Revenue Cycle Management

Optimize Your Practice with RCM

Revenue Cycle Management Done Right! From billing to collections, RCM streamlines your financial processes for maximum efficiency and profitability. Focus on care while we focus on your bottom line.

Are you ready to revolutionize your practice? At Advanced Billing & Coding Solutions, we specialize in optimizing revenue cycle management (RCM) to boost your profitability and give you the freedom to focus on what truly matters—patient care.

Fun Facts About RCM

Fun Facts About RCM: RCM is often called the "heartbeat" of healthcare practices because it keeps the financial side running smoothly, ensuring providers get paid for the vital services they offer.
Billions Processed Annually: The healthcare industry processes over $4 trillion in medical claims annually in the U.S., and RCM plays a critical role in managing this massive flow of revenue.
Coding Is a Superpower: Medical billing codes might look complex, but they're like a universal language for healthcare. The ICD-10 coding system has over 70,000 codes, covering everything from a simple cold to injuries from a space adventure!
Denials Cost Big Bucks: Did you know that denied claims cost healthcare providers $262 billion annually? Effective RCM systems can help recover up to 65% of these denials, saving practices significant money.
Faster Payments, Happier Practices: Practice’s using streamlined RCM systems often get paid 30% faster than those relying on outdated methods, freeing up cash flow for other priorities.
RCM is Like a Detective: From uncovering missed billing opportunities to spotting inefficiencies, RCM acts like a financial detective for healthcare providers.
Compliance Is King: Staying compliant with regulations like HIPAA, MACRA, and MIPS isn’t just a legal requirement; it’s a major focus of RCM to avoid hefty fines and penalties.
Patient Satisfaction Starts with Billing: A smooth billing process contributes significantly to patient satisfaction. Transparent and accurate bills reduce confusion and frustration, making patients more likely to return.
It's a Tech-Driven World: Cloud-based RCM platforms are game-changers, allowing healthcare providers to manage billing, payments, and compliance from anywhere, even on their smartphones or tablets.
$125 Billion Problem: Every year, U.S. healthcare providers lose $125 billion due to inefficiencies in the revenue cycle. RCM companies work tirelessly to reverse this trend and keep practices financially healthy.
E-Prescribing and Beyond: Modern RCM systems don’t just handle billing; they integrate features like e-prescribing, patient portals, and appointment reminders, enhancing the overall healthcare experience.
The Art of Denial Management: Around 10-25% of all claims are initially denied, but with proper RCM practices, most of them can be appealed and recovered successfully.
A "Time Machine" for Healthcare Providers: Efficient RCM practices save healthcare providers hours of administrative work weekly, giving them more time to focus on their patients.
Global Connections: RCM isn't just a U.S. phenomenon; it’s a critical aspect of healthcare systems worldwide, adapting to the unique challenges of each country’s regulations and insurance structures.
A Growing Field: The RCM market is projected to reach over $211 billion globally by 2028, reflecting its essential role in the healthcare ecosystem.

These facts showcase how RCM goes beyond just billing—it’s a crucial driver of financial health and operational efficiency for healthcare providers everywhere!

Why Choose Us?

With 26+ years of expertise and certifications in Medical Revenue Management (CMRM) and Project Management (PMP), our team is part of a nationwide network of trusted professionals. We’ve helped countless practices like yours reduce receivables, recover lost profits, and streamline operations.

Services That Deliver Results

Revenue Cycle Optimization: Prevent denials, increase collections, and reduce days in A/R with cutting-edge technology and expertise.
Cloud-Based Efficiency: Eliminate in-house tech headaches with secure, flexible access to all your patients and practice data via NextGen Healthcare.
Comprehensive Audits: Our proprietary analysis benchmarks your practice, offering actionable insights to elevate your revenue cycle and protect against audits.
Integrated Practice Management: From electronic eligibility checks to patient portals and e-prescribing, streamline every touchpoint for patients and staff alike.
Denial Management & Compliance: Stay ahead of MACRA/MIPS and HIPAA compliance while improving patient satisfaction.

The Proof Is in the Outcomes

Our clients consistently experience:

Advanced Billing & Coding Solutions—where your success meets our expertise. Transforming healthcare practices, one solution at a time.

Streamlined Billing Process
Faster Payments Guaranteed
Reduced Denial Rates
Cloud-Based Access
Compliance Management
Increased Revenue Recovery
Efficient Practice Audits
Enhanced Patient Satisfaction

Ready for a Change?

When was the last time your practice had a “business health checkup”? Schedule a FREE Practice Analysis today. Let us uncover hidden opportunities to maximize your profits and simplify your workflow.

Juanita Bivens, CMRM, PMP

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