RCM Matter is a healthcare management services company that offers a comprehensive product of fully integrated clinical, revenue cycle, credentialing, medical billing & coding, practice management solutions, coding transcription, and data management. Our audit helps physicians to identify the potential weaknesses within their current medical billing process, giving a bird’s eye view that enables medical practices to eliminate revenue leakages and streamline cash flow.
Let RCM Matter help you improve practice performance with our medical billing, practice management, and electronic documentation products and services. RCM Matter will work with your organization to tailor a total workflow solution that meets your business’s growing and evolving needs.
We collect and verify all essential patient information at the time of registration. This includes personal details, contact info, and insurance coverage, ensuring that the billing process begins with complete and accurate data.
Before services are rendered, we confirm the patient’s insurance status and benefits. Verifying coverage up front helps prevent claim rejections and ensures patients are eligible for the services provided.
Each patient appointment is scheduled with the appropriate procedure and diagnosis codes. This helps maintain proper documentation and streamlines the billing and reimbursement workflow.
We input service charges into the billing system, assigning them accurate medical codes. This step is vital for ensuring precise billing and timely reimbursement from insurance companies.
We compile and submit claims to insurance providers in a timely manner, making sure all required forms and documents are included. This reduces delays and increases the likelihood of quick approval.
Once payments are received, we apply them to the appropriate patient accounts and claims. This keeps our records accurate and gives patients a clear view of what has been paid and what remains.
When claims are denied, we thoroughly review the reasons behind the denial. We take corrective action—such as updating codes or adding missing information—and resubmit the claim to secure payment.
We generate detailed financial reports that track insurance reimbursements, patient payments, and outstanding balances. These reports support effective revenue cycle management and help in resolving unpaid accounts.