Revenue cycle management (RCM) is everything between a patient visit and the payment in your bank account: eligibility checks, coding, claims, payment posting, denials and patient balances. Doctor Rebrand's billing team runs the whole cycle for your practice and reports on it every month, so you know what you billed, what you collected and what is still owed.
What's Included
Before the Visit
- Eligibility and benefits checked before each appointment.
- Prior authorizations requested and tracked.
- Cost estimates for patients, including Good Faith Estimates for self-pay patients.
Coding and Claims
- CPT, ICD-10 and HCPCS codes reviewed against the visit note.
- Claims checked for errors before they go out.
- Electronic submission to every payer, and secondary claims filed.
Payments and Denials
- Payments posted from every remittance.
- Denials corrected and appealed.
- Underpayments caught against your contracted rates.
- Unpaid claims followed up by age and dollar amount.
Patient Balances
- Clear statements patients understand.
- Online payment through your patient portal.
- Payment plans for larger balances.
Monthly Reporting
- Charges, collections, A/R aging and denial rate every month.
- Collections broken out by payer and by provider.
- A monthly review of the numbers with you.
Out-of-Network and Cash-Pay
- Superbills for patients who file their own claims.
- Out-of-network claims filed for your patients.
- Membership and cash collections reconciled with the rest of your revenue.
How It Works
- 1
Review
We review your current billing, open A/R, payers and fee schedules.
- 2
Setup
We connect to your EHR and clearinghouse and load your contracted rates.
- 3
Takeover
We take over new claims and work your old A/R at the same time.
- 4
Reporting
Every month you see what was billed, collected and still owed.