Reimbursement Concepts

Reimbursement Concepts (RC), a CVS Health company, is a specialized revenue cycle management (RCM) partner with more than 20 years of experience supporting home infusion, hospice, skilled nursing, long‑term care, home health, and related care settings. The company provides end‑to‑end RCM services—including intake, benefits verification, billing, cash posting, collections, analytics, and payer negotiation—designed to increase revenue, reduce bad debt, and lower Days Sales Outstanding (DSO). RC’s U.S.-based team brings deep expertise in payer requirements, authorization workflows, and home‑infusion billing, delivering proven performance such as <2‑hour benefits clearance, 24‑hour claims submission, a 104% cash‑to‑revenue collection rate, and ~10% DSO reduction.