Embedded Files
We Stabilize Your Practice with Proper Revenue Cycle Management. Our Professional Team That Help You Collect More and Get Paid Faster With Less Work.
Services
MedCross RCM Services
MedCross RCM Services
MedCross provides a complete medical billing solution to physicians and medical practices. The core moto of MedCross is designed to provide medical billing services for medical practitioners without administrative infrastructure to manage the billing process themselves. Our billing experience have a rigid business platform designed to support your entire business operation, regardless of any specialty. We provide a rigid structure from which your practice can experience a gradual growth through our efficient management. By handling your billing process, we reduce your time consuming and often frustrating job billing, let you concentrate on your patient care. Our highly skilled professionals utilizes the very latest technology to expedite and amplify your reimbursements.
Do What You Do Best,
Do What You Do Best,
Let MedCross RCM Do The Rest
Let MedCross RCM Do The Rest
MedCross RCM Services is aligned to meet your business goals. Our drive to excel is complemented by structured transition protocols and vast experience of our staff in the field of Medical Billing. Our portfolio includes a wide range of services.
Billing Services
Billing Services
- MedcrossRCM manages your entire revenue cycle: from coding, charge entry, and patient and insurance billing, to collecting, depositing, and posting payments. Our expertise lies in practice management and optimizing reimbursement for the services you provide, and our experience enables us to quickly recognize the unique aspects of your practice. Together with our leading-edge technology, these strengths allow us to deliver superior billing services.
Overview of Services – Providers
Overview of Services – Providers
- Accurate and prompt verification of all scheduled appointments.
- Verification which covers the copy, deductibles and special billing rules for the encounter.
- A report sent to each practice by 8 am that lists out patients who have high deductibles, invalid coverage and high patient balances.
- Obtaining the authorisation for chemo treatments based on the regimen proposed. This is a great help for practices, as staff is free to concentrate on the clinical side.
Benefit and Eligibility Verification
Benefit and Eligibility Verification
- Demo/MR or charges will be entered, audited and updated in the system. These will be transmitted directly to Insurance or through any vendor (Clearing house). For missing information we will revert to the client.
- Patient demographics, charges, Insurance correspondences (payment, checks and denials)
- After transmission, Insurance will be processing the claims and results to either cash payment or denial. Cash posters will post the cash in the system and also update the denials for further action.
Comprehensive reports will be periodically sent to the client.
Charge Capture
Charge Capture
- Complete charge information is captured within 24 to 48 hours and audited for compliance and accuracy.
- Continuous reconciliation of billed services with rendered.
- Exhaustive billing rules per account that enable staff to stay updated on the processing rules.
- Diligent follow-up for all pending claims to ensure 100 per cent reconciliation with appointments.
Payment Posting
Payment Posting
- Payments are diligently applied to accounts and also matched with fee schedules.
- 100 per cent reconciliation of posted amounts.
- List sent for all refund issues and excess payments.
- Low payments and denied line items researched for further processing and action.
Claims Transmission
Claims Transmission
- Claims transmitted directly to carriers or through clearing houses.
- Claims audited for compliance and accuracy to help in reducing rejections.
- Rejections fixed promptly to ensure faster payment of claims.
- Thorough audit of all transmissions to ensure success.
Denial Management
Denial Management
- Correspondence and research of denied EOBs to validate the determination or else arrive at corrective measures.
- Research denials and work with the client's office and the insurance company to fix problems and get paid.
Diligent AR Insurance Follow Up
Diligent AR Insurance Follow Up
- Using proprietary work flow tools, our staff diligently follows up with insurance companies, takes pay or specific steps to get claims paid and liquidated.
- High volumes of claims addressed on a daily basis.
- No claims left unaddressed after 60 days of submission.
- Clear reasons for claims outstanding on 90th day.
Patient Billing and Follow Up
Patient Billing and Follow Up
- Courteous and professional staff calls up patients and collects past due bills.
Medical Transcription Services
Medical Transcription Services
We guarantee at least 98 percent accuracy with our medical transcription services. We do a minimum of three levels of fact checking and editing, and we only hire certified, well-trained transcriptionists so you can focus more on what you do best: Treat your patients.
Medical coding
Medical coding
Our AHIMA or AAPC certified coders with coding exposure in various types of specialties, including inpatient & outpatient, same-day surgery, E/M, multiple surgical specialties, emergency department, observation, ancillary, recurring, and diagnostic and interventional radiology. Our coders have deep experience with facility, pro-fee, and risk adjustment coding.
Our core strengths provides extensive benefits including optimizing reimbursements, revenue integrity and compliance, coding-related denial reduction, coding standard enforcement, rapid deployment and scalability, as well as backlog elimination.
RCM Services Assurance
RCM Services Assurance
- Bringing account receivable days below national average
- Eliminating unbilled/pending claims
- Data input accuracy and quick TAT for payment
- Reduction in denial and transmission error rate
- Accelerated cash flow
- Higher first pass payment and no claims left behind
- Best attributes in focus on improving your collections and reducing AR days
AR Recovery
AR Recovery
Today, many physicians find their medical practice or facilities generating expected or growing monthly charges but are not realizing the same growth in their reoccurring cash flow.
Unless specific and consistent active accounts receivable follow up on the current billings is initiated, it is common to find a provider with excessive amounts in medical A/R that are greater than 180 days outstanding.
Usually the volume of outstanding claims and the time it takes to research, correct, appeal, and/or re-file the claims will take much longer than anticipated. A limited number of staff devoted to this task will not be able to accomplish the goal, which is to substantially reduce/eliminate the outstanding A/R and collect as much money as possible in a short period of time.
The medical A/R program offered by Medcross overcomes the problems that traditionally hinder collection efforts by the individual providers. Medcross pursues these accounts by assigning a full team of individuals to "blitz" them.
We utilize experienced, well-trained individuals in the medical billing process as our collectors. Most of these employees have years of experience in medical billing collections and coding.
Getting Paid Faster With Fewer Errors
Getting Paid Faster With Fewer Errors
Electronic secondary claims submission and electronic funds transfer (EFT) are two other capabilities that have allowed our practice to shorten reimbursement turnaround substantially. On an average, payments are received and entered within 14 days which has helped our average days in A/R drop to 30 - representing a 63 per cent decline. Days in A/R greater than 90 days also has dropped to just seven per cent, less than half of what it was before implementing new systems.
In addition to speeding reimbursement, we have also been able to improve the accuracy of our revenue cycle process. With the edits available in our clearing house solution, we catch any claim errors and correct them prior to submitting claims to the insurance company. This has helped reduce denials and eliminated work for billing staff on the backend. Despite denials, the ‘plain English’ message information and a knowledge base resource make it easier for billing staff to research and correct problems. The result: our net collections have improved by 11 per cent, reaching 98 per cent overall.
Achieving Higher Productivity with Fewer People
Achieving Higher Productivity with Fewer People
We have centralized our billing office and process about 300 claims everyday. Despite additional clinical staff and larger claims volume, we have been able to efficiently manage our revenue cycle processes and are doing this with less full-time equivalent (FTE) revenue cycle staff. While previously we employed one FTE at each practice location for charge entry alone, we now have one FTE to enter all payments and handle denials for locations across. Additionally, we shifted one FTE from folding and mailing paper claims to a more productive, revenue-generating role.
Electronic remittance advice (ERA) functionality has increased staff efficiency, especially when it comes to processing claims for Medicare, one of our main payers. While it would take an entire eight-hour shift to manually enter one Medicare EOB batch, payments are now posted and EOBs attached with the click of a button. Because all EOBs are filed electronically, there is no wastage in locating documents. We also leverage our clearing house technology to check patient enrollment and eligibility in real time, prior to service. The technology helps staff work smarter and focus attention on patients who ‘fall out’ of the verification system. Automated eligibility verification has cut down on our correspondence time with insurance companies while staff seldom needs to call and wait on hold to get an insurance question answered.
Speak to our Consultant – Call +1-732-893-0050 or Email sales@medcrossrcm.com
Click here to Get a FREE QUOTE!
Value-added Consultation
Value-added Consultation
Having 7+ years of experience and expertise, we ensure that our value added consultations provides the right answers for your revenue growth.
Sustained Business Planning
Sustained Business Planning
We have a wide-ranging industry knowledge, resources, skilled personnel, systems, plans and processes in place that ensure business sustainability even during emergency situations.
End to End Custom-Made Services
End to End Custom-Made Services
We provide end-to-end customized services across foremost business functions and industry verticals guaranteeing on-time fulfilment of tasks.
Page updated
Report abuse