How RCM services can provide staffing relief...
Our team performs eligibility verifications up to four times prior to appointments.
You, on scheduling appointments and with transparent access to our rules engine-driven platform can (1) obtain immediate verifications, (2) get out-of-network alerts which is ideal for the No Surprises Act and then display any in-network providers, and (3) access our patient responsibility estimator as a powerful tool for controlling patients’ receivables
✔️ We generate interactive reminder texts for balances-due and
patients can contact our New York City call center with questions about their bill and support patients paying from their devices directly to you
✔️ We ensure NCCI editing is correct whenever claims should be bundled
✔️ We alert on complicated 2022 E/M coding for maximizing revenue
✔️ With our proprietary Denial Preventer® we proactively avoid considerable numbers of denials
✔️ We submit HCFA, UB, WC, and NF claims with a nearly 100% success rate on the first attempt clearinghouse submissions
✔️ We track submitted claims in real-time to ensure they’re being processed
✔️ You can also see your submitted claims’ progress at any time
✔️ We edit/resubmit any denials not detected in advance within 72 hours
✔️ You can also see at any time how expeditiously your denials are being handled
✔️ We handle appeals that are time-consuming for your staff
✔️ We reconcile your EOBs automatically ensuring A/R is accurate essentially to the minute
✔️ We submit claims to any secondary and tertiary payers
✔️ We process patient statements and patients call us – not you – if they have statement questions
✔️ We have options for automated prior authorizations and accurate insurance discovery for patients with completely or partially missing coverage information
These are just some of what our team and automation – both of which are included with our service – can provide to ensure your financial success while streamlining your workflow and reducing your technology costs if you’re currently paying hosting, support, or IT fees.
When factoring in a revenue increase and alleviating staffing expenses, our MedicsRCM service can actually be at no cost to you. And if your technology spending can also be eliminated, so much the better.
At the heart of our success is our 45 years of provenance in providing revenue cycle and billing solutions and services to cardiology practices, nationally.