Services
Welcome to Our Comprehensive Medical Billing & RCM Services.
Our services are designed to cover every stage of your revenue cycle—from patient registration to the final payment—ensuring faster reimbursements and fewer administrative burdens.
SERVICES
Our Specialized Services to Enhance Your Revenue Cycle...
Medical Billing
America RCM delivers a complete range of medical billing services designed to optimize your revenue cycle and ensure accurate, timely reimbursements. Our process begins with thorough patient eligibility and insurance verification to prevent claim issues before they occur. We handle precise charge entry, clean claim submission, and continuous claim monitoring to minimize denials and speed up payments. Our team manages denial analysis, appeals, and resubmissions to ensure every claim is followed through to completion. We also provide detailed payment posting, patient billing, and customized financial reports that give clear insight into your practice’s performance. With advanced technology and expert billing specialists, America RCM ensures compliance, reduces administrative workload, and delivers reliable financial support to help your practice operate smoothly and profitably.
Complete claim management, denial follow-ups, payment posting, and financial reporting.
Medical Credentialing
America RCM provides comprehensive medical credentialing services designed to ensure healthcare providers are properly enrolled, approved, and credentialed with insurance payers and regulatory bodies. Our team handles the entire process from start to finish, helping practices avoid delays, denials, and administrative burdens. We begin by gathering and verifying all required provider information, including licenses, certifications, education, work history, malpractice coverage, and background details. Our specialists prepare and submit complete enrollment applications to Medicare, Medicaid, and commercial insurance payers, ensuring accuracy and compliance with each payer’s guidelines. America RCM continuously tracks the status of all applications, communicates with payers on your behalf, and resolves issues quickly to prevent enrollment delays.
Insurance enrollment, provider setup, contract updates, and re-credentialing.
Claim Submission
America RCM delivers a streamlined and accurate claim submission process designed to ensure faster reimbursement and minimal claim rejections. Our team handles every step with precision, working closely with providers to submit clean, compliant claims on time, every time. We begin by carefully reviewing all patient encounter data, verifying coding accuracy, and ensuring proper documentation before claims are prepared. Our specialists use industry-standard billing software to generate claims that meet payer-specific formatting and compliance requirements. Each claim is checked for completeness, correct modifiers, accurate provider details, and eligibility confirmation to avoid delays or denials.
Fast, accurate electronic claim filing with continuous follow-up until resolution.
Medical Coding
America RCM provides accurate and comprehensive medical coding services designed to ensure proper documentation, compliance, and optimal reimbursement for healthcare providers. Our certified coding specialists translate clinical documentation from patient encounters into standardized codes for diagnoses, procedures, and services, adhering strictly to ICD-10, CPT, and HCPCS guidelines. Our process begins with a thorough review of patient charts, physician notes, and supporting documentation to assign precise codes. We focus on accuracy and compliance to minimize claim denials, reduce audit risks, and ensure timely reimbursement. Our team stays updated on the latest coding updates, payer rules, and regulatory changes, so your practice remains fully compliant.
Certified CPT, ICD-10, HCPCS coding for clean claims and compliance.
Physician Billing
America RCM provides comprehensive physician billing services designed to optimize revenue, improve cash flow, and reduce administrative burden for healthcare providers. Our team of experienced billing specialists manages the entire revenue cycle, allowing physicians to focus on patient care while ensuring accurate and timely reimbursements. Our physician billing process begins with meticulous review and verification of patient information, encounter documentation, and insurance eligibility. We ensure that every service rendered is coded correctly using ICD-10, CPT, and HCPCS standards to meet payer requirements and reduce claim denials. Once claims are prepared, America RCM submits them promptly to insurance payers, monitors their status, and follows up on any delays or rejections.
Customized physician billing solutions for all practice sizes.
Patient Billing Services
America RCM provides comprehensive patient billing services designed to streamline the payment process, improve collections, and enhance the overall patient experience. Our goal is to ensure that patients receive clear, accurate, and timely statements while your practice maintains a healthy cash flow. Our patient billing process begins with the preparation of detailed, easy-to-understand statements that clearly outline services rendered, insurance payments, and any patient responsibility. We verify patient balances, apply insurance adjustments, and ensure that all charges are accurate and compliant with regulations. America RCM handles all patient communications professionally and efficiently, including billing inquiries, payment reminders, and collection support.
Patient statements, payment reminders, and support handling.
Accounts Receivable Services
America RCM provides comprehensive Accounts Receivable (AR) services designed to optimize cash flow, reduce outstanding balances, and improve the financial health of healthcare practices. Our team of experts manages every aspect of your receivables, ensuring timely collections while minimizing administrative burden. Our AR services begin with a detailed review of all outstanding claims and patient balances. We monitor pending insurance claims, track payments, and identify any delays or denials that could impact revenue. By addressing issues proactively, we help ensure that claims are resolved quickly and accurately. .
A/R analysis, follow-ups, and recovery strategies to reduce outstanding balances.
Prior Authorization
America RCM provides comprehensive Accounts Receivable (AR) services designed to optimize cash flow, reduce outstanding balances, and improve the financial health of healthcare practices. Our team of experts manages every aspect of your receivables, ensuring timely collections while minimizing administrative burden. Our AR services begin with a detailed review of all outstanding claims and patient balances. We monitor pending insurance claims, track payments, and identify any delays or denials that could impact revenue. By addressing issues proactively, we help ensure that claims are resolved quickly and accurately. .
Insurance approvals, documentation collection, and real-time tracking.
Revenue Cycle Management (RCM)
Revenue Cycle Management (RCM) Services Offered by America RCM America RCM offers comprehensive Revenue Cycle Management (RCM) services designed to optimize every stage of your healthcare practice’s financial operations. Our end-to-end RCM solutions help practices increase revenue, reduce claim denials, and streamline administrative workflows, allowing providers to focus on delivering quality patient care. Our RCM process begins with patient registration and eligibility verification, ensuring all information is accurate and up-to-date before services are rendered.
Complete RCM oversight: eligibility, coding, billing, denials, payments & reporting.