AI-Powered Precision and Efficiency in RCM Services

Q: How long does it take to transition to your healthcare RCM service?

We can start to submit your claims in as little as 30 days once our 5-7 days of testing is completed.

Q: Will I have single or multiple points of contact with your RCM service?

A MedicsRCM Services Manager, experienced in your specialty(ies), is assigned under which following resources operate: Dedicated Account Manager Billing Team Members EDI specialists for claims, remittances, EOB reconciliations, eligibility verifications, and direct fund deposits HL-7 interface specialist A senior member of the ADS management team is also connected with each MedicsRCM client

Q: How will my current databases be handled?

We import your current files such as Referring Physician, Insurance, and Fees into our MedicsPremier practice management system.

Q: Does your healthcare RCM service start sending our claims from Day One?

No one wants to submit all of your claims more than we do since we only get paid on amounts collected. But, that would be irresponsible. Instead, we submit test claims for 50 to 100 of your patients for approximately 5 to 7 days. All of your claims are submitted once the test claims are verified.

Q: What happens if my current RCM company stops submitting our claims?

We can bill and resubmit claims from your current medical revenue services team to expedite patient payments . In fact, MedicsRCM tracks old claims vs. new claims.

Q: Do we have access to our data?

Yes, MedicsRCM clients have 24 x 7 on-demand cloud access to all of their data so they can truly understand healthcare costs. We train clients on using our MedicsPremier system, and encourage them to see how things are going! Healthcare revenue cycle management should not be behind locked doors.

Q: What if we need customized management reports?

Healthcare providers almost never need truly customized reports since our reports/dashboards as so highly user-defined and are exportable to Excel. But if a certain customized report(s) are needed, your Accounts Team will provide same via standard PDF or Excel.

Q: Are forms needed for electronic claims?

Possibly, and if so, we provide you with whatever form(s) are needed by any insurance payer(s) and provide assistance, if needed, in completing them. Of course 100% electronic claims and EOB reconciliations - which our team handles for you - are encouraged.

Q: Does your RCM service have tools for mobility and engagement?

Yes, with our options for Medics Telemedicine, Portal, Texting, Kiosk for expedited intake, and even for remote patient monitoring (RPM) of vitals. Telemedicine and RPM are ideal for generating revenue and texting keeps patients tuned into their in-office and telemedicine appointments while helping to eliminate no-shows. And we're always looking forward at revenue cycle management trends .

Q: Can we use an EHR with your revenue cycle management service?

Yes, we actually have three options for EHR! (1) Use your existing EHR interfaced with our MedicsPremier platform. (2) Use the MedicsCloud EHR, excellent for almost any specialty and which is almost always at no additional cost. (3) Use our electronic superbill if you prefer to not use an EHR at all, or if you’d rather not have yours interfaced with us for whatever reason.

Our AI Rules Engine automates workflows and maximizes revenue with accurate results.

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Increase Revenue & Cash Flow

Decrease Operating Costs

Enhance the Patient Experience

Frustrated with decreased revenue, staffing issues, and technology costs?

You want to be the driver of financial success and organizational process improvement but you know how hard it is to have experts in every aspect of your business. You need a trusted RCM services partner.

We’ve been committed since 1977 to our clients' growth and success:

"Our revenue increased by 24% in the first year, and denials were reduced by 20% after 120 days."

David-Fischler-MD
David Fischler, M.D.
Pulmonary and Intensive Care Specialists

"Our revenue increased by 20% in the first 6 months with 97% of A/R being under 60 days."

Russell-Samofal-MD
Russell Samofal, M.D.
Podiatry Center of New Jersey

"Our A/R dramatically reduced 30% after the first 90 days. Denials have been reduced by 10% to 15%."

HCC-Gladys-Serrano-CEO
Gladys Serrano, CEO
Hispanic Counseling Center (HCC)

The RCM fueling today’s high-growth healthcare facilities

Accelerate cash flow and reduce days outstanding

You’ll benefit from our proven RCM services model to deliver real results:

Achieve an average collection rate of ~96%
Improve your clean claim submission rate, reduce denials, and provide more accurate/timely payment posting
Collect more of what's NOT being paid including denials, appeals, and open patient balances

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Evaluate your RCM performance metrics

Key industry metrics such as these and process improvement strategies will help drive your revenue cycle.

98%

Authorization Capture

99%

Clean Claim Rate
(First Pass)

98%

Verified Insurance Eligibility Success

< 48

Hour Claim Submission

< 5%

Denial Rate

< 30

Target A/R Days

90%

Collections within
90 Days

96%

Collections within
120 Days

< 30%

Self Pay A/R

< 3%

Bad Debt

How our revenue cycle services work

Every step in the patient process is optimized to maximize your revenue capture.

Credentialing

Registration

Prior Authorization and Eligibility

Charge Entry and Coding Review

Claim Scrubbing and Submission

Automated Denial and Appeals Management

Payment Posting and Patient Collections

Weekly Performance Review

Increase revenue and reduce cost while transforming the RCM experience

A team of 300+ billing and workflow professionals works behind the scenes for you to alleviate your staffing issues while maintaining:

40+ years of revenue cycle and billing services experience
an average collection rate of ~96% across all our RCM clients
Claims are submitted at their highest possible value
Out-of-network alerts on scheduling
Automated eligibility verification and insurance discovery
denial resubmissions within 48 hours
proactive denial alerts help to avoid them in the first place
immediate statements to patients and online payment options
patients contact us – not you – with statement questions

MedicsRCM can connect with virtually any EHR, hospital, PM, G/L, PACS, or LIS.

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Comply with complicated CMS initiatives

You won’t have to worry about the seemingly never-ending billing regulations affecting your practice including:

No-Surprises Act
Cures Act
Clinical decision support
MIPS reporting

Ensure full patient payment

Use an array of features that work to reduce your outstanding patient balance A/R including:

access to a patient responsibility estimator
enabling patients to pay from any mobile device
interactive balance due reminder texting

Security matters

When patient information is involved, HIPAA can respond with severe financial penalties if you don’t have protections in place. So, we take our clients’ security very seriously.

99.9% Uptime
HIPAA Compliant
SOC-1 & SOC-2
Disaster Recovery

Understanding your revenue

Following MGMA financial reporting recommendations, you'll be provided key industry metrics and process improvement strategies to improve your revenue cycle. We'll meet with your team weekly and monthly to review your key:

Benchmarking metrics
Key Performance Indicator (KPI) metrics
Best practices for billing

Put our experience to work for you

Our management team has over 200 combined years of experience in RCM and billing services.

Sheryl Miller, MBA
EVP of Sales & BD, RCM Services

Gene Spirito, MBA
National Sales Manager, RCM

Jim O'Neill
Sales Manager, Laboratory RCM

Scott Friedman
Director of Sales, RCM Division

Marybeth McGowen
RCM Division Manager

Daphna Barzillai, MBA
RCM A/R Manager

Isaiah Leech, MBA
National Portfolio Manager

Kim Becker
National Portfolio Manager

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Getting started with RCM services

Achieving dramatic business growth is as easy as 1, 2, 3...

1. Talk with an Advisor

Tell us your financial and operational goals, get your questions answered, and discover how much our team can increase your revenue and efficiency.

2. Develop a Plan

Our proven process has increased our clients’ revenue typically by 10% -20% and sometimes even more. Together, we'll build a perfect plan for you.

3. Experience Success

You’ll see increased revenue, have more money in the bank, and operate more efficiently. In fact, our 90-day guarantee guarantees it!

How much do our RCM services cost?

MedicsRCM cost generally ranges from 3% to 6% based on the collection amount. However, your fee can actually be 0% when factoring in how:

your technology spend is reduced or eliminated with our financial/management platform and cloud hosting included as part of our service
your in-house staffing and operational costs are consolidated with our team of 300+ billing and EDI experts
your revenue is guaranteed to increase in 90 days over whatever healthcare revenue cycle management company or in-house system you’re currently using

The sum total on the points above = more income to you even with our fee factored in!

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Revenue Cycle Management - FAQs

Selecting a revenue cycle management services company can be difficult. You probably have loads of questions, so let’s get you started on some of the most frequently asked questions we get.

How long does it take to transition to your healthcare RCM service?

Will I have single or multiple points of contact with your RCM service?

How will my current databases be handled?

Does your healthcare RCM service start sending our claims from Day One?

What happens if my current RCM company stops submitting our claims?

Do we have access to our data?

What if we need customized management reports?

Are forms needed for electronic claims?

Does your RCM service have tools for mobility and engagement?

Can we use an EHR with your revenue cycle management service?

From In-House to Outsourced RCM: Everything You Need to Know

ads-bookmockup-medium The thought of moving to RCM for healthcare providers, doctors, practice owners, laboratorians, and other stakeholders can be considerable. So, we created this eBook to cover some of the common concerns when considering a revenue cycle management service collaboration, as well as:

Benefits of Switching to an RCM Service
Reasons for Outsourcing
Factors in the Decision Making Process for a healthcare provider
Ongoing Learning to Make the Most of Outsourced RCM Services
Revenue Cycle Management Step-By-Step
10 FAQs About RCM Services Revenue Cycle Management

Get Your Copy

From In-House to Outsourced RCM: Everything You Need to Know

Benefits of Switching to an RCM Service
Reasons for Outsourcing
Factors in the Decision Making Process for a healthcare provider
Ongoing Learning to Make the Most of Outsourced RCM Services
Revenue Cycle Management Step-By-Step
10 FAQs About RCM Services Revenue Cycle Management

"Working with MedicsRCM has proven to be a very professional experience for my staff, giving them the ability to turn to a single source, and to get any questions quickly answered. Most importantly, reimbursements have gone up! Overall, MedicsRCM has made the practice so much better."

Thomas Beggins, MD
Connecticut Eye Physicians PC

AI-Powered Precision and Efficiency in RCM Services

Our AI Rules Engine automates workflows and maximizes revenue with accurate results.

Frustrated with decreased revenue, staffing issues, and technology costs?

Accelerate cash flow and reduce days outstanding

Evaluate your RCM performance metrics

98%

Authorization Capture

99%

Clean Claim Rate(First Pass)

98%

Verified Insurance Eligibility Success

< 48

Hour Claim Submission

< 5%

Denial Rate

< 30

Target A/R Days

90%

Collections within90 Days

96%

Collections within120 Days

< 30%

Self Pay A/R

< 3%

Bad Debt

How our revenue cycle services work

Credentialing

Registration

Prior Authorization and Eligibility

Charge Entry and Coding Review

Claim Scrubbing and Submission

Automated Denial and Appeals Management

Payment Posting and Patient Collections

Weekly Performance Review

Increase revenue and reduce cost while transforming the RCM experience

Comply with complicated CMS initiatives

Ensure full patient payment

Security matters

Understanding your revenue

Put our experience to work for you

Getting started with RCM services

1. Talk with an Advisor

2. Develop a Plan

3. Experience Success

How much do our RCM services cost?

Revenue Cycle Management - FAQs

How long does it take to transition to your healthcare RCM service?

Will I have single or multiple points of contact with your RCM service?

How will my current databases be handled?

Does your healthcare RCM service start sending our claims from Day One?

What happens if my current RCM company stops submitting our claims?

Do we have access to our data?

What if we need customized management reports?

Are forms needed for electronic claims?

Does your RCM service have tools for mobility and engagement?

Can we use an EHR with your revenue cycle management service?

From In-House to Outsourced RCM: Everything You Need to Know

Get Your Copy

From In-House to Outsourced RCM: Everything You Need to Know

"Working with MedicsRCM has proven to be a very professional experience for my staff, giving them the ability to turn to a single source, and to get any questions quickly answered. Most importantly, reimbursements have gone up! Overall, MedicsRCM has made the practice so much better."

90 Days to a Healthier Revenue Stream, Guaranteed!

Book a live meeting with expert Q&A

Clean Claim Rate
(First Pass)

Collections within
90 Days

Collections within
120 Days