Medical Billing Services

Revenue Cycle Management

PrecisionCRM Portal

Customer Relationship Management Portal Provided to outsourced customers that utilize the outsource Medical Billing, Payer Credentialing and Contracting services.

Outsource Medical Billing - Back End

Daily claim management
Denial and appeals
Payment management and reconciliation
Patient collections
Cash Recovery

Outsource Medical Billing- Front End

Prior Authorization
Eligibility and verification of benefits
Process Automation

Policy and Reimbursement

Reimbursement Review

Medicaid policy and rate review by state
Contract review against open AR and established fee schedules
Establish average sales pricing and DSOs based on payment analysis

Policy Review

Payer medical policy review by product
Payer, procedure and diagnosis mapping by product and tests

Audit and Revenue Review

Review revenue recognition standards for accurate expected reimbursement by test
Audit claims to identify any process improvement and/or corrections to increase cash and revenue recognition
Audit reimbursement against contracts

Implementation and Coding Review

Product and Services Review

Review, verify and identify a full coding strategy to optimize revenue cycle and apply with proper coding.

Coding and Policy Review

Certified coding review of products to support billing and coding compliance.
Optimize and identify full market access with payor policy review for full revenue landscape.

Implementation - Billing Systems & Software

Implement billing system setup, automation and integration.
Process workflow and mapping of all system functionality to streamline the billing process.

Department Development

Establish department policies and protocols to ensure compliance and a positive revenue cycle.
Implement provider and patient support call center.