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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

Do you want to improve medical record quality, reduce errors and ensure appropriate reimbursements? We have certified clinical documentation improvement 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 medical 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 Accounts Receivable Process.   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.

MACRA

Are you ready for MACRA? Do you qualify for MIPS? MedConverge has the knowledge, expertise and technology that will help you with your MACRA/MIPS Reporting

Hand with a calculator. Revenue Cycle Management

Our expertise cohesively combines the full spectrum of revenue cycle management and will help you enhance efficiency, increase productivity thereby improving your bottom-line.