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We’re here to provide you with tailored medical billing solutions that streamline your process and maximize revenue. Let’s discuss how we can assist you in achieving seamless billing operations.
Medical Revenue Cycle Management
This is one of the greatest frustrations of most healthcare providers: Medical Revenue Cycle Management. Unquestionable billing rules; rigid, ever-recurring updates in coding; and denials from insurance companies can also cause practices of all sizes a headache and revenue loss. The woes do not end there: denied claims, delayed reimbursement, and building administrative burdens often result in a leakage of cash, increased stress, and diversion away from patient care.
Without an optimized RCM process, organizations are risking an increasing accounts receivable balance, inconsistent revenue, and inefficient use of staff time.
Hence, it’s the right time to choose efficiently.
Our Healthcare Revenue Cycle Management Services
Benefits Verification
We validate your patient's coverage and get authorizations upfront to prevent any potential claims rejection or delay.
Coding Assistance
Optimizing ICD-10 and CPT codes for improved coding precision and the highest possible reimbursements.
Fast Claim Submission
Leverage our 98% clean claim submission rate combined with pre-submission reviews to ensure claims pass through without a hassle.
EMR Billing Experts
Get experts in billing with perfect integration into your EMR for smooth revenue cycles.
Denial Management & AR Follow-Up
Recapture lost dollars with denial reworks plus proactive AR tracking to ensure continuous cash flow.
Business Intelligence Reporting
Unlock actionable insights with advanced BI tools, and empower yourself in analyzing and sharing the data necessary to drive growth.
Expert RCM is Just a Click Away!
Experience the smooth billing process with our revenue cycle management in medical billing, and maximize your patient satisfaction.
Why Medical Revenue Cycle Management is Need of the Hour?
Reduces Loss of Income with Proactive Claims Management
A proper RCM will assist an organization in not wasting large amounts of money through loss of income due to addressing claims proactively. Healthcare practices claim denials are quite common and always occur because of a little mistake, outdated coding, or forgetting to check the insurance requirements. Our proactive approach to claims management hits at the very root cause, thereby reducing denied claims and ensuring speedier reimbursement. Our revenue cycle management in medical billing catches the errors much before they hit the payer's door on claims, thus helping our clients to get their money faster and with a more predictable cash flow. Additionally, our staff is continuously reviewing the changes in payer requirements and industry standards to ensure that all claims that are submitted will be free of mistakes.
- Improves Workflow Efficiency
- Reduces Human Errors
- Lowers Operational Costs
Automates Your Practice of Revenue Cycle
With extreme levels of automation, our healthcare RCM services are thus empowered to monitor every aspect of the revenue cycle from preauthorization and coding to accounts receivable follow-up. Automation will set your staff free to spend their time on patient care and core clinical activities by automating time-consuming functions, such as eligibility verification, claims scrubbing, and payment posting. Accuracy and efficiency will increase, and the propensity for human error-which often results in rework or late payments will decrease. Administrative costs are better controlled so that more resources become available for growth and patient satisfaction when practice is streamlined with the revenue cycle.
- Personalized Account Management
- Reduction of Typographical Errors
- Proactive Issue Resolution
Our Success in Numbers
We have been doing this a long time.
$100M+
Value of claims processed in 2023
99 %
Accounts Receivable Days
24
Value of claims processed in 2023
48 Hours
Turn Around Time (TAT)
26 Days
Turn Around Time for Payment
1,000,000
Number of Claims Processed
99%
Customer Retention
98%
First Pass Clean Claims Rate
10-15%
Revenue Improvement
33%
Reduction in A/R
What Our Customers Are Saying
"Medical Care Billing has transformed the way we manage our billing. Their attention to detail, accurate claims processing, and follow-ups have significantly improved our cash flow. "
Dr. Samuel Carter
Gastroenterology Specialist
"Our revenue cycle's more efficient than ever since Medical Care Billing Their coding and denial management expertise was invaluable to our practice."
Dr. Angela Hughes
OB/GYN
"Credentialing used to be a daunting task for our staff, but Medical Care Billing has made it easy. Their proactive communication and thoroughness stand out."
Mark Richardson
Clinic Administrator
"With their medical billing and front desk services, we’ve been able to reduce administrative burdens significantly. It’s allowed us to focus more on patient care."
Dr. Elaine Ford
Allergy and Immunology
"Wow! What a difference working with Medical Care Billing has made. Our billing is finally stress-free, and payments come in faster than ever!"
Dr. Linda O'Connor
Top 10 Medical Billing Companies
Trust Your Billing To The Company That Ranks
Almost 93 %
Clean claim ratio
About 91 %
1st submission pass rate
Up to 28 %
Revenue Increase
Benefits of Choosing Us for Healthcare RCM
Maximum Financial Outcomes
With our RCM service, you will have less leakage through revenue, and most claims will be approved and received within a shorter period.
Administrative Burden Reduced
The issue of RCM is burdened on us, and other issues on your staff can be devoted to patient care instead of billing.
Better Operational Performance
Our system structure of the revenue cycle ensures that most inefficiencies are reduced to nil from the process, and productivity is maximized.
Patient Satisfaction increases
In as much as billing delay and error will decrease, we increase patient satisfaction. Loyalty is built up and trust is created within your practice.
Enhanced Compliance and Reduced Risk
Our team of certified coding and billing professionals ensures each claim produced is coded to the most up-to-date industry standard.
Actionable Financial Insights
We have full reporting and analytics that give you real-time insights into every phase of the revenue cycle.
Know before you Jump in
Revenue cycle management is the whole process of managing and tracking a patient's financial journey within a healthcare practice from the registration to the final payment. RCM ensures on-time and accurate reimbursement to your practice, reduces the risk of denial of claims, and above all, optimizes cash flow so you can focus more on the attention of your patients rather than that of billing.
We recognize that efficient integration is what matters in not interrupting your workflow. Our RCM services are usually compatible with most Electronic Health Records and Practice Management Systems. This will ensure that data flows smoothly and reduce potential errors through manual entry. We would thus be able to closely work with your practice and ease the transition, ensuring effectiveness in integration with the current systems of your practices.
Our RCM service provides detailed, custom reports on all facets of your revenue cycle your claim status to your accounts receivable, denial rates, and much more. Using real-time dashboards and predictive analytics, you'll be able to monitor performance trends, identify bottlenecks, and make data-informed decisions that drive financial growth and efficient operations.
Yes, our RCM services help lighten the administrative burden that your staff will face. We take care of all the billing process works involved-from coding to claim submission-follow it up with outstanding claims. This leaves time-consuming paperwork off your staff's shoulders so they can concentrate on patients' care and other similar critical functions in your practice.
Our RCM service minimizes denial of claims through advanced technologies in claim scrubbing and proactive denial management. We ensure that every claim going out goes out thoroughly checked for accuracy in coding and compliance with the payers. Our team will look into denial, get to the root causes for the same, and prevent rejection from re-occurring to get as much revenue as possible out of it.
Our RCM experts have been trained with existing coding standards set forth, and they know all the medical coding standards, ICD-10, and CPT codes, and are conversant with HIPAA regulations, continuously updating their knowledge to keep up with evolving healthcare laws and requirements by payers, ensuring that your practice is protected against audits and possible penalties, thus maximizing revenue.
While results will depend on the current state, most practices find more impactful improvements within the revenue cycle for 3 to 6 months after launching our services. In the end, structured optimization of claims processing, denials, and speeding reimbursement has made all the difference for cash flow and revenues in the first year.
Easy. We invite you to schedule a consultation where we'll work with you in determining the unique areas of need in your practice, as well as identify where your RCM is breaking down. We'll work out a strategy that increases your revenue cycle and brings efficiencies to your billing processes. We'll guide you through the installation process and then stand by your side thereafter for a seamless transition.
Trained Billing Staff
Our Expertise on Medical Care Billing Software
Our certified staff have hands-on expertise in billing and EMR/EHR software to complete your practices’ revenue cycle management. We also train front office and healthcare professionals to successfully use the system to develop effective progress notes and complete the clinical activity. Let us help your practice to streamline quality patient care.
