Rehabilitation Center Billing

Unlock New Revenue Potential
for Rehabilitation Center

Rehabilitation Center Billing

Rehabilitation centers address the impact of a health condition that affects the everyday mobility of a person’s life by optimizing their functioning and minimizing their disability to some extent. It ensures a person can maintain a level of independence and participate in meaningful activities. Rehabilitation centers broaden the focus of healthcare beyond preventive and curative treatment.

Rehabilitation centers face unique financial challenges in today’s healthcare landscape. From intricate coding requirements to adherence to ever-evolving payer regulations, navigating the billing process can be a formidable endeavor. RCM Workshop is a pioneer in healthcare revenue cycle management, delivering end-to-end billing services designed as per the requirements of rehabilitation centers. We ensure to unlock new revenue streams for you while safeguarding compliance. Our billing experts add exceptional value at every stage of your billing cycle to optimize reimbursement, reduce administrative burdens, and ensure adherence to industry standards.

Unbeatable Service, Quality & Price

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

Challenges

Challenges in Rehabilitation Center Billing

Insurance Complexity: Different insurers have varying coverage levels, especially for specialized therapies. Verifying insurance coverage through constant communication with insurers can be time-consuming. Additionally, insurance policies may have caps on specific services, causing discrepancies between patients’ expectations and what their insurance will cover.
Coding Errors: Rehabilitation services are often coded using complex medical billing codes like CPT and ICD codes. Since rehabilitation treatments are diverse, they must be coded accurately. Incorrect coding can cause claim denials or delays. Besides, billing staff must stay up-to-date with evolving coding guidelines.
Claim Denials: Denials occur when insurers refuse to pay for services, often due to billing errors like incorrect patient information and improper documentation. Rehabilitation centers must then go through the arduous process of appealing denials, which can delay payments and create cash flow issues. Managing denied claims needs a dedicated effort from billers to resubmit claims and provide any additional details requested by the insurer.

OUR PROCESS

Our Rehabilitation Center Billing Process Workflow

Our comprehensive billing workflow is designed to eliminate all bottlenecks and enhance financial outcomes for Rehabilitation Centers. We take a meticulous approach in every step of your billing cycle, starting from eligibility verification, prior authorization, and charge posting to post-billing services including claim submission, denials & appeals management, AR follow-up, and payment collection.

Our billing workflow for the rehab center is built upon established RCM best practices and adheres to a systematic process management framework, providing our clients with full visibility of results at each phase of the billing process on a regular basis. Our certified billers and coders are proficient in ICD-10, and CPT codes for therapeutic services. Furthermore, our team also stays up to date with the changing payer requirements, which ensures correct claims are submitted and the claim denial rate is decreased.

Demo Entry & Insurance Verification

Verify patient’s demographic and coverage information. Ensure accuracy in patient demographic and coverage information including co-pays, deductibles, and service limitations.

Medical Coding

Utilize appropriate ICD-10, CPT, and HCPCS codes that meet specific rehabilitation center guidelines for correct reimbursement.

Code Review & Charge Entry

Check the accuracy of codes and modifiers and assign corresponding and appropriate charges to the codes.

Documentation Audit and Review

Gather all documents needed as per Rehabilitation Center specific guidelines and meticulously review those before claim submission.

Claims Edit & Submission

Review claims for errors, omissions, and inconsistencies as part of the claims scrubbing process before submission to payers.

Payment & Denial Posting

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

Denial Management

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

Accounts Receivable
Follow-up

Follow up with payers to gather the status for unpaid claims, and their resolution.

Patients Collection Follow-up

Sending patient statements and follow-up with patients for final and outstanding payment.
You can confidently rely on us to manage your entire billing process, or you have the flexibility to select specific DME billing services that suit your needs, ensuring a seamless operation without any interruptions.

BENEFITS

Outcomes Guaranteed

At RCM Workshop, we work as a bridge between payers and providers to retain transparency in all our billing processes. Our analytics-driven approach and quality parameters ensure a much-improved financial outcome in your billing operations.

Improved Accuracy in Verification

Clean Claim Submission

Proper Documentation and Process Efficiency

Improve Compliance and Reimbursement

Efficient Denial Management

Decreased Claim Denials Rate

Proactive accounts receivable management

Reduce Bad Debt and Aging

Swift Authorization Management

Quick Turnaround Time

Overall process optimization

Improve cash flow and revenue

WHY US?

Why partner with us

Our Rehabilitation Center billing services are designed to meet all your billing requirements, resulting in enhanced financial stability. As a leading force in the revenue cycle management industry, we offer cutting-edge billing solutions that integrate industry-best practices. By partnering with us, you gain access to a team of specialists well-versed in the nuances of rehabilitation care to streamline operations and decrease administrative burden. Partner with us today to convert challenges into opportunities and gain exceptional financial outcomes.

Guaranteed Improvement in Reimbursement and
Cash Flow

Reduction in Denials
and AR

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