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Healthcare RCM Services from a Team You Can Trust

The visibility, effort, and team approach you need to collect more revenue.

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Frustrated with decreased revenue, staffing issues, and technology costs?

You want to be the driver of financial success and organizational process improvement but you know how hard it is to have experts in every aspect of your business. You need a trusted RCM services partner.

We’ve been committed since 1977 to our clients' growth and success:

The RCM fueling today’s high-growth healthcare facilities

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Accelerate cash flow and reduce days outstanding

You’ll benefit from our proven RCM services model to deliver real results:

  • Achieve an average collection rate of ~96%
  • Improve your clean claim submission rate, reduce denials, and provide more accurate/timely payment posting
  • Collect more of what's NOT being paid including denials, appeals, and open patient balances

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KPI-Dashboard-RCM-Services

Evaluate your RCM performance metrics

Key industry metrics such as these and process improvement strategies will help drive your revenue cycle.

98%

Authorization Capture

99%

Clean Claim Rate
(First Pass)

98%

Verified Insurance Eligibility Success

< 48

Hour Claim Submission

< 5%

Denial Rate

< 30

Target A/R Days

90%

Collections within
90 Days

96%

Collections within
120 Days

< 30%

Self Pay A/R

< 3%

Bad Debt

How our revenue cycle services work

Every step in the patient process is optimized to maximize your revenue capture.

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Credentialing

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Registration

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Prior Authorization and Eligibility

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Charge Entry and Coding Review

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Claim Scrubbing and Submission

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Automated Denial and Appeals Management

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Payment Posting and Patient Collections

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Weekly Performance Review

Increase revenue and reduce cost while transforming the RCM experience

A team of 300+ billing and workflow professionals works behind the scenes for you to alleviate your staffing issues while maintaining:

  • 40+ years of revenue cycle and billing services experience
  • an average collection rate of ~96% across all our RCM clients
  • Claims are submitted at their highest possible value
  • Out-of-network alerts on scheduling
  • Automated eligibility verification and insurance discovery
  • denial resubmissions within 48 hours
  • proactive denial alerts help to avoid them in the first place
  • immediate statements to patients and online payment options
  • patients contact us – not you – with statement questions

MedicsRCM can connect with virtually any EHR, hospital, PM, G/L, PACS, or LIS.

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Comply with complicated CMS initiatives

You won’t have to worry about the seemingly never-ending billing regulations affecting your practice including:

  • No-Surprises Act
  • 21st Century Cures Act
  • Clinical decision support
  • MIPS reporting
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full-patient-payment

Ensure full patient payment

Use an array of features that work to reduce your outstanding patient balance A/R including: 

  • access to a patient responsibility estimator
  • enabling patients to pay from any mobile device 
  • interactive balance due reminder texting
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RCM-Security-Matters

Security matters

When patient information is involved, HIPAA can respond with severe financial penalties if you don’t have protections in place. So, we take our clients’ security very seriously.

  • 99.9% Uptime
  • HIPAA Compliant
  • SOC-1 & SOC-2
  • Disaster Recovery
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Understanding your revenue

Following MGMA financial reporting recommendations, you'll be provided key industry metrics and process improvement strategies to improve your revenue cycle. We'll meet with your team weekly and monthly to review your key:

  • Benchmarking metrics
  • Key Performance Indicator (KPI) metrics
  • Best practices for billing
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Put our experience to work for you

Our management team has over 200 combined years of experience in RCM and billing services.

Sheryl-Miller-RCM-Executive

Sheryl Miller, MBA
EVP of Sales & BD, RCM Services

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Gene Spirito, MBA
National Sales Manager, RCM

Jim-ONeill-Lab

Jim O'Neill
Sales Manager, Laboratory RCM

Scott-Friedman-BH

Scott Friedman
Director of Sales, RCM Division

Marybeth-McGowen-RCM

Marybeth McGowen
RCM Division Manager

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Daphna Barzillai, MBA
RCM A/R Manager

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Isaiah Leech, MBA
National Portfolio Manager

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Kim Becker
National Portfolio Manager

Getting started with RCM services

Achieving dramatic business growth is as easy as 1, 2, 3...

How much do our RCM services cost?

MedicsRCM cost generally ranges from 3% to 6% based on the collection amount. However, your fee can actually be 0% when factoring in how:

  • your technology spend is reduced or eliminated with our financial/management platform and cloud hosting included as part of our service
  • your in-house staffing and operational costs are consolidated with our team of 300+ billing and EDI experts
  • your revenue is guaranteed to increase in 90 days over whatever healthcare revenue cycle management company or in-house system you’re currently using

The sum total on the points above = more income to you even with our fee factored in!

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Revenue Cycle Management - FAQs

Selecting a revenue cycle management services company can be difficult. You probably have loads of questions, so let’s get you started on some of the most frequently asked questions we get.

How long does it take to transition to your healthcare RCM service?

Will I have single or multiple points of contact with your RCM service?

How will my current databases be handled?

Does your healthcare RCM service start sending our claims from Day One?

What happens if my current RCM company stops submitting our claims?

Do we have access to our data?

What if we need customized management reports?

Are forms needed for electronic claims?

Does your RCM service have tools for mobility and engagement?

Can we use an EHR with your revenue cycle management service?

From In-House to Outsourced RCM: Everything You Need to Know

ads-bookmockup-mediumThe thought of moving to RCM for healthcare providers, doctors, practice owners, laboratorians, and other stakeholders can be considerable. So, we created this eBook to cover some of the common concerns when considering a revenue cycle management service collaboration, as well as:

  • Benefits of Switching to an RCM Service
  • Reasons for Outsourcing
  • Factors in the Decision Making Process for a healthcare provider
  • Ongoing Learning to Make the Most of Outsourced RCM Services
  • Revenue Cycle Management Step-By-Step
  • 10 FAQs About RCM Services Revenue Cycle Management

Get Your Copy

From In-House to Outsourced RCM: Everything You Need to Know

ads-bookmockup-mediumThe thought of moving to RCM for healthcare providers, doctors, practice owners, laboratorians, and other stakeholders can be considerable. So, we created this eBook to cover some of the common concerns when considering a revenue cycle management service collaboration, as well as:

  • Benefits of Switching to an RCM Service
  • Reasons for Outsourcing
  • Factors in the Decision Making Process for a healthcare provider
  • Ongoing Learning to Make the Most of Outsourced RCM Services
  • Revenue Cycle Management Step-By-Step
  • 10 FAQs About RCM Services Revenue Cycle Management

"Working with MedicsRCM has proven to be a very professional experience for my staff, giving them the ability to turn to a single source, and to get any questions quickly answered. Most importantly, reimbursements have gone up! Overall, MedicsRCM has made the practice so much better."

Testimonial-Thomas-Beggins-MD
Thomas Beggins, MD

Connecticut Eye Physicians PC

 

90 Days to a Healthier Revenue Stream, Guaranteed!

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