement structure
Different providers. Different payer requirements. Each provider client brings its own programs, levels of care, and documentation timing rules.
Common criteria evaluated
- Payer billing policies
- InterQual, MCG, and payer-specific criteria
- Level-of-care timing rules
- Client-specific rules
How it works, in the daily work.
Built into every review.
Rules by level of care
Documentation timing, required assessments, and signatures configured by program, level of care, and payer.
Connected and uploaded records
Review records from connected systems or from chart packages sent by facilities without an integration.
Verification without the search
Each finding sits beside the document behind it, so reviewers confirm instead of hunting.
Provider fix lists
Give each provider client a specific list of which records need attention and why.
Fits existing billing work
Findings shared in formats that move into the queues and spreadsheets your team already uses.
Appeals and records requests
Relevant notes and assessments gathered into reviewed drafts when payers deny or request records.
What customers have measured.
About 30 min
To prepare an appeal letter, down from hours
As reported by Circle customers
100%
Chart review coverage
2M+
Records processed
Explore further
Solution
Pre-Bill and Record Reviews
Documentation gaps caught before billing, and records ready for payer reviews.
Solution
Utilization Management
Authorizations and concurrent reviews, ready before the window closes.
Who we serve
Health Systems and Provider Networks
Consistent oversight across sites, programs, and payers.
Know what each payer expects. Act before revenue is at risk.
See how Circle fits alongside the systems already in place.
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