THE ART OF

REVENUE CYCLE MANAGEMENT

Top-quality medical practices recognize that having financial success and predictability allows them to provide exceptional care to their patients. By administering excellent patient care and a professional and reliable revenue cycle, it will result in higher satisfaction, outcomes and repeat business.

 

CODING & COMPLIANCE

An effective compliance program is critical in today’s highly regulated healthcare environment. However, ensuring compliance with all government and private payer regulations can be an expensive and time-consuming task.

 

Our expert staff can assist in developing, maintaining and auditing practice compliance to minimize risk of fraud and abuse while maximizing reimbursement.

ARE YOU COMPLIANT?

Do you have...

 

  • A code of conduct?
  • Documented policies and procedures?
  • Training programs and education for staff?
  • Practical communication methods?
  • Internal monitoring and auditing?
  • Disciplinary standards and corrective measures?

 

We have years of experience ensuring accurate coding and compliance. Let us handle these needs with services to

  • Develop compliance programs
  • Advise on Medicare compliance issues
  • Assist with medical record audits
  • Evaluate and implement accurate coding, billing and reimbursement protocols
  • Perform coding services

NATIONAL MEDICAL CAN HELP

INSURANCE BILLING & AR MANAGEMENT

National Medical handles all of the important functions of insurance billing, payment processing and accounts receivable management. We follow claims closely through their submission process to confirm acknowledge of acceptance at the payer level. We then meticulously follow-up with claims to ensure timely and accurate processing. Once adjudicated, we electronically receive and post payments using tools to identity any denial trends and underpaid claims.

DENIAL FOLLOW-UP

CLAIM SUBMISSION

PAYMENT PROCESSING

We use a sophisticated claims scrubbing process that guarantees a first-pass claim acceptance rate of 95 percent or better. This in conjunction with using an integrated clearinghouse allows us to provide clients with days in AR as low as 22.

Managing the insurance reconciliation and payment process is a challenging and important task. Our staff is trained and has access to robust tools that help reveal opportunities for denial prevention and locate lagging receivables.

Using cloud based technology and comprehensive reporting tools, we are able to quickly pinpoint and resolve AR issues. We have a streamlined process to correct and resubmit  denied or underpaid claims to keep AR days low.

“I have had the pleasure of working with Nick DiMartino and his staff at National Medical Management for the past several years. When our practice had been struggling with Accounts Receivables collections with another outside billing service, Nick came in with his team, immediately went to work to correct several different issues and then ultimately set up a billing system for our practice that made sense and drastically improved our bottom line."

 

– Richard B., Practice Administrator for diagnostic imaging group

PATIENT BILLING & MANAGEMENT

Providing excellent patient care post encounter is essential to a having a successful revenue cycle. Ensuring your patients receive professional and efficient billing and account management will positively influence your good outcomes and repeat business. Our team is constantly undergoing continuing education, so we remain a knowledgeable asset to our clients and their patients.

 

It's our goal to provide such excellent service that your patients do not even realize the billing department is separate.

REPORTING & ANALYSIS

We pride ourselves on providing timely and robust reporting, so you can make informed business decisions based upon accurate and relevant financial data. The technology we utilize allows us to analyze and pinpoint trends and potential streams of revenue to help you manage the business side of your medical practice. In addition to our standard reporting, we recognize our clients require different data and offer custom report services.