RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.

What happens to those medical billing rules that are in everyone's heads? Your company needs those and there are competing reasons fighting to get those out or keep them secret.

There are a ton of little nuances to billing that everyone in the industry know exist. What does this do to your analysis?

Which claim remittances and correspondence go to which departments in the medical billing company or division? It depends. Listen to find out about a huge productivity boosting analytics setup for your department.

Ever find a mistake or a problem in an analysis? Who hasn't. The question is not how to prevent it, but how much time and effort needs to be devoted to finding mistakes in RCM analytics compared to the actual analysis itself. Listen to find out the ratio we suggest.

Are you ready to do the quality control to figure out if all those incorrect payment flags are actually incorrect payments or just an error in the system? We'll dive in so you can know what you'll need to do and how to plan for it. In the end you can catch insurance companies underpaying you.

How can you tell if you're getting taken advantage of by insurance companies? Are they underpaying you according to your contract? What are your options for catching this?

Running into problems where you have lots of different payer names fire the exact same insurance company? Why does this happen? What kind of problems does it create? And how can you fix it?

What do different people in the organization need for data and reporting? What kind of analysis is appropriate for a biller compared to a CFO of a system? And how can that be obtained for all those levels?

If you want a medical billing company to bill for you, how do you ensure that you keep your data or control the data so that you are safe in the event something happens? We walk you through the typical decision process and what your options are.

Trying to define exactly what software you need built or what you need analyzed can be extraordinarily difficult. Here are some of the issues typically encountered and a suggestion on how to improve outcomes.