FAQ
Frequently Asked Questions
Find answers to commonly asked questions about our services.
What services does Clinical RCM Solutions offer?
We specialize in medical billing, coding, and revenue cycle management for healthcare providers. Our services include claim submissions, denial management, payment posting, coding audits, and more to ensure your practice maximizes reimbursements and minimizes errors.
What types of practices do you work with?
We work with various healthcare providers, including primary care, specialty practices, hospitals, and clinics. Whether you are a solo practitioner or a large medical group, we can customize our services to meet your specific needs.
How can Clinical RCM Solutions help my practice improve revenue?
We focus on accurate coding, timely claim submissions, and effective follow-up processes to reduce denials and ensure you receive full reimbursement for services rendered. By streamlining the billing cycle, we help healthcare practices boost revenue.
How does outsourcing my billing and coding benefit my practice?
Outsourcing allows your practice to focus on patient care while we manage the complexities of billing, coding, and compliance. It reduces administrative burden, ensures faster claim processing, and minimizes costly errors or delays.
Are your services compliant with HIPAA regulations?
Yes, we are fully compliant with HIPAA and all other healthcare privacy laws. We prioritize the confidentiality and security of patient information in every aspect of our services.
How does Clinical RCM handle denied claims?
We have a dedicated denial management team that reviews and corrects denied claims, resubmitting them promptly to ensure that your practice receives the maximum reimbursement possible. We also identify trends in denials to help prevent future issues.
Can I track the status of my claims?
Yes, we offer transparent reporting and real-time access to claim status through our secure client portal. This helps you stay informed about your practice’s financial performance.
Do you offer customized billing and coding solutions?
Absolutely. We tailor our services to meet the specific needs of your practice, whether you need complete revenue cycle management or support in specific areas like coding or claim submissions.
What software systems do you support?
We work with a variety of practice management and billing software, including popular systems like Epic, Cerner, NextGen, Kareo, and more. If your practice uses a different system, we are happy to adapt to your needs.
How can I get started with Clinical RCM Solutions?
Simply contact us through our website or call us directly for a free consultation. We’ll assess your practice’s needs and recommend the best solutions for optimizing your revenue cycle.
How do I know if my practice needs revenue cycle management services?
If your practice is experiencing frequent claim denials, delayed payments, or struggles with coding accuracy, revenue cycle management services can help. We provide a free consultation to evaluate your current billing processes and determine if our solutions would benefit you.
How does Clinical RCM stay updated on coding changes and regulations?
Our team of certified medical coders and billing experts continuously receive training on the latest industry updates, including changes in CPT, ICD-10, and HCPCS codes. We also monitor updates from CMS, private insurers, and other regulatory bodies to ensure compliance.
What makes Clinical RCM different from other medical billing companies?
We take a personalized approach to every client, offering tailored solutions rather than a one-size-fits-all approach. Our commitment to transparency, accuracy, and fast turnaround times sets us apart from the competition. We also prioritize proactive communication and regularly provide performance updates.
Do you offer training for my in-house billing team?
Yes, we offer training and support for in-house billing and coding teams. Whether your team needs help with coding accuracy, software use, or compliance, we can provide customized training to improve their performance.
What payment structures do you offer for your services?
We offer flexible pricing models, including percentage-based and flat-fee options, depending on your practice’s size and needs. During our consultation, we will discuss the best pricing structure for your specific situation.
How quickly can I expect my claims to be processed?
We strive to submit claims within 24-48 hours of receiving the necessary documentation. Timely submission and follow-up are key priorities to ensure prompt reimbursement.
What should I do if my practice is already facing billing challenges?
If you are experiencing billing issues, such as denied claims, delayed payments, or compliance concerns, contact us for a free audit of your billing processes. We will identify areas for improvement and create a strategy to get your revenue cycle back on track.
Can you help with credentialing and insurance contracting?
Yes, we offer provider credentialing and payer enrollment services to ensure you are correctly listed with insurance companies. Proper credentialing helps prevent claim denials and delays due to insurance issues.
How long does it take to onboard with Clinical RCM Solutions?
On boarding typically takes between 1-2 weeks, depending on the complexity of your practice and the systems you currently use. We work quickly to integrate our services into your workflow without disruption.
Do you provide support for coding compliance audits?
Yes, we offer coding compliance audits to ensure your practice is adhering to the latest regulations and billing correctly. This helps prevent potential audits from payers and minimizes the risk of penalties or fines.
Still have a question?
If you have any other queries, feel free to reach out to us. Our knowledgeable team is here to help!
Get in Touch Today
Contact us to experience seamless revenue cycle management for your practice.