Today’s healthcare environment requires practices to have easy, secure access anytime from anywhere to integrated medical billing solutions. Physician practices need to partner with a medical billing technology company that has the experience to understand today’s medical billing environment with almost 15 years of medical billing experience. RCM Billing Services has developed the medical billing system that keeps the work-life balance in balance and is the logical solution for today’s tech-savvy users.

Declining reimbursement rates and changing billing and coding regulations can cause revenue cycle challenges for healthcare providers. As an experienced medical billing outsourcing company in the U.S, RCM Billing Services has years of experience in providing medical billing services for diverse medical specialities. Our clients include individual physicians, medical practices, speciality practices, radiology facilities, Laboratory centres, Dentists, and hospitals.

RCM Billing Services is an End to End revenue cycle management company that provides flexible and customized solutions to our clients. You may need a specialized set of services to suit your clinic process. Our team aids in delivering specific services which are merged with your existing workflow for seamless operations.

Billing is a crucial part of the RCM cycle and healthcare centres often find it challenging to maintain accuracy and quality control which leads to rejections. As increasing revenue streams is a key challenge, we have fostered a robust system that is directed towards maximized payments.

As a healthcare provider, your competency and operational priorities are focused on offering in-time and quality care for your patients. Whilst you invest a multitude of resources in delivering the best medical services, we take care of your RCM. The absence of an accurate, timely and competent billing system often costs huge sums of money to many clinics and hospitals. It includes errors in coding, under-pricing, missing charges, and denied claims. It all has a cumulative effect on your revenue stream affecting your business profitability.

You can rely on our existing RCM capabilities and the ability to deal with complexity in the workflow cycle. Our advanced software platforms process automation structures are known for efficient results.

A competent and reliable professional system will ensure to combat medical billing errors and shortcomings. Our approach is to define task break up and resolve each hindrance involved in the medical billing cycle. We incorporate best practices blended with the latest technology to build a system that manages medical billing and follow up functions.

The quality assurance team reviews cash posting transactions. We validate each field to ensure the amount, transfer and adjustments.

Denial Management is a very important aspect of RCM, as it involves a specific time period within which all claim denials has to be taken care of. Our quality team ensures that denials are being worked on and appropriate action is taken regarding them. It is done swiftly without missing any information to save more time.

• Charge Posting - We receive detailed information from the provider and practice which is further entered in a standardized form in our database. We are experts in managing demography and charge entry services catering to a multitude of clients. We have been catering to a wide assortment of clientele with both general and specialist services. Once the patient registers for the appointment, we validate his records with our precision demographic identification and verification system.
  
  
• Patient Demographic Entry Services - Patient details are recorded and arranged in a retrievable form in the billing software. Complete details of the demographics, insurance cover, employment, sponsor and medical history are available through the system. This acts as a handy catalogue for patient data.
  
  
• Patient Demographics Update Services - Patient information needs to be verified and updated regularly. This service is critical as updated information must be available for processing the claims.
  
  
• Claim Submission - Claims are filed electronically or on paper depending on the insurance protocol. We file it with maximum and accurate information at our hands to ensure that the rejection rate is minimized. Claim submission is the most crucial step and requires utmost care as this would determine speedy reimbursement. Claims rejected are loss of revenue and henceforth, claims must be submitted with all demographic information in the medical billing software. Billing out the claims in 48 hours of receipt – the faster we get your claims out the door and processed the faster you will receive payment.
  
  
• Statements - We mail the statements as per the schedule. The protocols and standards of the statements and collections are customized as per your requirements. Our medical billing services are based on the client’s business needs.
  
  
• Payments - Upon receipt of payments and details of benefits, we incorporate this information in the client’s database. We verify and reconcile all payments every month for accurate information.
  
  
• Reports - Reports are generally extracted every month. However, as a client-centric organization, we customize reports and schedules as per your needs. We can produce an accurate analysis of your entire practice – you can track reimbursements and income with ease of mind.

Medical billing is a complex and comprehensive process that requires expertise in pre-authorizations, accurate coding, compliances, claims to process and follow ups. High precision in RCM and robust workflow will ensure that you receive the maximum revenue. Our industry experience has made us effective in managing medical billing for your practice.