RCM

Maximize Revenue with Comprehensive RCM Solutions from 24/7 Medical Billing Services

At 24/7 Medical Billing Services, we specialize in helping healthcare providers optimize revenue and ensure timely reimbursements for every service rendered. Our end-to-end Revenue Cycle Management (RCM) solutions cover every critical aspect of the billing process:

Patient Appointment Scheduling

We ensure a seamless flow of patients by managing appointments efficiently. Our streamlined scheduling reduces wait times and enhances clinic productivity through timely, well-organized bookings.

Insurance Eligibility Verification

We verify patient insurance details upfront to identify copays, coinsurance, and deductibles, ensuring financial transparency before treatment.
Key Benefits:

• Real-time insurance eligibility checks
• Clarity on coverage limits and patient payment history

Advanced Medical Coding

Our team of certified coders (CPC, COC, CIC, etc.) adheres to ICD-10 and CPT guidelines. We ensure accurate documentation, apply appropriate modifiers, and advise on procedures that can be billed concurrently—ensuring maximum reimbursements without compliance issues.

Demographics & Charge Entry

Accurate data entry is essential. Our specialists manage patient demographics and charge entries meticulously, ensuring claims are submitted within 24–48 hours and are fully traceable at every stage.

Quality Assurance & Process Review

Quality is at the heart of everything we do. Our internal QA team monitors each RCM stage and shares regular reports with clients.
Key Features:

• Multi-tier review system
• Daily analytics and process audits

Claims Submission, Rejection Handling & Resolution

We maintain a 99% clean claims rate through proactive checks and real-time rejection resolution. Insights and trends are shared with both internal teams and clients to enhance future performance.

Payment Posting

Payments from ERA/EOB are posted within 24–48 hours. Our reconciliation processes are robust, ensuring no payment is missed.
Key Highlights:

• Dual-layer quality audits
• Recognition of secondary balances and patient liabilities

Denial Management & Resolution

Each claim denial is thoroughly analyzed to identify and resolve root causes. We implement preventive measures to reduce repeat denials and provide clients with weekly reports.
Service Highlights:

• Action within 72 hours of denial receipt
• Daily denial tracking and trend analysis

Accounts Receivable (AR) Follow-Up

We aggressively pursue every outstanding claim to recover maximum revenue. Through systematic AR calling for claims over 30 days, we’ve helped practices recover millions in unclaimed revenue.

Detailed Monthly Reporting

Stay informed with customized monthly reports featuring:

• Comprehensive financial summaries
• Collection breakdowns and procedure-wise productivity
• Rejections, denials, and AR analysis
• Insurance-specific insights and performance metrics

Patient Statement Management

We simplify collections by generating and dispatching monthly patient statements. We handle patient queries, provide payment support over the phone, and ensure clear communication on outstanding balances.

24/7 Client Support with Dedicated Account Managers

Your success is our priority. Our dedicated Account Managers are available 24/7 to assist with queries, updates, and ongoing support—so you can focus on patient care while we take care of your revenue.