MedChargeRCM

Our Services

• ERL Rejection Management

  Our ERL Rejection Management service ensures that rejected claims are promptly reviewed and corrected. We identify the reasons for claim denials and work to resolve them as quickly as possible, minimizing the impact on your cash flow.

  • Reasons for ERL Rejection

    There are many reasons for claim rejections, such as coding errors, missing patient information, or incorrect payer details. Our team works to identify these issues and make the necessary corrections.

  • Proactive Claim Resolution

    We don’t just wait for rejections to happen. Our team takes proactive steps to prevent rejections by ensuring that claims are submitted correctly the first time.

  • Improved Cash Flow

    By addressing rejections quickly and efficiently, we help keep your practice’s cash flow intact, minimizing any delays in reimbursement.

• AR Solutions

  Our Accounts Receivable (AR) Solutions service ensures that you receive the full payment owed to you. We provide a complete solution for managing unpaid claims, from follow-up with insurance companies to negotiating settlements on your behalf.

  • Effective Follow-Up

    We follow up diligently with insurance companies to ensure that claims are paid in full. If necessary, we escalate the issue to ensure timely payment.

  • Payment Reconciliation

    Our AR solutions include comprehensive payment reconciliation services, ensuring that payments are applied correctly and discrepancies are resolved quickly.

  • Improved Cash Recovery

    By reducing the time it takes to collect on unpaid claims, we improve your practice’s overall cash recovery rate.

• Pre-Authorization Management

  We manage the pre-authorization process from start to finish, ensuring that all required approvals are in place before services are rendered. This minimizes delays and denials associated with pre-authorization issues.

  • Accurate Documentation

    We ensure that all necessary documentation is submitted to the payer for pre-authorization approval, avoiding any delays.

  • Timely Submissions

    Our team submits pre-authorization requests well in advance of scheduled procedures, ensuring there is no lag in approval.

  • Tracking & Monitoring

    We track all pre-authorizations and follow up with payers regularly to ensure that the process moves forward without delays.

• Payment Posting

  Our payment posting service ensures that payments are applied accurately and promptly to patient accounts. We match payments with appropriate claims and ensure that all balances are correctly reflected in your system.

  • Accurate Payment Posting

    We ensure that payments are posted accurately and that the correct amounts are applied to the correct accounts, reducing errors and discrepancies.

  • Timely Updates

    Payments are posted quickly so that you have an up-to-date view of your practice’s financials.

  • Reconciliation of Payments

    We reconcile payments against outstanding claims to ensure that your financial records are always accurate and up-to-date.

• Patient Calling

  We provide patient calling services to follow up with patients regarding outstanding balances. Our team is trained to handle these calls professionally, ensuring a positive experience for the patient while facilitating timely payments.

  • Friendly Communication

    Our team handles patient calls with professionalism and care, ensuring a positive experience for every patient.

  • Timely Reminders

    We remind patients of their outstanding balances and work with them to set up payment plans if needed.

  • Enhanced Patient Satisfaction

    By offering flexible payment solutions and clear communication, we ensure that patients are satisfied with the billing process.

• Correspondence Management

  Our correspondence management service handles all communication between your practice and insurance companies. This includes managing claims appeals, resubmissions, and any other necessary paperwork related to claims.

  • Efficient Claims Appeals

    We manage the appeals process, ensuring that any denied claims are promptly reviewed and resubmitted with the correct documentation.

  • Timely Submissions

    We submit appeals and resubmissions on time to prevent any further delays in reimbursement.

  • Clear Communication

    We maintain clear communication with insurance companies, ensuring that your practice is always informed about the status of appeals and resubmissions.