Our Services

Stunning 47-story soaring glass towers, a magnificent 2-acre public park, restaurant and cinema complex combine to create The Modern
 

Our Team and Specialist

 

Eligibility Verification

Patient eligibility verification is one of the most important and prime steps leading towards the clearing of claims. Lack of proper eligibility and benefits verification leads to delayed payments, increased errors, on-payment of claims thus by leading to patient dissatisfaction….

 

 

Charge entry

Charge-entry is the crucial part of Medical Billing process. After receiving the super bills from the client’s office, it gets passed through the coding & pre-coding department, and then comes to the charge-entry department. It is only here in this department; the claim/bill is actually created.

 

 

Claim Submission

At UnitedRCMS denial management is one of the core activities to ensure client satisfaction and is carried out by senior medical billing specialists [ Our scope includes Payers, Patient, Providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other 

 

 

Patient Demographics

Data entry of information should be the least of your concerns. However, if not done correctly, data entry errors will also lead to the loss of your money. At UnitedRCMS, We have expertise in Demographic and Charge entry service for many Specialties ranging from General Practice to more complicated specialties.

 

Payment posting

We carefully scrutinize each Explanation of Benefits (EOBs) from the insurance companies and adjust each account accordingly. We post all payments, calculate insurance write offs, coinsurance and deductibles. Our expert patient and insurance payment posting team enters payments on a daily basis. 

 

Denial Management

Patient eligibility verification is one of the most important and prime steps leading towards the clearing of claims. Lack of proper eligibility and benefits verification leads to delayed payments, increased errors, on-payment of claims thus by leading to patient dissatisfaction….

 
 

 

Medical coding

UnitedRCMS follows highly standard issued medical billing-coding process through a structured methodology which has been proved successful for several large US clients. Our coding services will offer assistance to our clients in experiencing an increase in returns and reduction in the number of denials.

 

AR & Claim Follow-up

Accounts Receivable is the nerve center of any practice. Without efficient and effective means of AR working methodologies the collection for any practice becomes unstable. Analysis of denials and partial payments is done by our senior medical billing specialists. Payers, patients, providers, facilities and any other 

 

Healthcare Data Entry

As the business grows to a faster pace data that is too managed also increases in volume, and there is a need for data processing and management which is to be carried out in a time bound manner. This business process can be appropriately out sourced by organizations aiming at operational efficiency while

 

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Eligiblity Verification

Patient eligibility verification is one of the most important and prime steps leading towards the clearing of claims. Lack of proper eligibility and benefits verification leads to delayed payments, increased errors, on-payment of claims thus by leading to patient dissatisfaction. At UnitedRCMS, we effectively tackle this problem through the remotely hosted solution for eligibility verification at hospitals and at medical practice centers. Quite a significant number of claims fails to satisfy the eligibility verification criteria and as a result, the patients are put to inconvenience. The experts at UnitedRCMS painstakingly verify data relating to the patient eligibility and ensure a totally patient friendly procedure towards processing of claims.  UnitedRCMS deploys expert staff accessible via toll-free numbers, working towards the objective of delivering high-quality cost-effective patient insurance eligibility verification and related services.

Methodology of Eligibility Verification Services:

  1. We check patient coverage with insurance company websites and internet payer portals.
  2. Verify coverage on all the Primary and Secondary Payers receiving Schedule.
  3. We just don’t stop with the eligibility or coverage confirmation, take it to next level and fetch kind of coverage the patient has, what their deductible is, and how much has been applied.
  4. Web Interactive to process Eligibility Verification.
  5. We take the responsibility to re-check eligibility status and the date of service.
  6. Establish affable communication with the patients for procuring additional information (only if required).

Patient Demographics

Data entry of information should be the least of your concerns. However, if not done correctly, data entry errors will also lead to the loss of your money. At UnitedRCMS, We have expertise in Demographic and Charge entry service for many Specialties ranging from General Practice to more complicated specialties. Our medical billing specialists enter the required patient demographic details as provided by the patients at the time of the visit. For established patients, we validate these details and necessary changes, if any, are made to the patient records on the practice management system.The patient demographic entry is an important & key process as we need to capture the patient details accurately. Our experienced team of professionals can work from scanned images & process the demographic details of each patient. The account number is generated for new patients, if the system doesn’t generate it automatically. Then patient demographics, Insurance, Employment and sponsor details are entered. Every information in the Patient Demographics sheet is important hence UnitedRCMS ensures accurate and quality entry of basic demographic information about an individual or patient which will directly impact physician’s monthly revenue. 

[Capturing information like Patient’s Name, Patient Information, Patient Employer Information, Patient Guarantor Information, Physician Information, Insurance Information, Account #, Patient details such as Sex, Patient Date of Birth, Marital Status, Patient Address, Patient phone number, etc.]

Medical Coding

UnitedRCMS follows highly standard issued medical billing-coding process through a structured methodology which has been proved successful for several large US clients. Our coding services will offer assistance to our clients in experiencing an increase in returns and reduction in the number of denials.

Quality Assurance:

As professionals we ensure adherence to highest standards of ethical coding.

  1. We run a full-time, hands-on medical coding and regulatory compliance program.
  2. We monitor, track and review each medical claim which helps us identify errors and escalate to the payer’s attention.
  3. Cleave to highest of standards in medical coding forms part of the work culture of UnitedRCMS.
  4. Quality Assurance Team to perform daily coding quality assurance reviews under the supervision of the QA Manager.                                                                  Strengths:
    1. Our coding specialists are well experienced who excel in industry standards of excellence providing high quality within the given turnaround time.
    2. Data given by the client is monitored, analyzed and improved upon for documentation and coding thereof, resulting in effectively managed denials and increased payment velocity.
    3. Based on the clinical information provided by the health providers/professionals, our coders determine the codes and pass on the information to the client.
    4. Our coding specialists review the patient’s medical records and details so that they can use the proper codes to bill patients and process claims for insurance companies.

    5.  Our Coding specialists have the capability to analyze patient reports and information contained in a scientific whereby the data is processed with the         correct code.

Charge Entry

Charge-entry is the crucial part of Medical Billing process. After receiving the super bills from the client’s office, it gets passed through the coding & pre-coding department, and then comes to the charge-entry department. It is only here in this department; the claim/bill is actually created.

Our Charge-entry team looks-up the codes entered in the claim, and assign the relevant charges for those codes. This is also one of the key functions in Medical Billing as there should not be any up billing done by assigning an incorrect charge for the codes. Likewise, we enter all the relevant information needed, such as place of service, date of service, type of service, modifiers, units, value, referral, prior authorization, on bill comments etc. and create a claim ready for auditing, and then transmit to the insurance company.

To reduce the chance of claim rejection we ensure that every claim is verified to check Date of service, Billing Provider, Rendering provider, Physician, Place of Service, Type of Service, Admission date, CPT Codes, ICD codes, Modifiers, Authorization or Referral Details and Co-pay Details. We do this with manual check & random quality audit in order to ensure accuracy.

Payment Posting

We carefully scrutinize each Explanation of Benefits (EOBs) from the insurance companies and adjust each account accordingly. We post all payments, calculate insurance write offs, coinsurance and deductibles.

Our expert patient and insurance payment posting team enters payments on a daily basis. We review each Explanation of Benefits very carefully to ensure each claim was processed properly, the insurance name, check number, total check value is cross verified with the check and EOB copies. Claims are frequently under paid by insurance companies and we are trained to evaluate payments for maximum reimbursement. Write offs, coinsurance and deductibles are calculated and allocated appropriately, and we bill patients immediately upon EOB posting. Once EOBs are posted, your claims are immediately turned over to our follow up team for pursuit.

Our Expertise is aware of all nuances of payer communication when handling a payment posting account.
EOB / enter the allowed amount, paid the amount, Analysis of EOBs for Under Payment or Over-Payment and patient information like Patient Name, Date of Service, Procedure Code, then calculating the contractual adjustments which will make the follow up easier with the insurance companies.

UnitedRCMS payment posting solutions save valuable time, improve data accuracy, and accelerate the flow of money into the proper accounts. We provide you with services for filing and posting of hardcopy Explanation of Benefits (EOB’s) and Electronic Remittance Advice (ERA’s). We also undertake reconciliation of accounts and file secondary claims as applicable.

1. EOB filing or scanning

2. Manual or Electronic Payer Interface Posting

 3. Denial posting and processing

4. Reconciliation

5. Credit Balance Process

6. Secondary Claims process UnitedRCMS works on the denials (clinical, technical as well as short-payment denials) immediately after posting is completed.

Denials are analyzed and appropriate actions taken.

Account Receivables And Claims Follow up

Accounts Receivable is the nerve center of any practice. Without efficient and effective means of AR working methodologies the collection for any practice becomes unstable. Analysis of denials and partial payments is done by our senior medical billing specialists. Payers, patients, providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system. We call patients, if authorized by the provider, to obtain information needed for billing such as identification number and to update the Coordination of Benefits (COB) with their insurance companies. Secondary paper claims are processed and sent to the client office for submission.

All claims in the system are examined and priorities are set. First the claims which are close to their filing limits are processed and subsequently based on the age of the claim. Periodic follow-ups over phone, email, and/or online are done to get the status of each claim submitted to the insurance company.

We track the healthcare updates through Monthly Bulletins, Notices, Circulars, Denial EOB, EOB with Deductible and Co-insurance information, Billing Rule Modification, Procedure Changes, Diagnosis Changes, modifier changes, New Policies, Check Copies, etc. Based on the updates we implement the changes for billing and collection purposes.

Our experts will systematically follow up on accounts receivable, claims and all the pending claims, An in-depth analysis of rejections denials is carried out and our systematic accounts receivable projects can efficiently detect and identify different medical billing scenarios which result in non-payment of dues; and help resolve those problems to effect an increase in the number of claims paid.

Claim Submission

At UnitedRCMS denial management is one of the core activities to ensure client satisfaction and is carried out by senior medical billing specialists [ Our scope includes Payers, Patient, Providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system.] If authorized by the provider we also have the facility to call up patients [to obtain information from the patient needed for billing such as ID# and to update the COB (Co-ordination of benefits) with their insurance companies. Secondary paper claims are processed and sent to the client office for submission].    

 

Denial Management

At UnitedRCMS denial management is one of the core activities to ensure client satisfaction and is carried out by senior medical billing specialists [ Our scope includes Payers, Patient, Providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system.] If authorized by the provider we also have the facility to call up patients [to obtain information from the patient needed for billing such as ID# and to update the COB (Co-ordination of benefits) with their insurance companies. Secondary paper claims are processed and sent to the client office for submission].

24/7 Assistance:

Our experts are always available for immediate support to you and your staff no matter what the issue or problem is.

Medical Billing – Quality Check:

Quality is the key performance and at UnitedRCMS we check for all types of errors starting from [typo, billing error, specification and system errors] along with Shadow Processing and Random Auditing to ensure compliance with quality controls. Every team is provided with weekly quality report and the performance of each billing staff is continuously monitored and periodically appraised for better outcomes.

Healthcare Data Entry

As the business grows to a faster pace data that is too managed also increases in volume, and there is a need for data processing and management which is to be carried out in a time bound manner. This business process can be appropriately out sourced by organizations aiming at operational efficiency while

At the same time, saving time and money. Health care data entry is a precision exercise demanding accuracy and based on projects specifications and client requirements, UnitedRCMS uses the latest technology to provide quality services. It is imperative to make a note of every information about the patient commencing with chart details, daily appointments, account information, insurance, details of claims, admission history, diagnosis, physicians comments, bills, and reimbursement history. While doing so our dedicated team of professionals understand the importance of confidentiality and being trained in the matters of security and HIPAA compliance.

At UnitedRCMS we can capture, digitize from various sources such as paper, books, emails, images, web platforms, hard copies and more. We are the experts to work in both electronic and hard copies which will, in turn, simplify your data processing tasks and the improvise on the overall functional aspect of your organization.
UnitedRCMS as a highly professional health care back office services company offers data entry solutions for a wide range of patient records.

  • Data Entry solution
  • Patient records
  • Clinical and health care records
  • Other medical files and documents
  • Insurance billing forms and other forms.
  • Image records