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Outsourced Medical Billing Services You Can Trust

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

Increased Revenue, Guaranteed!

KPI-Dashboard-Medical-Billing-Services

Data-driven medical billing services

Our 300+ outsourced billing team helps alleviate staffing issues and reduce operating costs by consolidating in-house resources for maximized efficiency.

You'll get insight and clarity on your billing and collections processes including:

  • regularly scheduled financial meetings to review your key performance metrics and your practice’s overall financial health
  • reviewing outstanding A/R and expected future revenue
  • real-time financial KPI dashboards and analytics
  • recommending process improvements to drive claims processing and patient payments
KPI-Dashboard-Medical-Billing-Services

*MGMA Stat polls 2022

We address every step in the patient process to improve 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

Building a KPI mindset for growth

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

Reach your revenue goals

MedicsRCM has helped clients achieve dramatic business and clinical growth.

 

"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

 

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Maximize your claims

We know your payer mix, your state billing requirements, and your specialty.

  • Claims are submitted at their highest possible value
  • Out-of-network alerts on scheduling
  • Automated eligibility verification and insurance discovery
  • Proactive denial management
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full-patient-payment

Capture patient balances

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

  • Access to a patient responsibility estimator 
  • Enabling patients to pay from any mobile device 
  • Interactive balance due reminder texting
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Access-to-your-data-

Comply with complicated CMS initiatives

We stay ahead of the seemingly never-ending billing regulations affecting your practice including:

  • No-Surprises Act
  • Cures Act
  • Clinical decision support
  • MIPS reporting
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ADS-RCM-and-MGMA-Partners

Understanding your revenue

Following MGMA financial reporting recommendations, MedicsRCM produces comprehensive financial and management reports, analytics and KPIs.

  • Benchmarking metrics
  • Key Performance Indicator (KPI) metrics
  • Best practices for billing
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Meet the leadership team that you'll be working with

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

Sheryl-Miller-RCM-Executive

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

Jim-Woods-RCM-Executive

Jim Woods
Vice President, RCM Services

Gene-Spirito-Lab

Gene Spirito, MBA
National Sales Directer, RCM

Shanna-Kurek-MSA

Shanna Kurek, MSA
Director of Project Management

Marybeth-McGowen-RCM

Marybeth McGowan
RCM Division Manager

Daphna-Barzillai-lab-team-2

Daphna Barzillai, MBA
RCM A/R Manager

Isaiah-M-Leach-MBA-Lab-team-2

Isaiah Leech, MBA
National Portfolio Manager

Kim-Becker-Lab-team

Kim Becker
National Portfolio Manager

Outsourced Medical Billing Services FAQs

We know selecting an outsourced medical billing 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.

What does your outsourced medical billing service cost?

How long does it take to transition to your medical billing service?

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

How will my current databases be handled?

What system does your medical billing service use?

Does your medical billing service start sending our claims from Day One?

What happens if my current billing 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?

What about patient responsibility balances?

Can your medical billing service help if patients don’t have insurance?

Does your medical billing service have any tools for mobility and engagement?

Can we use an EHR with your medical billing service?

"During this extremely difficult (COVID-19) time we could NOT have asked for a better business partner than MedicsRCM to handle our EHR and billing. The MedicsRCM team has been truly amazing in helping to retain revenue to keep our business running, and to be there for our patients."

Charles-Saha-MD
Charles Saha, MD

Park Avenue Medical Professionals

90 Days to a Healthier Revenue Stream, Guaranteed!

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