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Revenue Cycle Management


What is Revenue Cycle Management (RCM)?

Revenue Cycle Management - also known as medical billing or professional billing and collections - is the management of a hospital or practice’s billing operation by a third-party firm.

Objective

The primary objective is to increase revenue by maximizing insurance reimbursements and self-pay payments while eliminating the headache of managing an in-house billing office.

What does Revenue Cycle Management entail?

Our end-to-end revenue cycle management service is a comprehensive solution for providers seeking to increase revenue, eliminate deficiencies, reduce employee overhead, and gain more insight into their revenue. Our team begins work once patient encounter records are received - typically via direct access to your system, SFTP, electronic data interchange (EDI), or HL7 interface - and subsequently handle the entire billing cycle. Each account is supervised by a Senior Revenue Specialist, most of whom are Certified Professional Coders (CPC) and have 10+ years of billing experience.

We handle all steps of the billing process, including, but not limited to:

  1. Coding Encounters/Procedures

  2. Posting Charges

  3. Creating/Filing Claims

  4. Posting Insurance Payments

  5. Electronic Patient Invoicing

  6. Posting Patient Payments

  7. Claim Follow-up

  8. Denial Management

  9. Detailed Monthly Reporting

  10. Answering Patient Billing Calls

  11. Credentialing/Contracting Providers

Technology

Our staff has extensive experience utilizing all major electronic health record (EHR) systems.

Mock Viator provides, configures, and utilizes the MicroMD Practice Management system at no cost to the practice/hospital. All billing tasks are performed within this system. Personnel designated by the client will receive 24/7 remote access to this system via Citrix Workspace.

How is Mock Viator different?

Our track record of providing exceptional service to our clients dates back nearly 30 years. We are a professional organization that combines modern technology, highly-trained employees, and advanced analytics to maximize your revenue.

In addition to managing the revenue cycle, our team utilizes proprietary technology and advanced analytics to continuously pinpoint and correct trouble-spots within your practice, identify potential additional sources of revenue, and ensure the overall health of the revenue cycle.

Every month, our team generates detailed monthly reports for your practice, ensuring you are always fully aware of all revenue cycle activity and trends.

What are the benefits of outsourcing my billing?

There are many benefits associated with outsourcing your revenue cycle management.

  1. Reduce overhead expenses

  2. Increase revenue by eliminating billing errors

  3. Eliminate employee turnover and training concerns

  4. Improve practice scalability

  5. Ensure compliance with all laws and regulations

  6. Guaranteed coding accuracy

  7. Fully transparent reporting

  8. Stronger patient collections and satisfaction

  9. Capitalize on additional revenue opportunities

Pricing

Our standard agreement is to charge a small percentage of monthly collections.

Want more information?

We would greatly appreciate the opportunity to learn more about your practice and needs. To begin, please schedule a free introductory call with our consultants using the scheduling tool below or click on the “Email Us” button to email a consultant.