Care RCM Services

Our Services

RCM Services

Credentialing & Enrollment Services

side-view-scientist-holding-tablet

Medical Coding

Revenue Cycle Management Services

RCM, or Revenue Cycle Management, serves as the backbone of financial transactions in healthcare. It’s the pulse that connects patients, healthcare providers, and payers. At its core, clinical administration guides the entire revenue cycle, commencing with meticulous patient registration and extending to precise payment posting. This seamless system ensures vital information flows effortlessly between patient statements and payment systems, safeguarding the financial health of healthcare providers. Our services encompass these crucial components, guaranteeing authenticity and real-time financial management for your practice.

Billing Software Setup

Patient Demographic Entry

Medical Billing and Charge Entry

Insurance Eligibility Verification

Prior Authorization and Referrals

Submission of Claims

Payment Posting

Accounts Receivable Follow-up

Denial Analysis

Monthly Reporting

Credentialing & Enrollment Services

Credentialing Simplified, Billing Amplified. We understand that how important credentialing is to the healthcare sector in ensuring that medical professionals adhere to the strictest guidelines for practice. Our experienced team manages the credentialing process, which helps you navigate the provider enrollment process.

We will establish your new practice.

Medicare and Medicaid Enrollment

Commercial Insurance Credentialing & Contracting.

Credentialing Through IPA’s.

Credentialing of Multi/Single Specialty Groups, and IDTF.

Telehealth credentialing and setup in multiple states.

Hospital Privileges, Licensing and DEA Renewal.

Adding additional providers and locations to the current practice.

NPI Registration Type 1 & 2.

CAQH registration and maintenance.

Re-validation/Re-credentialing.

Demographic changes/updates.

Contract Renegotiation/Increase in Fee Schedule.

Regular Follow Ups, HIPAA Compliance and NCQA standards.

I&A, PECOS, NPPES, Availity, Pay-Span account creation.

EDI, ERA, EFT and Clearing House Setup.

Streamline Your Business with Virtual Assistance Services

In today’s fast-paced business environment, maximizing efficiency is key to success. Our Virtual Assistance service provides flexible and professional support tailored to your needs. With experienced virtual assistants handling tasks such as administration, customer service, and marketing, you can focus on growing your business. Benefit from cost savings, scalability, and confidentiality while enjoying the convenience of remote assistance. Elevate your productivity with our Virtual Assistance service today. Our Virtual Assistant (VA) model is structured around Full-Time Employee (FTE), providing dedicated resources tailored to your needs. Our proficient VAs diligently adheres to your instructions and Standard Operating Procedures (SOPs) to address gaps in your business operations. With a team of skilled, talented, organized, and experienced VAs, we ensure exceptional support and seamless integration into your workflow.

What Is Medical Coding

Medical coding is a vital service we provide as part of our comprehensive healthcare administration solutions. Through meticulous attention to detail and adherence to industry standards, our team ensures accurate documentation of patient encounters, facilitating insurance claims processing and optimizing revenue cycle management.

With expertise in assigning alphanumeric codes to diagnoses, procedures, and medical services, we contribute to the integrity of medical records and support healthcare providers in receiving proper reimbursement for their services. Our efficient medical coding practices not only ensure compliance with regulatory requirements but also enhance patient care by facilitating accurate data analysis and reporting.

Coding Specialties

Inpatient/Outpatient E/M Coding

Podiatry Services

Anesthesia

General Surgery

Gastro

OB/GYN

Pain Management

Psychiatry