“Enriching Healthcare service providers around the nation
for over 20 years.”

Revenue Cycle Management

There are numerous financial transactions involved in the whole medical episode of a patient. Right from the patient walking into the healthcare facility to register until the final payment of balances, there are numerous financial happenings involved in it. 

 

Revenue Cycle Management is nothing but a billing process that employs the utilization of medical billing software. It binds the healthcare and administrative data of the patients and unifies both the clinical and business aspects of the healthcare industry.

Revenue Cycle Management is the business aspect behind the administrative and clinical functions done by a healthcare provider in the healthcare industry. The financial process includes claims processing, payment and revenue generation. There are many steps involved in the above process, which are done by both the front and back offices.

An efficient healthcare revenue cycle results in smooth cash flow for providers.

US Medical Billing Services is one of the leading revenue cycle management companies in the country. Our revenue cycle management services will assist providers in deriving revenue to the fullest extent by ensuring that they get paid entirely for the services they deliver.

We use the latest technology in all our processes. Work is done faster and there is less scope for errors. Also, our team is trained to work with many Electronic Health Record software. Hence a client does not need to change software when partnering with us. Our team is in constant touch with patients and payors. We educate the patient about their insurance coverage and how much they may have to pay the provider after reimbursement. We are in regular contact with payors to follow up on our claims. 

Training is a vital component of our workflow. Our billers have their knowledge updated continuously as there is a constant change in rules and regulations in the industry. They are dedicated personnel who value quality output. We have a regular internal audit of our processes to improve our workflow and weed out possible error areas. Such monitoring of work to raise our service standards is the key that has sustained us all along.

Whether it be a small medical practice revenue cycle management or medical billing revenue cycle for bigger facilities, we can help you with our time-tested efficient services to maximize your revenue speedily.

What are the fundamental steps in RCM?

RCM begins when a patient makes his/her appointment to visit a physician. It ends when all payments due to the physician for services rendered are collected. The process from start to finish is rather complicated. 

When a patient makes his/her appointment, the front office staff will schedule the visit, collect patient demographic information and thoroughly check insurance eligibility.

A patient account is then created with a medical history and all relevant information. This is a crucial step, as mistakes made here can result in claims rejections. Our team at US Medical Billing Services is an expert at the front office part of revenue cycle management services.

Once the patient visit is over, the process of claims submission starts. The treatment received by the patient is now assigned standardized codes and the coding has to be done accurately. The amount to be reimbursed by the payor is also entered in the form. Other details are entered into the claims form. The completed claims document is then sent to the payor for reimbursement.

After the payor makes the payment, payment posting, statement preparation, collections and denial management have to be handled. If the reimbursement does not cover the entire cost of treatment, the balance (co-pay) must be collected from the patient.

The accounts receivable team follows-up with the insurance company until they pay the posted claim.

BENEFITS

The Benefits Of Our Medical Billing Services

Superior Quality of Service

Lesser Turnaround Time

Cost Effective Pricing

Minimum Rejections

Dedicated Account Management

Effective Processes

Use Of Latest Technology

Uninterrupted Cash Flow

Why Choose us?

We ensure that the billing process is smooth, efficient and result-oriented for our clients. We are invested in the success of our clients. Our clientele includes several top healthcare providers in the USA. Reach out to us and become part of the family of happy and satisfied clients.