At Med Globe Healthcare Solutions, we understand the critical role that efficient Revenue Cycle Management (RCM) plays in the financial health of your healthcare practice. Our RCM Billing Services are designed to streamline your billing processes, reduce errors, and ensure you receive the maximum reimbursement for your services.

Our RCM Billing Services Include:

  1. Patient Registration and Scheduling

Efficient patient registration and scheduling are the first steps in the revenue cycle. We ensure accurate collection and verification of patient information, which minimizes billing errors and delays.

  • Insurance Verification: We verify patient insurance coverage and benefits before appointments to avoid any surprises.
  • Demographic Data Entry: Accurate entry of patient demographic information to ensure clean claims submission.

 

  1. Medical Coding

Our certified medical coders translate medical services into standardized codes, ensuring compliance with coding regulations and optimizing reimbursement.

  • ICD-10 Coding: Accurate and compliant coding for diagnoses and procedures.
  • CPT and HCPCS Coding: Proper coding for medical, surgical, and diagnostic services.

 

  1. Claims Submission

We handle the entire claims submission process to ensure timely and accurate claims processing.

  • Electronic Claim Submission: Fast and efficient submission of claims to payers.
  • Paper Claim Submission: For payers who do not accept electronic claims, we ensure accurate and timely paper submissions.

 

  1. Payment Posting

Our team accurately posts payments to patient accounts, ensuring that all payments are accounted for and discrepancies are addressed promptly.

  • Electronic Remittance Advice (ERA) Posting: Automated posting of payments and adjustments.
  • Manual Payment Posting: Accurate posting of payments received by check or cash.

 

  1. Denial Management

We proactively manage claim denials to identify the root cause and implement corrective actions to prevent future denials.

  • Denial Analysis: Detailed analysis of denial reasons to address issues.
  • Appeals Management: Preparation and submission of appeals for denied claims to maximize reimbursement.

 

  1. Accounts Receivable (AR) Follow-Up

Our dedicated AR team follows up on outstanding claims to ensure timely payment and reduce days in AR.

  • Aging Reports: Regular review of aging reports to prioritize follow-up efforts.
  • Patient Statements: Timely and accurate patient billing statements.

 

  1. Financial Reporting

We provide detailed financial reports to help you understand your practice’s financial health and make informed decisions.

  • Monthly Financial Statements: Comprehensive reports on revenue, expenses, and profitability.
  • Custom Reporting: Tailored reports to meet your specific needs.