Complete Revenue Cycle Management

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RCM

Reimbursement process in healthcare industry is a challenging task which requires compliance with new regulations and protocols that are constantly updating. To overcome these challenges, we help the providers with compliant code generation to avoid payment delays and speedup the billing cycle.

Our experts are qualified in dealing with complex coding rules as well as generating accurately coded data to avoid potential delays in payments. We put our revenue cycle management process in place to detect and resolve the problems that are reducing your reimbursements and increasing your denials. 

Our RCM Services

  • Workflow Analysis
  • Financial performance
  • Operational productivity
  • Charge Management
  • Charge Coding
  • Charge Entry
  • Charge Review
  • Electronic Claim Management
  • Claim Submission
  • Claim Status
  • Posting Payments
  • Re-file Denied Claims
  • Appeals for Denied Claims
  • Management of Account Receivables
  • Develop compliance with healthcare plans
  • Reduce denials and write-offs
  • Effectively work on denials/ partial payments
  • Increase conversion of accounts receivables

Denial Management

For providers it is very hard to track insurance claims that have been denied as their staff is not well trained to recover these claims. Insurance companies are making it hard for providers to collect payments for their rendered services. We have trained staff that makes sure that providers are properly reimbursed for their services. Our team streamlines the accounts receivables recovery process by implementing processes that reduce your tension.

Specialties

Following is a list of few specialties we handle:

  • Oncology
  • Pulmonary
  • Radiology
  • Psychiatry
  • Internal Medicine
  • Ophthalmology
  • Hypertension
  • Nephrology
  • Pediatric
  • Gastroenterology
  • Chiropractic
  • Physical therapy
  • Endocrinology
  • Cardiology
  • Orthopedic
  • Neurology

Comprehensive Solutions For Medical Billing

Medical Billing Services

Our medical billing services will improve the efficiency of your medical practice by increasing your collections, reducing your expenses and maximizing your revenue. At Epicsoft we have developed an excellent team of billing experts that is accurate and reliable. Our team combines experience with innovative technology to provide efficient medical billing services.

Epicsoft will improve your revenue collections to enhance your bottom line. Our competent and reliable medical billing team ensures that all your claims get paid on time.

We effectively enhance your reimbursements and A/R by providing comprehensive medical billing services that includes:

  • Regular claim submission
  • Claim processing for primary, secondary and tertiary claims
  • Claim scrubbing and review
  • EOB Management
  • Comprehensive follow-up on all claims
  • Denial management and partial payments
  • Management of rejections and appeals
  • Prompt payment and adjustment postings
  • Patient billing and balance reminders
  • Workers Comp and No-Fault
  • Generation of patient statements
  • Online eligibility verification
  • Interaction with clearinghouse
  • Customized monthly reports

Credentialing

We provide comprehensive credentialing services that will keep you and your practice active with all the payers in your network. At Epicsoft we offer our clients the opportunity to grow into a network insurance provider while taking care of their patient care responsibilities.

  • Credentialing and Payer Registration
  • CAQH application completion and submission
  • Insurance setup/ updates for Medicare and Medicaid
  • Setup of insurance for all insurance companies
  • Updating/maintaining existing provider information