Clemmons, North Carolina 27012, United States
Services
At Spinning Revenue Cycle Management, we know that medical billing isn’t a “one size fits all” industry, so we offer serval different options to our clients. SRCM will provide what is needed most for your business. Whether you need full outsourcing or just consultation, we can set up the package that works best for you.
- Outsourcing - remember that sometimes the hardest part of a business is managing people, so let us focus on the people and the office work so that you can focus on the patient. We can take a piece of the revenue cycle or the entire process off your hands so that you can focus where you are needed most.
- Consulting - We review, audit, and analyze your current processes and procedures. Afterward, we offer suggestions to help increase your patient volume, patient satisfaction, and reimbursement.
No matter what options you choose, at the end of each day, you can feel secure knowing that you have a winning team on your side.
We offer 2 Medical Billing Service Types
Outsource or Consultation
- Negotiate new and existing contracts
- Maintain and update provider and facility credentials
Insurance Verification & Authorization
- Verify patient benefits to ensure coverage and patient Out of Pocket cost.
Charge Entry & Billing
- Claim scrubbing to ensure clean claims are billed to the payers.
- Bill the claim according to the payer requirements (electronic, paper or webtool)
Rejection & Claim Denial Resolution
Will work all rejections and denials to ensure proper payment or resolution.
AR Follow Up
- Will properly follow up on all accounts.
- Will run reports to show active AR.
Payer Appeals & Audits
Will handle all appeals and audits to the highest appropriate level. :
- Payer Guidelines
- MS-DRG and APR-DRG Reviews
- Government Agency Audit Assistance
- Medicare Advantage Audits
- Medical Necessity Reviews
- Patient Status Audits
- Reimbursement Recovery Reviews
- Concurrent/Retrospective Evaluation and Management Documentation Reviews
- Ambulatory Payment Classification (APC)
Payment Posting
- Will post payments received from all payer sources.
- Will reconcile all payments with the bank statements and ar accounts.
Additional Services
Customized Options or Add On's
Training Materials
We will provide you with a fully customizable training program.
Personalized Office Forms
We will develop custom office forms.
New Hire Packets
We will develop the necessary new hire forms as well as on boarding processes.
Analysis & Audit
We can review your current processes and financial health to see where improvements can be made. This can be done with any area of the above Revenue Cycle options or for the entire business.