Make Your Practice Profitable with Our REVENUE CYCLE MANAGEMENT Services

Getting healthcare revenue cycle management is the most tedious task. Get it done and affiliate with the payers.

Physicians Revenue Group, Inc. provides end-to-end Revenue Cycle Management services in the USA

Physicians Revenue Group, Inc. has a team of highly skilled billers that can manage your revenue cycle. Similarly, our experienced team is capable of handling your medical billing process. In addition, it helps you get every dollar you deserve. Further, partner with us to get revenue cycle management services to streamline the financial cycle. As a result, it can improve the overall efficiency of your practice. Moreover, your practice can get large revenues.

Benefits of Revenue Cycle Management in Healthcare for Private Practices

Outsourcing revenue cycle management helps keep better records.
Optimize workflow to maximize reimbursements
Reduce the administrative burden on your staff
Minimize medical billing RCM and coding errors
Improve Claims Acceptance Rate
Faster Collections to Increase Practice Revenue
Simplify the medical billing and coding process
Reduce the days of A/R and enhance the revenue cycle process
We make your practice productive and efficient

Make Your Practice Profitable with Our Revenue Cycle Management Services

Maximize your healthcare revenue cycle management potential by leaving the tedious task of revenue generation to us. With our help, you can focus on affiliating with payers and growing your practice.

Boost Productivity with Revenue Cycle Management (RCM)

In the revenue billing cycle, the practices should look closely into the way they approach the revenue cycle process. Similarly, poor billing practices can lead to financial losses. Our medical billing audit services can help you know where your billing process lacks. As a result, it can significantly risk your ability to provide quality care.

Furthermore, our healthcare revenue management Process can enhance operational efficiency. In addition, it increases the productivity of your practice to make it financially feasible.

Provider Credentialing

Revenue Cycle Management

Complete Process

Claims Filing

Revenue Cycle Management

Complete Process

Payment Posting

Revenue Cycle Management

Complete Process

Denial Management

Revenue Cycle Management

Complete Process

A/R Follow-up

Revenue Cycle Management

Complete Process

Quality Assurance

Revenue Cycle Management

Complete Process

Transparency & Accountability

Revenue Cycle Management

Complete Process

Monthly Reporting

Revenue Cycle Management

Complete Process

An RCM Company Takes Care of All the Financial Aspects of the Practice

It caters identification, collection, and management of the revenue of any practice based on their services to patients. In addition, the revenue cycle is the central part of healthcare practice management, whether your practice is small or large. Furthermore, maintaining financial viability and providing quality care determines the success of the revenue cycle. Similarly, we offer credentialing services to make your practice affiliated with payers. As a result, your practice thrives in the competitive healthcare market.

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Revenue Cycle Management Services You Can Count On

For maintaining an effective revenue cycle process, it is crucial to hire an experienced medical billing service provider. In addition, a simple error can lead to the failure of the entire billing process. Similarly, MIPS reporting before deadlines according to the MACRA rules results in quicker reimbursements. Moreover, your practice can achieve a great quality score. As a result, you can boost your practice with us.

Challenges in End-to-End Revenue Cycle Management

Effective revenue cycle management in medical billing is what most practices aspire to achieve. In addition, the revenue process begins when a patient makes an appointment. Similarly, it ends when the payment is successful.

Nevertheless, compliance with many steps is important to ensure timely reimbursements. Further, coding complexities may result in human errors. Similarly, it can lead to medical billing mistakes and missing information. As a result, revenue losses are imminent. However, you can avoid it with an effective revenue cycle process.

How Revenue Cycle Management Company can Help in Practices?

Operational Stability For Maximum Quality

Partnered with the leading HIT and healthcare experts, we bring operational stability within a medical practice. Consequently, it enhances the quality of care, as you must maintain it. In addition, PRG brings seamless procedures to ensure maximum revenue generation from the same practice. Similarly, we ensure maximum profitability with our cost-effective HIPAA Compliant solutions. Our practice management experts can streamline all the administrative tasks at your practice. Also, you can focus on the care delivery and ensure patient satisfaction. We help you to achieve a stress-free operational mechanism for your medical practice. Further, you can optimize the quality of your practice workflow. Moreover, achieve operational stability with us.

How Does RCM in Medical Billing Work?

Understanding how RCM works in medical billing is key to optimizing revenue for healthcare practices. Let’s look into steps to ensure a flowing revenue cycle management process.

Scheduling and Eligibility Verification

The revenue cycle management solutions start with patient scheduling and eligibility verification. Next, the front-desk staff collects and verifies accurate patient insurance and demographic details, especially for new patients. For returning patients, checking for any changes in the details and reminding them of past non-payments is vital to avoid claim rejections.

Documentation and Patient Visits

Ensuring patient clinical documentation is complete and meets CMS guidelines. Integrating the documentation process into daily decision-making to comply with ICD-10 coding standards.

Itemized Superbill from Medical Practitioners

The provider's completion of the Superbill is a vital step in a medical revenue service. It outlines the services provided, including the diagnosis and procedures performed, and ensures correct CPT and ICD codes are used for payment.

Patient Payment and Co-Pays Obtained

To ensure timely payments, it is best to collect co-pays during patient registration. In situations where patients have emergencies or during peak hours, payments can be requested before they leave the medical facility.

Medical Billing Audits and Coding

To ensure accurate coding and billing, physicians need to have CMS-certified EHR, a vaccine management administration system, and Practice Management System. It's recommended to hire professional coders and auditors due to the complexity of the codes. The accuracy and timeliness of claim submission are essential for maximizing revenue.

Medical Claim Processing

To prevent any disruptions in the revenue cycle, it's essential for healthcare providers to ensure that accurate details are included in the claim. Claim denials can result in delayed reimbursements, impacting the practice's revenue. Therefore, all staff members involved in the process should provide precise information to avoid any delays.

Payment Received

The final stage of the revenue cycle management process is when providers receive payment for their services. However, if any claims are denied, providers will be notified through ERAs and will need to start the time-consuming and resource-intensive cycle of claims processing.