RMR Billing offers comprehensive end-to-end Revenue Cycle Management (RCM) services designed to streamline healthcare organizations' administrative and financial processes. Here's a breakdown of their services:

Front-End Revenue Cycle Services

1. Patient Scheduling and Appointment Management: Ensures timely scheduling and reduces no-shows.

2. Eligibility Verification: Verifies patient insurance coverage, eligibility, and benefits to minimize claim denials.

3. Prior Authorization: Manages the process to obtain necessary approvals for services.

4. Patient Registration/Patient Demographics: Manages accurate patient data for billing and claims submission.

Mid-Revenue Cycle Services

1. Charge Entry & Charge Audit: Ensures accurate billing and timely claims submission.

2. Medical Coding Services: Assigns precise medical codes to procedures for timely reimbursements and fewer claim denials.

3. Revenue Integrity: Conducts audits to ensure billing accuracy and compliance.

4. Medical Coding Audit: Identifies and corrects coding errors to optimize reimbursements.

5. Clinical Documentation Improvement: Enhances documentation to support accurate coding and compliance.

Back-End Revenue Cycle Services

1. Remittance Processing: Handles remittance advice and EOBs for accurate payment posting.

2. Accounts Receivable: Manages timely follow-up and collections for outstanding accounts.

3. Denial Management: Addresses claim denials and manages appeals to maximize reimbursements.

4. Credit Balance: Manages credit balance accounts to ensure accurate refunds.

Consultative Support

1. Provider Enrollment and Credentialing Services: Manages provider enrollment to ensure compliance and reimbursement facilitation.

2. Medical Billing Specialists: Handles all aspects of medical billing, from claim submission to collections.

3. Revenue Cycle Process Automation: Utilizes robotic process automation for efficiency and analytics.

RMR Billing emphasizes disruptive automation technologies and best practices to improve revenue cycle efficiency, reduce costs, and enhance the patient experience. They work closely with healthcare organizations to achieve better financial outcomes and operational excellence.

Their expertise is trusted by over 80 health systems and hospitals, highlighting their commitment to stopping revenue leakage and delivering excellence in healthcare revenue cycle management.