Revenue Cycle Management (RCM)
Services
Your Trusted Partner in Medical Billing
Medical Billing
The process of creating and submitting medical information to insurance companies for the purpose of obtaining payment for medical billing audit from doctors and providers. After the medical services are transferred to the request form, doctors follow up the application and ensure that the institution receives compensation for the work done by the doctor. A medical professional can benefit from the income of a medical professional or a medical organization.
Medical Coding
Convert diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes. Diagnostic and procedural rules, doctor ‘s records, tests, and radiology, etc. obtained from medical records. Medical coding experts help ensure that codes are used correctly during the billing process, which includes extracting information from records, assigning appropriate codes, and creating claims to be paid by insurance companies.
AR Management
The practice of receiving timely payments from customers. Organizations that sell products and services use AR Management to ensure that every step of collecting payments is accurately tracked and managed after a customer places an order. This is an important part of building capacity, being profitable and avoiding bad debt, and it involves more than just paying bills. A strong, efficient AR management process can mean the difference between dwindling capital and a booming business.
MR Management
A professional who fulfills a supervisory role on behalf of more senior members of the management team. They’re often responsible for communicating expectations, assigning tasks, notifying senior managers of employee performance changes and providing support to teams. MR Management are most probable responsible for assigning the tasks, communicating the expected role and reporting to the senior manager about the performance of an Employee within an organization.
Front Desk Services
Credentialing Service
It is a process to check medical professionals’ strict scrutiny and practice to provide patients with quality healthcare services. It is also useful for medical billing systems as reimbursements can be issued in due time without any problem. It seeks to validate a medical degree and ensure that patients only obtain treatment from professionals who are skilled, qualified, educated, and willing to practice. Insurance companies verify the credentials of healthcare providers to ensure they have the required licenses, certifications.
Reporting & Reconciliation
A process used to compare two sets of information to verify that the numbers are accurate and consistent. The Reporting & reconciliation also confirms that the accounts in the overall report are consistent and complete. Reconciliation can be used for both personal and business purposes. It is particularly useful for explaining any differences between two financial records or account balances. Some differences may be acceptable because of the timing of payments and deposits.
Audit-Medical Billing
Medical billing audits help to identify and rectify potential errors, discrepancies, and fraudulent activities in billing processes. By conducting regular audits, healthcare providers can maintain compliance, minimize the risk of audits from insurance companies or government agencies, and prevent financial losses due to claim denials or legal penalties. Audits also play a vital role in improving revenue cycle management. Audits also play a vital role in improving revenue cycle management.