Revenue Cycle Management

What is Included in Revenue Cycle Management?

By choosing our One Stop Medical Billing Solutions and Revenue Cycle Management Services, you will add 15+ years of experience in Medical Billing and Revenue Cycle Management, ultimately you will save time and money while unlocking massive growth.

 

Why is One Stop Medical Billing Solutions and Revenue Cycle Management Important?

Financial Health

Cash Flow

Compliance

Quality of Care

Patient Satisfaction

Data Analytics

Revenue Cycle Management Process & Protocols

Revenue Cycle Management

1- Patient Demographics

Verification of Patient Demographics according to the patient information provided in patient’s records.

2- Insurance Verification

Insurance & Benefits Verification according to the Insurance Information provided in patient’s records.

3- Billing & Coding

Review of Physician’s Charting and Medical Coding by Trained Medical Coders according to current guidelines for Emergency Department and Outpatient / Inpatient Hospital Admissions.

4- Charges Review

Coding and Charges Review by RCM Experts according to payers guidelines and reimbursement trends before claims submission.

5- Claims Submission

Clean Claims Submission after coding and charges review by RCM Experts according to payers guidelines and reimbursement trends.

6- Follow-Up

Aggressive Follow-up on Accounts Receivable (AR) & unpaid claims with Insurance companies, 3rd party claim processors, Auto Injury and Workers’ compensation Insurances and Law Firms.

7- OON Negotiations

Out of Network Negotiations with Insurance companies, 3rd party Negotiation companies and Law firms according to the current settlement and reimbursement trends.

8- ERA & EOB Posting

Payment Posting from ERAs and EOBs received from Insurance companies, 3rd party claim processors, Auto Injury and Workers’ compensation Insurances and Law Firms.

9- Underpaid Audit

Review and Audit of underpaid claims based on the current settlement and reimbursement trends of different payers and plans.

10- Appeals

Re-opening of underpaid claims for re-negotiations, claim review requests, 1st and 2nd level appeals, disputes and complaints with TDI, NSA & IDR Mediations for underpaid claims by our AR team.
Drop Your Requirements

ADDRESS

Fort Worth, Texas

WORK HOURS

Mon. – Fri. 09AM – 05PM

E-MAIL

info@rcmxpertz.com

TELEPHONE

(214) 228-4833, (682) 348-7300

Learn More About Medical Billing & Revenue Cycle Management from our Partners.

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