Healthcare reimbursement structures are more complex than ever and providers need automation and data-driven insights to ensure that ongoing problems don't continue to produce errors caused by manual system inefficiencies.
In order to ensure your optimal financial performance, our team focuses on key areas such as billing and coding inefficiencies, payer performance, claim reimbursements, and industry benchmarking.
Our proven RCM technology analyzes all of your financial and operational data to track, correct, and improve overall practice performance, increase your practice cash flow, and significantly reduce rejected or denied claims.
Our firm is locally based in North Atlanta, Georgia USA and our remote team resides throughout the Metropolitan Atlanta area so we're always here for you locally if needed.
With decades of hands-on experience in actual medical practice, we're all truly excited and ready to offer you our professional support to help restore your bottom line. We'll work relentlessly to collect on your claims and automate your RCM processes for significantly higher reimbursement rates and improved collections.
ATLANTA REVENUE CYCLE MANAGEMENT FIRM
Our healthcare professionals can help you with any and all new practice startup paperwork and requirements, insurance plan enrollments, medical billing services, fee schedule development, contractual negotiations, practice software advice and setup administration just to name a few.
Most practice software systems will allow you to electronically verify your patient's insurance coverage however there seems to be no shortage of claims filed without a confirmation of coverage. Our remote team streamlines the verification process and serves as a backup to guarantee your patient's eligibility for all treatment.
BILLING & CODING
Our remote financial team is trained to read and interpret your clinical notes and operative reports so that the most appropriate and payable CPT and ICD-10 codes are identified and posted for charges relating to treatment. All charges and medical billing services are processed and posted within 24 hours of the patient visit .
ERAS | PAYMENT POSTING
Our team can post all of your practice ERA/EOB payments and handle the accounting processes for adjustments and refunds made to the insurance carrier or patient. We can also process and mail your patient statements each month.
CLAIMS & AR FOLLOW UP
Your virtual claims analyst will code, post, and follow all claims until they're processed correctly and payment has made to you. We utilize a unique tickler system to ensure that each and every claim is followed up on a set weekly schedule until the claim is resolved.
We're more than happy to assist your practice and its providers with the CAQH Database, facility, and/or insurance plan enrollment. We specialize in MEDICARE and MEDICAID enrollment and we guarantee approval for participation within 30 days of the application date.
*Revenue cycle outsourcing market is growing...
The revenue cycle outsourcing market is expected to grow at a CAGR of 11.9 through 2023, rising from $11.7 billion in 2017 to a whopping $23 billion by the end of the period, according to the Market Reports.
The market is slated to grow as providers see revenue cycle outsourcing as a “reasonable solution” for rising costs and administrative burdens, the market research company stated. Outsourcing full revenue cycle management can also help healthcare organizations improve KPIs.
Revenue Cycle Management is the lifeblood of any medical practice.
Effective patient registration, insurance and benefit verification, charge capture and claims processing are essential to maintaining practice viability.