BusinessMedical Billing

At RCM, our Demographic Entry & Initial Intake services focus on the foundational step of accurately capturing patient information. By ensuring a seamless and efficient process for entering demographic details and initiating the intake procedure, we establish a solid foundation for the entire healthcare billing journey. This meticulous approach contributes to the accuracy of subsequent processes, setting the stage for a smooth and error-free billing experience.

Our Eligibility Check services are designed to navigate the intricate landscape of insurance coverage. We conduct thorough assessments to verify and validate patient eligibility, ensuring that healthcare providers have a clear understanding of the coverage available. This proactive approach aids in minimizing claim rejections, facilitating a more efficient reimbursement process, and preventing potential financial setbacks for both the healthcare provider and the patient.

RCM specializes in Prior Authorization services, streamlining the often complex and time-consuming process of obtaining pre-approval for medical procedures. By managing this critical step, we help healthcare providers avoid delays in patient care, ensuring that necessary treatments are authorized and financial roadblocks are proactively addressed. Our expertise in navigating authorization requirements contributes to a more efficient and patient-centric healthcare experience.

Our Coding services are dedicated to the accurate representation of medical procedures and services. RCM ensures that each code aligns with industry standards and compliance regulations. Through meticulous coding practices, we optimize reimbursement potential while maintaining transparency and precision in the documentation of healthcare services. This attention to detail is fundamental in providing a solid financial foundation for healthcare practices.

Serving as the backbone of financial operations, our Medical Billing services are tailored to maximize reimbursement for healthcare providers. RCM experts meticulously prepare and submit claims, adhering to industry standards and regulations. By navigating the complexities of medical billing, we aim to expedite the reimbursement process, reduce errors, and enhance the overall financial health of healthcare practices.

RCM guarantees precision in recording and reconciling payments through our Payment Posting services. By accurately tracking payments received, we contribute to up-to-date and accurate financial records for healthcare providers. This service ensures transparency and helps in identifying any discrepancies promptly, allowing for timely resolution and maintaining the financial integrity of the practice.

In our Denial Management services, RCM focuses on identifying and addressing issues that could lead to claim denials. Our team employs a proactive approach to rectify errors, mitigate risks, and prevent revenue leakage. By swiftly handling denials and implementing corrective measures, we optimize the reimbursement process and contribute to the financial stability of healthcare practices.

At RCM, Patient Services are a priority, emphasizing clear, concise, and respectful assistance to patients throughout the billing process. We understand the importance of positive patient experiences and work to provide support, information, and guidance to ensure that patients feel informed and confident in their financial interactions with healthcare providers.

RCM’s Accounts Receivable (AR) Management Collections services are dedicated to the diligent pursuit of outstanding accounts. By actively managing and collecting on overdue payments, we contribute to maintaining a healthy cash flow for healthcare practices. Our systematic approach to AR management ensures that financial resources are optimized, supporting the ongoing operations and growth of healthcare providers.