Our Services

Experience Seamless Revenue Cycle Management

Empowering You to Boost Cash Flow, Reduce Administrative Burden, and Focus on Exceptional Patient Care

OVERVIEW

Revenue Cycle Management Simplified

Your Path to Financial Clarity and Operational Excellence

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At the heart of healthcare operations lies the need for a reliable, efficient, and intelligent Revenue Cycle Management system. We understand that navigating the complexities of RCM can be overwhelming.

That's Where We Come In

Leverage integrated systems and optimized workflows to maximize efficiency.

Partner with experienced professionals who understand healthcare billing complexities.

Our customized approach ensures every aspect is optimized for maximum performance.

We tailor our solutions to fit your specific requirements and challenges.

WHAT WE OFFER

Complete RCM Solutions

Tailored solutions for any organization type or specialty

PATIENT REGISTRATION

Medbillease efficiently manages manual and electronic remittance (ERA/SPR) posting.

  • Verifying and documenting patient identity and insurance details
  • Capturing medical history, referring provider info, and consent forms
  • Ensuring HIPAA-compliant data entry

MEDICAL CODING

Certified coders ensure accurate ICD-10, CPT, HCPCS, ADA coding per guidelines.

  • Review of provider notes and clinical documentation
  • Application of appropriate diagnostic and procedural codes
  • Regular updates to reflect the latest compliance standards

CHARGE ENTRY

Billing experts enter charges accurately into your system for clean claims.

  • Proper fee scheduling based on payer contracts
  • Accurate linkage of codes to patient encounters
  • Quality checks before submission

CLEARINGHOUSE REJECTIONS

Proactively monitor and correct clearinghouse rejections.

  • Identifying and fixing data errors in real time
  • Resubmitting corrected claims promptly
  • Tracking trends to prevent repeat issues

CLAIMS TRANSMISSION

Submit claims electronically or by paper through secure channels.

  • Timely submission through secure channels
  • Validating claim receipt and tracking status
  • Resolving transmission errors quickly

AUDIT AND QUALITY CHECK

Thorough audit and QA check before submission to prevent denials.

  • Reviews documentation and coding for accuracy
  • Conducts random audits for quality improvement
  • Ensures error-free billing across all touchpoints

INSURANCE VERIFICATION

Verify insurance in real time to confirm eligibility and prevent rejections.

  • Active coverage and benefit details
  • Co-pays, deductibles, and out-of-pocket limits
  • Prior authorization requirements

PAYMENT POSTING

Handle both manual and electronic remittance posting efficiently.

  • Accurate allocation of payments to patient accounts
  • Identification of underpayments or discrepancies
  • Timely posting to maintain up-to-date AR

DENIALS MANAGEMENT

Manage denials strategically and act to recover revenue.

  • Detailed denial analysis and tracking by category
  • Timely appeals with supporting documentation
  • Process improvements to reduce future claim rates

AR RECOVERY

Aggressive AR follow-up to reduce aging claims.

  • Prioritization of high-value accounts
  • Regular follow-up calls and payer contact
  • Resolution of delayed payments

PATIENT STATEMENTS

Clear, timely statements for strong patient relationships.

  • Customized, branded statements
  • Clear explanation of charges
  • Integration with payment portals

COLLECTIONS

Ethical and effective collections management.

  • Sending reminder letters, texts, and calls
  • Offering payment plans and flexible options
  • Ensuring compliance with collections laws

Ready to Transform Your Revenue Cycle?

Let's discuss how our tailored solutions can help your organization thrive.