Revenue Cycle Management

MedRCM puts latest technology to work ensuring high performance standards with breach-proof security.

Get the full payment that you’ve earned with revenue cycle management solutions from MedRCM. Our comprehensive revenue cycle technologies cover the complete range of revenue cycle management (RCM), while the MedRCM medical billing and coding team with certified coders allows your staff to focus on patients.

 

With MedRCM your practice will benefit from:

  
  • Faster collections and improved cash flow
  • Identification of revenue opportunities
  • Cost savings by implementing best practices
  • Full compliance with HIPAA and state regulations

MedRCM gives you the ability to track the claims process throughout its life cycle to facilitate a steady revenue stream. We also address denied claims that can cause up to 90% of missed revenue opportunities.

 
MedRCM Services and Capabilities:

  • Credentialing: Dedicated experts for credentialing and contracting to get our Providers enrolled with the best rates and plans.
  • Payer Eligibility & Verification Services: Insurance verification, Benefits management and patient eligibility automation.
  • Charge Capture and Billing: Timely charge entry and submittal of error-free claims and cash posting.
  • Coding: Accurate coding to maximize revenue and decrease compliance-related risks.
  • Complex Claims: Manage the paper work and follow-up associated with your workers’ compensation, no-fault, and MVA claims.
  • Denial Prevention: Validation of superbills and/or electronic claim scrubbing to prevent clearing house/payor denials/rejections.
  • A/R Follow-up: Constant communication with payers on accounts receivable using phone, email and web.
  • Denial Management: Identifies unpaid claims or underpayments by payers at the individual claim level.
  • Coding Audits and Provider Education: Recommendations for overlooked billing opportunities.
  • Patient Collections: Answers inbound patient calls related to self-payment responsibilities.
  • Platform Agnostic: Ability to work with multiple platforms.