RCM/ Medical Billing Services

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Patient Registration & Appointment Scheduling:

Simplify Bill is specialized in patient registration and schedule appointment to improve those services to be faster, precise and less complicated for provider and consumers. Our service makes sure your data will be set right from the time the patient information is entered avoiding lots of time wastage by correcting wrong entries.
By minimizing data error, then, we reduce the incidence of errors in insurance claims and billing down the line. Better arrangement of the appointments will enable your practice to work more effectively, thus, minimize the time that patients spend waiting for their turn, and improve their experience. We take care of the hustle so you can remain mindful of how you treat your patients.

Insurance Verification & Eligibility

Simplifybill relieves the burden of paying bills as it validates each patient’s insurance especially the benefits available prior to a visit. The proactive model assists in avoiding rejected and delayed claims, resulting in understanding patients’ financial responsibilities clearly.
Through this process, we are reaching an agreement sooner to decrease the chances of billing issues, accelerate payments and increase patient satisfaction. In choosing us, you can be sure that all your insurance issues shall be well handled as you concentrate on delivering your best health care.

Medical Coding

Medical coding plays a vital role in the fast and accurate processing of reimbursements with little to no mistake and that is what Simplifybill provies. Our coders include several years of experience to code precisely conforming to ICD-10, CPT, and HCPCS to minimize some of errors that cause delays of payments.
We assist you in ensuring that healthcare services are translated into standard codes for revenue enhancement, denial of revenue reduction and ensuring that the policies observed are legal. In Simplifybill, clients get to submit claims easily and are assured of quicker processing of the money for the rendered services

Charge Capture

Our charge capture process is would capture all services given to patients in order to bill them appropriately. Every process is done keenly to ensure that all the details that results to all the revenue is captured. This way we can be on top of every service provided so that we are able to bill charges appropriately and on time.
Besides, it aids in increasing revenues and minimizes errors so that all services are captured within the billing area. We have utilized well-established procedures to monitor the services which have been offered to avoid instances of missed activities.

Claim Submission

Usually, we are committed to fast, efficient, and accurate filing of claims. We also have a qualified team that issues claims without much delay to make sure that the reimbursement is not delayed. We also emphasize accuracy so as to reduce the chance of getting denial hence enhancing the cash flow and its predictability.
Thus, when making claims, we make sure that all the codes are accurate to minimize on rejections or mistakes that could have been avoided. This useful in preventing the loop time for a certain revenue cycle and ensures that you receive your payments on time. We aim to get all the claims to the insurance companies first and with no revisions needed thus avoiding follow-ups.

Payment Posting & Reconciliation

It is crucial for successful accounting, because following payment posting and reconciliation all accounts are accurate. This way we make sure that insurance and patient payments are properly posted to correct accounts, hence no mix up. Every payment is checked and approved and the payment on the corresponding vendor is processed and posted on the system.

If there are unsolved questions or problems, we establish them and correct, so that your financial documents are accurate. It is our team’s mission to make the reconciliation process as simple as possible so you can clearly see how much revenue you have. This makes it difficult for errors to occur and takes little time to identify them, and your accounts will always be balanced.

Accounts Receivable (A/R) Management

It is our intention to make sure that you are able to maximize your revenue cycle, and hence we introduce the Accounts Receivable (A/R) management system. The unpaid claims are pursued actively by our team, resources are spent to ensure unresolved claims are addressed.
When we resolve billing issues or discuss slow payment, we assist in the acceleration of the payment process. We act on recovering your cash faster and shortening the time taken to get most of your money in full reimbursement. When it comes to A/R, we do not let receivables turn old and therefore it does not affect our client’s business financial performance.

Denial Management & Appeals

Denial management is an important aspect in creating a flawless revenue cycle and our staff is proficient in handling claims denial. Working closely with the providers, we quickly identify denials and decide if they are justified by the use of proper codes, lack of client information or supporting documents. Once this is done, we make the right correction to address the problem, and in the process, subsequent claims are correct.
When revenue is turned down in a claim denial, instead of sitting back, we assemble well-supported appeals to compelling such a denial and claim what the patient is entitled for. Thanks to our denial management process which covers all key steps to maximize your revenue and minimize the losses resulting from claim denials.

Patient Billing & Collections

We have smart and straightforward patient billing because we aim to simplify the payment process as much as possible. Our team is responsible for simple and clear bills for patients and for sending them as soon as possible. This is about being those physicians that the patients do not have to struggle in getting the bill, rather the bill will find them in a way that they understand.

When it comes to patient billing, we avoid complicating processes and highly maximize on collections hence less time is consumed on the follow-ups. Our patient collections approach is friendly to get the most out of your patients while still ensuring that you are recovered what you are owed.

Financial Reporting & Insights

Our financial reporting services give you clearer, well explained and reconciled revenue cycle analyses for your company. In particular, using KPIs, we come to awareness of tendencies and possibilities of their further development. These insights help you to take right decision making for improved business performance.
Whether you need help with collections, want to streamline your processes and increase efficiency or just find out where the mains sources of cash leakage are our comprehensive reports will guide you on the right path for assisting with proactive action for better cash flow and general financial health. By choosing us as your provider, you’ll be able to make data-optimized decisions to improve your financial work.

Payment Plans for Patients

Yes patients find it hard to raise money to pay their bills and thus we ensure that we give contractual payment methods that are easy to be arranged. The concept with such plans is to reduce the amount that the patient owes into more manageable and easier to pay parts.
In this way, we guarantee more minimized balances and increased chances of making the payments to the suppliers. Thus, the development of the payment plans for patients also helps to enhance the likelihood of collecting total reimbursement as well as constructively impact patients’ relations.

Provider Credentialing

Though the process of the provider credentialing is not very vies, our team will take care of everything you need. As much as deals are being made and compensation expected to be paid, we make sure that your providers meet the necessary requirements and are in network so as not to cause payments to take long.
Credentialing closely coordinated helps your providers receive reimbursement for their work in the shortest time and without possible mistakes. From the new changes and requirements, we provide you with information on your practice regarding compliance and on how to get faster payments from the insurance companies.

Revenue Cycle Consulting

Our revenue cycle consulting services work to evaluate the existing processes, underlying issues, and solutions to improve the overall gains of our clients. With our clients, we review the whole revenue cycle, from attending to patients to the process of collecting payments and we identify any loop-hole that may be hindering your profits.
We can then make suggestion for faster process flow, better rates of collections and other strategies that will enhance the general financial performance of your business. With us you will be able to work with valuable experience that can help you bring real change to your revenue cycle management.

Audit & Compliance Checks

Billing compliance services mean that your billing process will be checked against the set regulations as well as every payer’s guidelines. The best way to conduct a compliance test is to perform comprehensive audits to look for dissects or mistakes usually causes penalties and denials or claims. We constantly update you on any new or existing regulations to increase your chances of not falling for wrong statutes or missing out on important information.
Apart from saving your business from facing heavy fines, our audit services also maintain the transparency in your companies’ billing systems hence avoiding believe hitches and offering you the best working experience.

Patient Financial Assistance

We help the patient to be directed on which financial programs to turn to because it is not easy to contact the right help. Whether it’s assisting them get theirs decreased to the status they meet for standard charge, or help them hook up with our financial aids, we see to it that patients are informed of their ways they can pursue in cutting their healthcare costs.
This also increases patient satisfaction, and collections for your practice, when leading them through these programs. By using this approach, you are sure that you are recovering your amount as owed while at the same time respecting your patients, and making sure that they do not feel like they are being treated harshly.
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