MedCross RCM

Why Choose Us

Verification is one of the most neglected processes in the revenue cycle even though it filters out costly problems such as claim denials, non-payment of claims, delayed payments, and decreased patient satisfaction.

When you partner with us, you could slash up to 40 percent of your overhead expenses. Let us handle your verification process and make it more efficient as our experts have worked with major commercial and government healthcare payers. They also conduct routine follow-up with payers to make sure that patient information is always up-to-date.

We are also fully compliant with the HIPAA security standards and routinely conduct verifications for major commercial and government coverage such as Medicaid, Medicare, BCBS, Aetna, Workman’s Compensation, and United Healthcare.

Patient Satisfaction Guaranteed

With our meticulous verification and pre-authorization processes, you can schedule your patients for care reviews and help them access their required treatment on time, which translates to high patient satisfaction.

What We Do During the Verification Process

• We receive patient appointment from the physician’s office.

• We enter patient demographic information.

• We verify the patient’s benefit and eligibility and other pertinent details that will have a direct impact on his fees, out-of-pocket expenses, etc.

• We obtain authorization from the payers stating that they will cover the cost of treatment.

• We contact the patient to give him an update about his verification status.

• We routinely communicate with payers to ensure that patient information is accurate and up-to-date.

• We update medical billing system by recording all data related to insurance verification.