RCM Solutions: Provider Contracting / Credentialing

Whether you are a provider with decades of experience or a physician looking to setup their first practice, MedConverge will work with you to ensure your payer contracts are getting you the reimbursements you truly deserve.

RCM Solution: Eligibility & Benefits Verification

We work in tandem with your front office to verify patient eligibility for all services you are expected to render.  Our real-time eligibility and benefits verification has helped our clients increase their revenues by at least 5%.

Medical Documentation

With ICD-10 kick-off date set for October 1, 2015, medical practices have to improve the quality of their clinical documentation.  We have certified clinical documentation specialists and auditors who will ensure your documentation meets key compliance standards.

Revenue Cycle Management Solutions: Medical Coding

Our AAPC and AHIMA certified coders have multispecialty and multi-facility coding expertise.  We specialize in outpatient and inpatient hospital coding, risk adjustment coding (CMS-HCC coding), chart audits for documentation gaps, and ICD-10 training/implementation.  Our ICD-10 implementation experts can train your clinical staff, medical, and front office staff with the code-sets that are specific to your practice.

Medical Billing

We offer specialized billing and coding services in areas such as Cardiology, Gastroenterology, Otolaryngology, Rheumatology and Dermatology and more.  Our customized billing solutions can help shorten payer cycle, reduce denials, and increase your revenues.

Accounts Receivable Follow-up

The key indicator of an efficiently managed healthcare facility is its AR.   If you are losing out on filing times and appeal limits, then your practice needs to rework its entire billing cycle.  MedConverge can help you do just this.

Patient Collections

Patient payments account to up to 20-40% of your practice’s revenue.  When your front office processes are not streamlined/efficient, you could lose up to 15% of your revenue.  MedConverge’s patient help desk and patient web portal will maximize your patient collections while ensuring your patients stay happy.

ICD-10 Implementation & Training

Wondering how to make the switch to ICD-10? Unsure how to tackle the biggest change healthcare industry has faced in over three decades?  MedConverge can help you.  Our customizable ICD-10 implementation plan will seamlessly transition you from ICD-9 to ICD-10.  Our certified ICD coders and billers will provide you with all the support you need during the implementation and transition from preparing customized crosswalks to dual coding claims.