Patient Access Services
Streamline scheduling and appointment management, eligibility verification, and prior authorization.
Mid-Cycle Services
Leveraging AI, our auditing, charge capture, billing, and rejections solutions for timely submissions
Revenue Integrity
Ensuring accurate collections, fast reimbursement, and revenue leak prevention for profitability with AI-driven AR.
RCM Automation & Analytics
Advanced automation technology solutions for automating processes and insightful analytics for decision-making.
CLIENT BASE
About RCM Services
Whether a physician or an ancillary provider, cash flow and revenue are the lifeblood of revenue cycle management for Physician Practices and Healthcare Organizations. Implementation of RCM results in healthcare facilities eliminating overcharging their patients, enhancing the patient experience, and increasing their credibility. RCM partner and physicians both are directly responsible for your medical practice’s financial health as an efficient service provider is significant to get the desired results. An efficient RCM process can shorten the time in getting the claims paid. It acts as a bridge between providing a service and collecting insurance payment by connecting with medical billing systems. It’s more important for practices to evaluate their requirement for dependable Revenue Cycle Management Systems.
Charge Entry Feature
- Claim creation, validation, and transmission
- Entering valid super-bill information
- Claim approval confirmation
- Claim status tracking
A/R Management Feature
- Reduces the aging of outstanding A/R
- A/R workflow optimization
- Claim approval confirmation
- Collecting A/R collections from the payers and patients
Insurance Follow-Up Feature
- Following up with payers for unpaid claims
- Following up with payers for underpaid claims
- Contact payers on a provider’s behalf
- Negotiating and resolving claim disputes
Patient Collections Feature
- Collecting patient payments
- Managing initial statement + final notice
- Sending clean bills and reminders to patients
- Convenient payment options for patients
KPI Reporting & Analytics
- Monitors your key performance indicators
- Analyzes days in accounts receivable
- Analyzes claim denial rate and collection rate
- Comprehensive and customizable reports
Coding and Documentation
- Coding provider’s services compliantly
- Using the latest coding standards and guidelines
- Capturing relevant details that support a provider’s claims
- Justifying a provider’s reimbursement for their services
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Medientsky offers revenue cycle care, with billing at its core
Our unique approach to medical billing is how Medientsky RCM Service delivers measurable improvements to the revenue cycle process. The SmartClaim system we developed in-house analyzes billing codes and clinical documentation to catch issues before claim submission. This technology achieves first-time acceptance rates upwards of 98%, putting money back in our providers’ pockets faster.
RCM ROI CASE STUDY
Up To 30% Revenue Increase In Next 12 Months With Medientsky's Medical Revenue Service (Case Study)
| In-House Billing | Medientsky RCM | Results | |
|---|---|---|---|
|
Charges (on average) |
$142,000.00 |
$142,000.00 |
|
|
Gross Collection Rate (GCR) |
$60,000 (42%) |
$77,000 (54%) |
12%
Increase in Gross Collection Rate |
|
Billing Costs |
$6,000 |
$4,000 |
$2,000
Decrease in monthly cost of RCM service |
| $197,000 Yearly Net Benefit | ≈ 30% Overall collection increase |
|---|---|
Medientsky approach
Systematic Approach to Streamlined Reimbursements
A smooth revenue cycle management for medical practices is everyone’s dream, but it also comes with challenges! No worries, we got experts to deal with them. Our expert team of medical billing auditors and billers gets deep into each step and devises a strategy that works best for you.
- A clear prior authorization process
- Capture the revenue integrity
- Authenticate medical coding
- Manage AR diligently
- Data-driven credentialing
- Specialty-specific MIPS reporting
What We Do
Medientsky RCM Medical Billing Has Got The Solutions For Providers' Revenue Growth
Poor Cash Flow
Poor Cash Flow
Providers struggle with maintaining a steady and predictable cash flow due to various factors such as bad debt and underpayments.
Mishandled A/R
Mishandled A/R
Providers face challenges in managing their accounts receivable (A/R) due to the complexity and variability of the process.
Misaligned Payer Compatibility
Misaligned Payer Compatibility
Providers struggle complying with multiple payers, as well as different claim types, like fee-for-service, value-based, and capitated.
High Denial Rates
High Denial Rates
Providers experience is a high rate of denials from payers, that give negative impact to their revenue and also to their cash flow.
More Admin Workload
More Admin Workload
Denials reduce the provider’s revenue collection and increase their workload as they have to appeal and resubmit the claims.
Unsatisfied Patients
Unsatisfied Patients
Patients are becoming more empowered consumers of healthcare services, so providers find it hard to ensure patient satisfaction.
Complicated Patient Management
Complicated Patient Management
Providers struggle with the increasing patient financial responsibility due to high deductible health plans (HDHPs) and self-pay patients.
Better Cash Flow
Better Cash Flow
Our med RCM service reduces the bad debt and underpayments by ensuring accurate and timely claim submission and follow-up.
Managed A/R
Managed A/R
Our healthcare RCM solution provides visibility into A/R performance, such as days in A/R, A/R aging, and A/R turnover.
Aligned Payer Compatibility
Aligned Payer Compatibility
Our flexible and scalable RCM platform adapts to the changing payer requirements and maximizes provider’s reimbursements.
High Recovery Rates
High Recovery Rates
Our proactive and preventive approach resolves the root causes of denials to boost denial recovery rates and revenue integrity.
Automated Process
Automated Process
Our RCM experts and EHR platform automate the manual work and perform claim submission with utmost accuracy.
Satisfied Patients
Satisfied Patients
Our RCM service offers a patient-centric platform to improve the patient-payer relationship via telehealth features.
Automated Patient Management
Automated Patient Management
Our medical billing platform automatically estimates and communicates the patient’s out-of-pocket costs before the service.
Testimonials
What Our Clients Say
Trusted by 300+ Verified Practices
Get In Touch
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Revenue cycle management is the process of managing the financial aspects of a healthcare provider’s or facility’s operations. It involves billing, coding, collecting, and reconciling payments from patients and insurance companies.
RCM services can help you improve your cash flow, reduce administrative costs, increase patient satisfaction, and comply with regulatory requirements.
We have a robust and proactive system to handle claim denials and appeals. We first monitor and analyze the reasons for claim rejections and denials. Then, correct and resubmit the claims as soon as possible. We also follow up with the payers and negotiate on your behalf to get the maximum reimbursement. We keep the provider informed of the status and outcome of the claim denials and appeals.
We charge for our RCM services based on a percentage of your collections. This means that you only pay us when you get paid by the payers and patients. We do not charge any upfront fees, hidden fees, or long-term contracts. We believe that this pricing model is fair and transparent, and it aligns our interests with yours.
We take the security and privacy of your data very seriously. We comply with all the relevant laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) and the General Data Protection Regulation (GDPR). We use encryption, firewalls, backups, and other measures to protect your data from unauthorized access, loss, or damage.