Premium Quality at Best Price
Basic
- Eligibility & Benefit verification
- Medical coding
- Charge entry
- Claims submission & rejections
- Patient statements
- Payment posting
- ERA review
- Credit balance, write-off, refunds & denials posting
- AR follow-up (Payer & Patient)
- Denial management
- Write-offs review
- Appeals processing
5%
5%
a) 5% of collections if revenue is more than $1 Million / Month.
b) 6% of collections if revenue is less than $1 Million / Month.
c) Additional 1% of revenue for credentialing.
Standard
- Eligibility & Benefit verification
- Prior-Auth & Referral Assistance
- Medical coding, audits, review & compliance
- Charge entry
- Claims submission & rejections
- Patient statements
- Payment posting
- ERA review
- Credit balance, write-off, refunds & denials posting
- AR follow-up (Payer & Patient)
- Denial management
- Write-offs review
6%
6%
a) 6% of collections if revenue is more than $1 Million / Month.
b) 7% of collections if revenue is less than $1 Million / Month.
c) Additional 1% of revenue for credentialing.
Premium
- Credentialing
- Eligibility & Benefit verification
- Prior-Auth & Referral Assistance
- Medical coding, audits, review & compliance
- Charge entry
- Claims submission & rejections
- Patient statements
- Payment posting
- ERA review
- Credit balance, write-off, refunds & denials posting
- AR follow-up (Payer & Patient)
- Denial management
7%
7%
a) 7% of collections if revenue is more than $1 Million / Month.
b) 8% of collections if revenue is less than $1 Million / Month.
RCM Service Spectrum
