MedicsRCM typically increases revenue 10% - 20% with our proprietary Rules Engine and 2021 E/M coding expertise, ensuring claims are submitted at their highest possible value without over-coding. We support a nearly 100% success rate on 1st attempt clearinghouse claims. EDI for out-of-network alerts, batch eligibility verifications, EOB reconciliations, and options for insurance discovery for “uninsured” patients, and for credentialing.
Patient balances are growing by the minute. Access our pre-appointment patient responsibility estimator to provide alerts for approximations as to what they’ll owe. As patients exit, display more exact amounts based on their actual procedures. Eliminate surprises and be in a much stronger position to obtain at least partial payments. We process patient statements, have balance due texting and online payment options, and patients call us with statement questions.
Our patient engagement and mobility tools include telemedicine, an option for remote patient monitoring of patients’ vitals, a self-service patient portal, interactive texting, and a kiosk for expedited intake of in-office visits, all of which are iOS/Android-friendly.
Your EHR options couldn’t be better! You can (1) use our recommended, certified MedicsCloud EHR which is ideal for any number of specialties, or (2) use your existing EHR with an interface to our system, or (3) use or no EHR with our electronic superbill. With MedicsRCM, you’re never forced to drop a system you like in order for us to work together!
Enjoy a “full speed ahead” migration to MedicsRCM without missing a beat in claims submission, or revenue production.
MedicsRCM clients are able to see all of their own data securely 24 x 7 x 365. Nothing is ever hidden; our clients see what we see!
The MedicsRCM team is experienced in virtually every specialty including those with very specific billing requirements.
MedicsRCM submits HCFA and UB claims to virtually every payer as well as claims for workers’ compensation and no-fault.
We verify eligibility up to 4 times prior to each patient’s arrival and have an accurate insurance discovery option when insurance information is missing.
Data can be converted from your in-house system or current billing company (if they’ll provide it to you), and we interface with a myriad of other systems
Denials are edited and resubmitted within three business days of them being denied, turning them quickly into revenue.
MedicsRCM posts your EOBs and scans/posts check payments daily to ensure accounts are accurate virtually up to the minute.
MedicsRCM ensures your fee schedules are up to date, and continually performs analytics to support a “best fee schedule” approach.
The MedicsRCM team works with clients on provider enrollments as may be needed to avoid any gaps in submitting claims.
Your payer and patient accounts receivables are diligently worked, keeping your number of days outstanding to a minimum.
MedicsRCM provides you with - and reviews with you - an array of analytics; clients can also compile their own reports on-demand.
MedicsRCM pricing is based on a percentage of the amount collected for you, with percentages generally ranging from 3% to 6% based on the collection amount.
We can start to submit your claims in as little as 30 days once our 5-7 days of testing is completed.
A MedicsRCM Services Manager, experienced in your specialty(ies), is assigned under whom following resources operate:
We import your current files such as Referring Physician, Insurance, and Fees into our MedicsPremier system.
MedicsRCM uses the MedicsPremier system which is our own product, relied on by tens of thousands of providers to process tens of millions of EDI transactions annually. Our clients benefit in how we don’t rely on a second or third party software vendor for support and updates. ADS has been a leading medical software company since 1977.
No one wants to submit all of your claims more than we do since we only get paid on amounts collected. But, that would be irresponsible. Instead, we submit test claims for 50 to 100 of your patients for approximately 5 to 7 days. All of your claims are submitted once the test claims are verified.
We can bill and resubmit those claims. In fact, MedicsRCM tracks old claims vs. new claims.
Yes, MedicsRCM clients have 24 x 7 on-demand cloud access to all of their data. We train clients on using our MedicsPremier system, and encourage them to see how things are going!
Clients almost never need truly customized reports since our reports/dashboards as so highly user-defined, and are exportable to Excel. But if a certain customized report(s) are needed, your Accounts Team will provide same via standard PDF or Excel.
Possibly, and if so, we provide you with whatever form(s) are needed by any insurance payer(s) and provide assistance, if needed, in completing them. Of course 100% electronic claims and EOB reconciliations - which our team handles for you - are encouraged.
First, clients have access to our patient responsibility estimator, a powerful feature for obtaining personal balances. MedicsRCM processes patient statements. Patients are directed to call us, not you, with statement questions. Our portal has an option for online credit card payments, and our balance due texting option is ideal for reminding patients about what they owe. Texts can link to the portal for patients to make their payments online. Texting is also excellent for reminding patients about their appointments.
Yes! Our insurance discovery option has a very high rate of success in identifying patients’ insurance when it’s missing or unavailable.
Yes, with our options for Medics Telemedicine, Portal, Texting, Kiosk for expedited intake, and even for remote patient monitoring (RPM) of vitals. Telemedicine and RPM are ideal for generating revenue and texting keeps patients tuned into their in-office and telemedicine appointments while helping to eliminate no-shows.
We actually have three options for EHR! One is to use our certified MedicsCloud EHR which is excellent for any number of specialties. Or, you can keep your existing EHR with an interface to our MedicsPremier system. Our third option is our Medics e-superbill if you prefer to not use an EHR or to have your existing EHR interfaced with us.
You might have questions you still want answered but don’t necessarily want to talk to sales. Don’t worry! We’ve found that the resources below address many of the questions we get asked.
The revenue cycle in a medical practice can be envisioned in 7 basic steps, beginning with deploying RCM software or outsourcing the work.
The success or failure of your medical practice will naturally depend to some extent on how well you are managing the flow of revenue.
Outsourcing your medical billing can lead to more productive teams and better quality care for patients.
Charles Saha, MD
Park Avenue Medical Professionals, NYC
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