SERVICES WE OFFER
Revenue Cycle Management
End-to-End Automated Medical Billing
At RCM4U, we recognize the unique challenges healthcare providers encounter in effectively managing their revenue cycles. Our all-inclusive medical billing and revenue cycle management (RCM) solutions are crafted to simplify your billing processes, alleviate administrative workloads, and optimize revenue—allowing you to concentrate on what truly matters: providing outstanding patient care.
Enrollment & Credentialing
Verifying and enrolling healthcare providers with insurers to ensure compliance and timely reimbursement for services rendered.
Clearing House Setup
A seamless connection between providers and payers to process claims, verify eligibility, and manage payments, reducing errors and speeding up reimbursements.
Live Sessions
Real-time virtual meetings for collaboration, training, and discussions, ensuring clear communication and productivity.
Appointment Scheduling
A streamlined process for booking and managing appointments, ensuring efficient time management and improved patient access to care.
Patient Registration
The initial process of gathering essential patient details to create an accurate record for efficient healthcare delivery and smooth billing.
Advance Eligibility
A process that verifies a patient’s insurance coverage and benefits in real-time before services are provided, ensuring accurate billing and reducing claim denials.
Utilization Review
A process to evaluate the necessity, efficiency, and appropriateness of healthcare services, ensuring optimal patient care while managing costs and compliance with insurance requirements.
Referral & Authorization
The process of obtaining approval from insurance providers for specialist visits, procedures, or treatments, ensuring coverage and compliance with payer requirements.
Describing Charges
The process of explaining medical fees, procedures, and billing details to patients, ensuring transparency, understanding, and trust in healthcare services.
Coding & Billing
The process of translating medical services into standardized codes and generating claims for accurate billing, ensuring timely reimbursement and compliance with regulations.
Charge Posting
The process of recording medical service charges in the billing system, ensuring accuracy for financial tracking.
Submitting Claims
The process of sending medical claims to insurance providers for reimbursement, ensuring accuracy and compliance to minimize denials and delays.
Clearing House Denials
Rejections of claims by the clearinghouse due to errors or non-compliance with payer requirements, requiring correction before resubmission.
Payment Posting
The process of recording payments, adjustments, and denials in the billing system to maintain accurate financial records and account balances.
Denial Management
A systematic process to analyze, address, and resolve denied claims, ensuring accurate reimbursement and minimizing revenue loss.
Secondary Filling
The process of submitting claims to secondary insurance payers after the primary payer processes a claim, ensuring additional reimbursement.
Account Receivables
The management of outstanding payments owed by patients or insurance companies, ensuring timely collection and maintaining healthy cash flow for healthcare providers.
Audits
The process of reviewing and evaluating medical records, billing practices, and claims for accuracy, compliance, and efficiency, ensuring adherence to regulations and identifying areas for improvement.