RMR Billing is a prominent player in the Business Process Outsourcing (BPO) sector for healthcare revenue cycle management (RCM). Here are some key highlights and offerings from RMR Billing BPO:

Key Offerings:

1. Comprehensive Revenue Cycle Solutions: RMR Billing offers end-to-end and customizable solutions tailored to the needs of health systems, hospitals, and physician practices. They handle diverse administrative tasks to improve financial performance and operational efficiency.

2. Specialized Services:

- Coding Services: Expertise in inpatient (IP), outpatient (OP), professional services, and Hierarchical Condition Categories (HCC) coding to ensure accurate billing and optimal reimbursement.

- Registration & Insurance Verification: Streamlining patient registration processes and ensuring accurate insurance verification to reduce claim denials and enhance revenue capture.

- Prior Authorization Support: Dedicated services for obtaining timely prior authorizations to minimize reimbursement delays and support efficient care delivery.

- AR Billing & Follow-up: Efficient management of accounts receivable with timely billing and follow-up to improve cash flow and reduce AR days.

- Denial Management & Appeals: Specialists manage denial issues promptly, preparing appeals to optimize revenue recovery and minimize revenue loss.

- Backlog Clean-up & AR Wind-downs: Handling backlog projects and managing AR wind-downs to ensure timely resolution and maximize revenue collection.

3. Technology Integration: RMR Billing utilizes advanced analytics tools and automation to enhance operational efficiency and achieve better financial outcomes for healthcare providers.

Achievements and Certifications:

- Everest Group Recognition: Named a leader in the Everest Group’s 2023 Revenue Cycle Management Operations PEAK Matrix® Assessment, underscoring their commitment to excellence and innovation in healthcare financial management.

- Security and Compliance: SOC 2 Type II certified, ensuring adherence to strict security and compliance standards in handling healthcare data.

- Commitment to Quality: Continuous training and auditing ensure high performance aligned with client goals, focusing on cash collections and AR aging metrics.

Client Benefits:

- Reduced Administrative Burden: Tailored solutions that simplify administrative tasks, allowing healthcare providers to focus more on patient care.

- Enhanced Revenue Capture: Through accurate coding, efficient billing processes, and proactive denial management.

- Improved Financial Performance: Faster revenue realization, reduced AR days, and optimized cash flow.

RMR Billing positions itself as a strategic partner for healthcare organizations seeking to streamline their revenue cycle operations, improve financial health, and maintain high standards of patient care through innovative and reliable BPO solutions.