Rhode Island Medical Billing Services
Reliable Medical Billing Services in Rhode Island
Are you struggling with slow payments and billing errors? We optimize your medical billing process to reduce your denials and increase speed of payments.
Achievements
33%
Increased Revenue
40%
Reduction in Claim Denials
99%
First-Pass Claim Approval Rate
98%
Client Satisfaction Rate
Billing Challenges for Rhode Island Practices
Medical practices in Rhode Island face multiple billing challenges that affect their revenue and growth. These are some issue:
High Claim Denial Rate
The practice doesn’t have experienced medical billing experts. So when they submit claims after providing service to patients, it includes minor issues. These issues like Missing documents, incorrect code leads to claim rejection. When there is no denial management process, these issues don’t get fixed and the denial rate becomes high.
Complex Insurance Requirements
There are a lot of insurance companies in Rhode Island. Each insurance company has their own unique insurance requirements. When the administrative team prepares claims they get overwhelmed with complex requirements. As a result they submit inaccurate medical claims, leading to denial or delays.
Slow Reimbursements
When claims are submitted to insurance companies, they don’t process them instantly. The process to get a claim approved is slow. Practice’s don’t have a follow up team, so these claims get approved very late. As a result payments are slow and affects cash flow of practice.
Compliance Issue
Insurance companies in Rhode Island change their rules and regulations for medical billing. These frequent changes in healthcare laws add a layer of complexity in claim preparation. As a result, practices struggle to stay compliant with these updated billing rules.
Revenue Cycle Management
We handle the complete revenue cycle of your practice. This helps your practice with all the issues they are struggling with, which we have mentioned in the above section.
When your practice is done with the patient’s treatment. We start the medical billing process. Which includes preparing medical claims with required documents and accurate medical codes.
We submit these claims to insurance companies. Our team follows up with them until they are approved. If there are any issues, we resolve them in real time. This reduces the chances of claim delays or denials.
Why Work with Us?
Experienced Team
We have more than 1,000 certified medical billing experts in our team. They have years of experience working with insurance companies in Rhode Island. When you partner with us, you are getting the people who know the ins and out of local payers. This helps your practice get claims approved faster.
Customized Services
We understand that each practice is unique with its size and needs. That is why we don’t provide the same service to everyone. We do a free consultation call with your practice to understand your needs. Then we design customized billing solutions especially for your practice.
Insurance Credentialing
We help your practice get credentialed with top insurance providers in Rhode Island. We prepare the required documents for getting credentialed. Our team makes sure to get it done in real time. So you can start providing care to patients and get paid from their insurance providers without any delay.
Dedicated Account Manager
We provide your practice to a dedicated person to manage your accounts. This person is a point of contact between your practice and us. They understand the workflow of your practice and what are your goals. So when managing the billing progress, they can make sure it's going according to your goals.
Advance Billing Software
We have developed an advanced billing software to handle all the complex work. Our team integrates this software within your existing system. It is simple and easy to use. You can use this software to verify patient insurance details, check the progress of claims and track outstanding balance of your patients.
Results You Can Expect
When you partner with Claims4Medical, these are the results your practice should expect.
Faster Payments
We prepare accurate claims and submit them on time. Then we follow up on each claim and stay connected with insurance companies. We do this until claims are approved. This increases the speed of payments you receive.
Lower Claim Denials
We prepare accurate claims and carefully review them before submission. If by chance we miss anything and claims are denied, we fix the issue and optimize the billing process. This prevents similar issues from happening again. As a result your claim denials rate decrease drastically.
Compliance
We understand the rules and regulations of Rhode Island insurance companies. Our team also stays updated with their changing rules. When we prepare claims, we make sure they are accurate and follow the updated rules. As a result your practice becomes 100% compliant.
Step by Step Medical Billing Process
Patient’s Insurance Verification
We take the patient's details and verify them from their insurance providers. In this verification we check if their insurance is valid and if it covers the cost of treatment.This step is done prior to treatment to prevent any payments issues with patients later.
Medical Coding
The patient visits the practice and gets the treatment. Your medical practice team documents each service provided to patients accurately. We take that document and convert the services in medical codes. We follow the rules and regulations of insurance companies for medical codes.
Claim Management
We prepare medical claims and review them before submission. Then we submit those claims to insurance companies in real time. Our team follows up with insurance companies to get these claims approved faster. This reduces the claim delays and increases approval rate.
Denial Management
If claims are rejected from insurance companies, we reopen the claims. Then we carefully review each detail to find out the cause of denials. Once figured out, we fix the issue and resubmit the claims. We stay in the loop with the insurance company until these claims are approved.
Account Receivable Management
We manage the account receivable payments for your practice. Our team tracks the outstanding balance of your practice. When we see an unpaid bill. We reach out to patients and insurance companies to remind them about their unpaid bills. We keep reminding them until payments are cleared.
Detailed Reporting
We create detailed and easy to understand reports and send them to your practice. These reports include status of your claims, and billing progress. With these reports you are informed with the growth of your practice in real time. Also in case of any issue, you get to make decisions early on.
Contact Us Today!
Success Stories
Frequently Asked Questions
Do You Work with Internal Medicine Speciality?
Yes, we work with internal medicine specialties. You can check out the specialities we are currently serving from the menu bar.
Do You Work with Medicaid Insurance in Rhode Island?
Yes, we work with both Medicaid insurance in Rhode Island and also with private insurance companies.
Do You Work with Small Healthcare Clinics?
Yes, we work with healthcare clinics of all sizes.
How Much Does Your Medical Billing Services in Rhode Island Cost?
Our pricing is not fixed. It depends on the size and need of your clinic. You can contact us to get a custom price quote.
How Soon Can We Expect to See Results?
Your practices should start seeing results within the first two to three months after working with us.
How Do I Get Started?
You can schedule a free consultation call with us to get started.
