Billing, Collection, Reporting of FeesIn-House ProgrammingContract NegotiationsConsulting ServicesUtilizations StudiesManaged Care Contractual ComplianceCertified Procedural CodersThird Party CredentialingBilling Compliance ProgramCapitation ArrangementsVirtual Private NetworkBlended Unit Payout
 

 

 

Every contractual payment is audited for accuracy. This includes review of base, time and risk units, and modifying circumstances, in addition to any incidental procedures. Incorrect payments by third party payers are handled not only by claims processing staff, but with contracting specialists. This results in more timely, accurate payment of claims.

Timeliness of payments are also monitored, not only by individual Physician or Group, but by RCM’s aggregate book of business with each payer.

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