Services > Revenue Cycle Management
Maximize Profitability by Optimizing Your Revenue Cycle
Revenue Cycle Management
Maximize Profitability by Optimizing Your Revenue Cycle
Effective Revenue Cycle Management (RCM) is critical to ensuring the financial success of your medical practice. Accredited Billing & Consulting offers total Revenue Cycle Management services for physicians, specialty clinics, and healthcare providers. Our services are HIPAA compliant, optimize revenue cycle processes, minimize claim denials, and generate the fastest insurance reimbursement. With personal assistance from certified medical coders and credentialing services, Accredited Billing & Consulting can help improve your billing process so you can focus on patient care!
Why Revenue Cycle Management is Important
An optimized revenue cycle management (RCM) plan can help keep your practice financially stable. RCM decreases lag time, increases the accuracy of ICD-10 coding, and improves your billing processes so you can be paid on time and grow your revenues.
Key Challenges in Revenue Cycle Management
High Claim Denial Rates
Frequent denials result in missed cash flow. Our experts review the denial history, maximize the accuracy in coding with ICD-10, and develop action plans to keep the denials low while increasing acceptances of your insurance claims.
Ineffective Claim Processing
Claim errors or claim submission errors can prolong cash flow and diminish revenue. We take care to file the correct amounts with the correct procedures and ICD-10 compliant documentation of the services provided to reduce denied claims and to avoid needless claim rejections.
Delayed Reimbursements
Slow payments can hinder operations and affect the bottom line. We streamline the claims billing process with ICD-10 compliant coding and adequately track the insurance claim process to improve reimbursements from payers and speed up cash flow.
Lack of Transparency & Reporting
Existing practices with little to no financial insight struggle with identifying revenue leaks. Our reporting and audit support provides practices with real-time metrics analysis and reports that can support optimal financial performance and improve revenue cycle management.
Complete Revenue Management Services
Patient Registration & Insurance Verification
When we do accurate patient data entry and verify insurance, there will be less rejections of claims. We verify coverage, co-pays and deductibles up front.
Medical Coding & Charge Entry
Our certified coders will uphold compliance with industry initiatives (ICD-10, CPT, HCPCS) to increase claim accuracy and reimbursement rates.
Claim Submission & Management
We will submit claims electronically or by paper when mandated. Accurate claim submission with the proper formatting and payer requirements is ensured.
Payment Posting & Reconciliation
We will post payments with accuracy and reconcile accounts so that all responsible parties – payers & patients – align as expected and tracked.
Denial Management & Appeals
Our team is pre-emptive to denials, with correcting errors to resubmit claims and maximize the revenue recovery.
Accounts Receivable (AR) Follow-Up
We follow up on unpaid claims aggressively including negotiating with payers to obtain the maximum reimbursement.
Compliance & Regulatory Support
We ensure compliance with HIPAA, Medicare, and other payer-specific guidelines to keep your practice compliant, compliant or overall risk-free.
Financial Reporting & Analytics
Real-time analytics identify revenue trends, revenue weaknesses, and financial performance optimization.
Why Choose Accredited Billing and Consulting?
Experienced Billing Specialists
Our team has extensive expertise in medical billing and revenue cycle Management
Cutting-Edge Technology
We use advanced Medical billing software and AI-driven tools to enhance accuracy and efficiency
Customized Solutions
Our services are tailored to meet the unique needs of your practice and specialty
Transparency & Compliance
We provide clear financial reports and strictly adhere to industry regulations
Dedicated Support
Our specialists offer personalized assistance, ensuring a smooth and successful revenue cycle Management
Frequently Asked Questions
Efficient RCM is crucial for maintaining financial stability and consistent revenue growth. It minimizes delays, improves claim accuracy, and streamlines operations, allowing your practice to focus on patient care while ensuring timely reimbursements and minimizing claim denials.
Accredited Billing and Consulting analyzes claim denial patterns and implements corrective actions to minimize denials. Their team ensures accurate and timely claim submission, increasing approval rates and reducing disruptions to your practice's cash flow.
The company streamlines the billing process to expedite reimbursements from payers. They handle everything from accurate claim submissions and payment posting to aggressive follow-up on unpaid claims, ensuring that your practice receives its reimbursements as quickly as possible.
They ensure full compliance with industry standards, including HIPAA, Medicare, and payer-specific guidelines. Their services help mitigate risks by keeping your practice compliant with all regulatory requirements, reducing the risk of penalties or audit issues.