Revenue Cycle Management (RCM)

Our Revenue Cycle Management services encompass the entire billing process, from patient registration to claim submission and reimbursement. We leverage advanced technology and industry best practices to ensure efficient revenue capture and maximize reimbursements for our clients.

Medical Coding

Accurate medical coding is essential for proper claims processing and reimbursement. Our team of certified coders meticulously assigns the appropriate codes for diagnoses, procedures, and services rendered, ensuring compliance with coding guidelines and maximizing revenue potential.

Claim Submission and Follow-up

We handle all aspects of claim submission, including electronic and paper claims, ensuring timely and accurate submission to payers. Our proactive follow-up process ensures that claims are tracked and any denials or delays are addressed promptly to expedite reimbursement.

Accounts Receivable Management

Effective accounts receivable management is crucial for maintaining a healthy cash flow. Our team monitors and manages accounts receivable aging, follows up on outstanding claims, and implements strategies to reduce accounts receivable days and increase collections.

Denial Management and Appeals

Denials can have a significant impact on practice revenue if not addressed promptly and effectively. We specialize in denial management and appeals, identifying root causes of denials, implementing corrective measures, and appealing denied claims to maximize reimbursement.

Insurance Verification and Eligibility

We verify patient insurance coverage and eligibility prior to service delivery, ensuring that claims are submitted accurately and reducing the risk of claim denials due to eligibility issues. Our proactive approach helps practices avoid billing errors and minimize reimbursement delays.

Customized Reporting and Analytics

We provide customized reporting and analytics to give practices insights into their financial performance and billing trends. Our reports include key performance indicators (KPIs), reimbursement trends, and actionable insights to help practices make informed decisions and optimize revenue.

HIPAA Compliance

We prioritize patient privacy and data security, ensuring compliance with HIPAA regulations in all aspects of our billing services. Our secure systems and protocols safeguard patient information and ensure confidentiality at all times.

At ClaimsCareMD, we are committed to providing exceptional billing services tailored to the unique needs of each healthcare practice. Partner with us to streamline your billing processes, maximize revenue, and achieve greater practice success.

Contact us today to learn more about our services and how we can support your practice's billing needs.