Revenue Cycle Management in Medical Billing

Revenue cycle management (RCM) allows you to get paid for your health care services. It includes all aspects leading to payment — from negotiating contracts with payers to resubmitting denied claims. 

It's common for physicians to face challenges in implementing successful RCM due to its many stages and complexities. Common challenges include correcting coding errors, adopting new technology and staying informed of the latest regulations.

All areas of the cycle require time and attention. Without investing time and training in each area, you may find inaccuracies and inefficiencies delaying payments and impacting your practice's financial health. For many physicians, RCM is a heavy burden.

The good news is you do not have to carry the full weight of RCM to be successful. Instead, you can outsource all of your billing and coding needs to experienced RCM professionals.

View Our Technology Partners

Our Revenue Cycle Management Services

At ProMD Medical Billing, we are experts in health care revenue cycle management. We can handle your most complex coding and billing tasks efficiently and accurately.

Our RCM services include:

• Assessment: If you need assistance identifying and resolving RCM issues, we can help. We can review any stage of your cycle to pinpoint problem areas and recommend effective solutions.
• Physician credentialing: We're ready to assist you in completing the credentialing process, from gathering required documents to following up with insurers.
• Claims submission: We can handle every aspect of claims submission, including accurately assigning codes and modifiers for maximum reimbursement and promptly billing every payer.
• Payment posting: We'll document the payments you receive from insurance companies so you can visualize how your practice is doing financially.
• Denial management: Our denial management services ensure you no longer have to dedicate time to correcting and resubmitting claims. In addition to handling denied claims and making sure you get reimbursed for your services, we'll explain any trends to help you successfully submit claims in the future.
• Follow-up: We'll stay in touch with insurers to track the status of your claims and keep you informed. That way, you'll know when you can expect to be reimbursed for your services. By keeping in regular contact with insurers, we can also speed up processing.
• Reporting and analysis: Tracking data is vital to gaining insight into your practice's financial performance. We'll monitor critical data and provide a billing performance report monthly. That way, you can see the state of your practice's finances and where you can make improvements.

If you need something different, let us know. With over 20 years of experience, we're equipped to tailor our services to meet your needs.  

Benefits of Our RCM Services for Health Care Providers 

Whether your practice is large or small, new or well-established, we can help you achieve streamlined revenue cycle management. Here's why you should partner with us:

• We're fully based in the United States: Our team consists of professionals who are 100% based in the United States. This practice ensures our experts are familiar with compliance regulations and insurance payers and policies.
• Our coders are certified: Our medical coders are certified by the American Academy of Professional Coders to deliver the highest-quality service.
• We'll help you grow: Our professionals typically allow practices to increase revenue by 20% within 90 days. We also provide a high first-pass rate to promote prompt payments.

Your Health Care Revenue Cycle Management Company

If you're ready to send your practice's revenue cycle management to an outsourcing company, it's crucial to select a business you can trust, like ProMD Medical Billing. We'll remove the administrative burden and bring you peace of mind.

Complete our online form to learn more or request a consultation.

Call 866-960-9558