- We provide services across all the states of USA
- Mon – Fri: 8:00 am – 7:00 pm
10+
Years of Experience
Focused on ResultsOur Services
Empowering Healthcare Through Smarter Revenue Cycle Management
At MedVerix RCM, we are committed to transforming the healthcare revenue cycle with precision, reliability, and innovation. Our team of billing and coding experts partners with healthcare providers to streamline operations, reduce denials, and maximize revenue. With deep industry knowledge and advanced technology, we ensure your practice runs efficiently—so you can focus on what matters most: patient care.
- Expertise in End-to-End RCM Services
- Certified Billing & Coding Professionals
- Focus on First-Pass Claim Acceptance
- Transparent & Ethical Practices
- Dedicated Account Managers
- Commitment to Your Growth
- Data-Driven Insights
- 24/7 Operational Support
Private Practitioners
MedVerix RCM empowers private practices with consistent revenue by streamlining the billing process across diverse payer mixes. Our qualified experts handle every part of the revenue cycle to ensure accuracy, compliance, and financial stability.
Hospital Groups
MedVerix RCM provides comprehensive billing solutions for hospitalist groups, supporting teams of 2 to 50+ providers. Our team specializes in inpatient coding, ensuring maximum reimbursement and continuous quality improvement.
UCC & ASC Expertise
With years of experience in urgent care and ambulatory surgical centers, MedVerix RCM offers tailored billing support. We collaborate closely with front-office teams to ensure efficient claim processing and optimized revenue flow.
Simple Process
We follow a streamlined, transparent process to ensure accuracy and optimal revenue outcomes for your healthcare practice.
Patient Registration
During patient registration, we gather and double-check all the needed information. We make sure to obtain accurate details about the patient and their insurance to ensure a proper start to the billing process.
Insurance Verification
We check patient insurance to confirm its validity. This step is crucial to avoid problems with claims and to confirm that the patient's insurance covers the services they are receiving.
Appointment Scheduling
When appointments are set up, they are tagged with the right codes. This is done to keep the billing system in good order and ensure accurate billing to the insurance company.
Charge Entry
We enter the charges for services into our billing system and connect them to specific codes. We do this carefully to avoid mistakes and ensure a smooth reimbursement process.
Claim Submission
Claims are prepared and sent off to the insurance companies promptly, ensuring that all necessary documentation is included. This is done to expedite the process and provide the insurance company with everything they need.
Payment Posting
We record payments received from insurance and patients and match them with the corresponding claims. This maintains accurate records and provides clarity regarding financial transactions.
Denial Management
If a claim gets denied, we investigate to identify the reasons. We correct any mistakes and provide additional information if necessary to ensure successful claim resolution.
Claim Adjudication
We monitor our claims as the insurance companies review them. Understanding coverage determinations, patient responsibilities, and necessary adjustments is crucial for successful claim adjudication.
Patient Statements
We generate clear and detailed statements for patients, explaining charges and payments. Open communication is maintained to ensure patients understand their financial responsibilities.
Financial Reporting
We keep in touch with insurance companies to ensure they pay what they owe. For patients with outstanding balances, we work collaboratively to establish payment plans and resolve financial matters amicably.
Eligibility Verification
Ensure each patient's insurance coverage is active and valid before services are rendered. This prevents claim rejections and supports accurate billing from the start.
A/R Follow-up
Track and recover outstanding payments by systematically following up on unpaid claims. This step helps maintain healthy cash flow and minimizes aged receivables.
Latest Posts
30
Jan 2023