MedCross RCM

Benefits of Our Service

• Slash claim denials by up to 75 percent

• Reduction in delayed payments and non-repayment of claims

• Quicker revenue cycle and improved overall cash flow

• Increase patient satisfaction thanks to quicker access to care

• Reduce overhead expenses by up to 50 percent

• Meticulous verification process to make sure that patient information is accurate and up-to-date in the insurance providers’ database

How It Works

1. Receive patient schedule from the physician’s office

2. Verify the patient’s benefit coverage with his payers

3. Initiate pre-authorization requests and treatment approval from payers

4. Contact the patient to give him an update

5. Update the practice management system

During the verification process, our specialized team obtains patient schedule from the physician’s office or hospital, then conducts entry of patient demographic information in order to verify coverage with his primary and secondary payers.

Next, our team confirms the validity of the coverage and as well as the benefit options, i.e., deductibles, co-insurance, and co-pays. They also look into other important details such as the payable benefits, non-covered procedures, pre-existing clause, lifetime maximum, claims mailing address, effective date of the coverage, among others.

Furthermore, they conduct frequent follow-up with the insurance carriers to make sure that patient information in their database is accurate and up-to-date.