Medical Billing Services FAQ's
Explore medical billing services frequently asked questions and understand how RCM Centric help healthcare providers in their practice billing.
Medical Billing FAQ's
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We charge monthly flat fee or a fixed percentage of the monthly collections on your behalf. The flat fee includes commercial and government payments, co-pays, self-pays, capitation payments, etc. According to the AMA, outsourcing medical billing expenses can cost 30% to 40% lower than in-house services. An average physician’s practice utilizing in-house billing services spends 15% of earned income on billing related expenses. In addition to RCM Centric’s other services, we also offer patient eligibility verification and estimated payment amount at no additional cost.
By doing things rights the first time we can reduce costs and maximize efficiency. Our state-of-the-art proprietary software tracks every claim throughout the entire billing process, resulting in cost reductions for overlooked claims. We use cutting-edge technology allowing us to retrieve billing documentation without ever leaving the physician’s office.
• Free EHR integration
• File storage cloud account
• Real-time financial reporting
• Accurate electronic claims submission and tracking
• Daily billing and follow-up
• Quick payment turnaround
• Claims re-submission for identifying lost dollars
• Weekly and monthly reporting
• Secure web log-in
• Online financial reports
• Practice analysis
• Cash register/IOU
• Customized office forms available online 24/7:
• Hospital Super bills
• Office Super bills
• Registration Forms
• Sign-in Sheets
RCM Centric handles all medical specialties including Cardiology, Neurology, Internal Medicine, Family Practice, Pain Management, Podiatry, Neuropathy, Gastroenterology, Anesthesia, Psychiatry, Surgery, Dermatology/Plastic Surgery, Cosmetic Surgery, ER, Allergy and Immunology, Pulmonary, Radiology, Interventional Radiology, Orthopedic, Pediatrics, Ophthalmology, Infectious Disease, Gynecology, Rehab, Nephrology, Thoracic Surgery, Endocrinology and much more. See a complete list of our medical specialities.
Communication between RCM Centric and their clients is of primary importance. After signing a contract with RCM Centric, each physician receives an email address and secures web log-in identification for sending and receiving messages. Our Customer Support staff is also available to answer questions and ensure satisfaction, while our Patient Help Desk is available to handle insurance related inquiries or patient calls.
About 97% of claims are filed electronically. For companies currently not set up to receive claims electronically, HCFA forms are used for claims submission. Most insurance companies respond electronically through Electronic Remittance Advice (ERA), notifying RCM Centric and the physician receipt of payment in a fraction of the time.
Our direct submitters are spread across all states in the USA.
While paper claims submission can take 90-120 days, standard electronic claims filing allows reimbursement from the insurance company within 7-21 days. Physicians, who use RCM Centric’s integrated services, can receive payments in as little as 3-5 days. This drastic reduction in time is due to the many features available in our Standard Medical Billing Agreement, which includes EHR, eligibility verification, ERA and EFT.
There are no extra charges for electronic claims transmission. In fact, no auxiliary charges are incurred for any of RCM Centric’s services. We do not maintain a standard “module mentality” of charging physicians on an a la carte basis for each additional service they utilize.
All checks and EOBs will be sent directly to your office. Since most insurance companies offer ERA and electronic versions of EOBs, and EFTs (Electronic Funds Transfer), physicians can receive EOBs and payments faster than a standard paper delivery, allowing the follow-up process to be expedient and efficient. For physical copies, just keep the checks and send us scanned copies of the EOBs.
Yes. Unless the nonpayment is for a legitimate reason, such as a deductible, capitation, lack of coverage or duplicate invoicing, we can reprocess the claim without requiring additional information. RCM Centric will contact your office, if necessary, for further information. If the claim remains unpaid, we will follow up with an appeal.
We perform patient bill follow-up by sending a series of collection letters (up to 3), requesting payment of the past due amount.
You can check your billing status online, 24 hours a day, 7 days a week, through the secure portal.
After signing the contract, we can begin the setup process immediately. Generally, for most physicians, the process takes 2 to 4 days. We can provide an accurate estimate after reviewing your individual practice.
We go through a laborious and time-consuming setup process to ensure your claims will be processed effectively and efficiently. This includes entering all patient data, creating customized forms, setting up a clearinghouse account and assisting with installing a high-speed duplex scanner (if applicable). There are no hidden fees for click charges, postage, business reply mail, etc. You only pay a flat fee or percentage of the collected amount.
Ensuring that your patients are satisfied with the billing process is extremely important to RCM Centric. We have highly trained service representatives at our Patient Help Desk to respond in a courteous and professional manner.
Unlike other billing companies, we do not charge you additional fees for click charges, postage, forms, business reply mail, etc. All costs are included in the flat fee. Our goal is to keep it simple – you only pay the agreed amount.
Forms with missing information are uploaded in a Pending Transactions List (PTL), which may be accessed by your secure web log-in. You will be able to review and update any missing information. This information is instantaneously imported into our system, avoiding any delays for claim submission.
No need any system requirements, as long as you have an internet connection you can use our services.
We are a team of medical coders, billers and RCM specialist working in this field since 2008. Our team structure is unique and professional to provide all services at high standard priority so each client can work with us smoothly.
We provide services to all healthcare providers within United States. We are covering each state and expending our services for all regions.
YES, we have our Patient Help Desk to communicate with your patients regarding their bills or any information about the visits. Our Patient Help Desk can schedule appointments with your patient, reminders, follow-up, notice or any further inquiries.
YES, once you contracted with us, we will assign you a dedicated account manager with a team of expert billers and coders who will work on your Practice / Account.
We mostly send weekly and monthly customized reporting to the clients about the collections, outstanding, balances, claims or any updates.
Yes, our data migration teams work closely with new customers to ensure a smooth transition. We provide the necessary templates to your former billing company so that they can compile data in a format that is compatible with our system. After receiving data in the required format, we will import it into our platform for you, completely free of charge.