Physician Practice

A Perfect Solution for Your Revenue Cycle Management
- Virtual Assistant to Billing & Collection

Our Commitment to Overcome Reimbursement Challenges

In healthcare landscape, the complexities of reimbursement procedures, coupled with frequent alterations in insurance regulations and compliance standards, necessitate a proficient and knowledgeable medical billing team to support your revenue cycle effectively. At RCM Workshop, our unwavering commitment lies in providing dedicated physician billing services tailored to promoting financial stability and enhancing patient satisfaction.
Drawing upon our extensive expertise in revenue cycle management, we cater to a diverse spectrum of medical specialties, offering substantial cost and operational advantage to physician practices of all sizes. We aim to prevent and reduce unpaid claims, improve patient facing process, maintain healthy accounts receivable and optimize billing process to assist you overcome reimbursement challenges and improve profit margins.

Unbeatable Service, Quality & Price

ACCURACY
0 %
TURNAROUND TIME
< 0 Hours
COLLECTION
0 %
PRICE
Starting from $ 1100 /Month

SPECIALTIES WE SUPPORT

Practices We Support in Physician Billing

Leveraging the expertise of our seasoned coding and billing specialties, we comprehend the nuances of specialty specific billing and extend support across diverse physician practices with our comprehensive revenue cycle solutions.

OUR PROCESS

Our Physician Practice Billing Process Workflow

Backed by a team of dedicated and skilled coders and billers, our medical billing process comprehensively addresses all your billing needs, ensuring swift and accurate payments. We prioritize meticulous quality audits and reviews at each stage of the revenue cycle, and our primary focus remains on achieving timely and high-quality outcomes in our services.
Our analytics driven approach helps us monitor, measure and manage every billing process based on key performance indicators (KPI). Our metrics driven reporting tool captures and reports every aspect of process performance – productivity, quality and $ collections in a transparent way and gives you full control over your billing process.

Appointment Scheduling
& Registration

Well coordinated appointment Scheduling, update insurance details and handle inbound outbound calls from/to patients.

Eligibility & Benefits Verification

Confirm patient primary and secondary insurance and benefits coverage and verify the patients’ coverage, co-pays, co-insurance and deductibles

Prior Authorization

Initiate request for prior authorization with the payer, follow-up to check Auth status till closure and finally update the system with Auth approval reference number.

Code Review & Charge Entry

Check accuracy of codes and modifier according to specialty and assign corresponding and appropriate charges to the codes.

Claims Edit & Submission

Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.

Payment & Denial Posting

Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.

Denial Management

Analyse and categorize denial claims according to denial codes, $ amount and payers, and resubmit claims after correction.

Accounts Receivable
Follow-up

Based on aging report, track and monitor unpaid claims; follow up with payers to gather status for claims, and their resolution.

Patients Collection Follow-up

Sending patient statements and follow-up with patients for final and outstanding payment.
Customized to meet your precise needs, you possess the flexibility to delegate to us either your complete billing process or choose a combination of our specialized physician billing services. Our effortless integration guarantees uninterrupted operations, seamlessly aligning with your workflow.

BENEFITS

Outcomes guaranteed

Outsourcing your Physician practice’s billing requirement, you not only improve your revenue but gain patient trust and boost efficiency in your practice. By streamlining this process, we assure you a much-improved financial outcome – maximized revenue, steady cash flow and reduced operational cost.

Efficient insurance verification

>99% clean claim submission

Efficient authorization management

<24 hours turn-around time

Efficient coding & code review

>25% increased reimbursement

Efficient denial management

<5% claims denials

Proactive accounts receivable follow-up

<40 days AR & reduced aging

Better coordination & process optimization

improved patient satisfaction

WHY US?

Why partner with us

Our physician practice billing services seamlessly encompasses all facets of your billing needs, harmoniously integrating into your existing billing infrastructure to maximizing your practice’s revenue. Functioning as an extension of your current setup, our team serves as a reliable ally, managing intricate and time-consuming medical bling tasks, thereby enhancing your ability to focus on patient care and financial goals. Embrace the opportunity to improve your revenue cycle – experience how our services transform your billing process.

Guaranteed Improvement in Authorization Process

Specialty specific
best practices

Transparent reporting
–NO BLACK BOX

100% data security
& HIPAA compliance

On demand scale up
of operation

Significant Reduction
in Cost > 75% Savings

Simple & No
Cost transition

Flexible & Unbeatable
Pricing Plan