Improve Patient Care with CapitalMed Solutions

Revenue Cycle Management Services

At CapitalMed Solutions, we specialize in providing comprehensive revenue cycle management services to healthcare practices across the United States. Our tailored RCM solutions help streamline the entire billing process, improve cash flow, and maximize reimbursements.

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Why choose Capital Med Solution For Medical Billing services

Why Choose CapitalMed Solutions for Revenue Cycle Management?

CapitalMed Solutions stands out as a leader in revenue cycle management because of our commitment to delivering customized, high-quality services. Here’s why healthcare providers trust us with their revenue cycle

Experienced Team: Our certified billing and coding specialists have deep knowledge of healthcare revenue cycles, ensuring accurate claims and optimized reimbursements.

Proactive Denial Management: We identify potential issues early in the revenue cycle and actively prevent claim denials to maintain consistent revenue streams.

Ongoing Support and Communication: We provide regular reports and performance insights, so you’re always aware of the status of your claims and revenue cycle.

Revenue Cycle Management Services We Offer

At CapitalMed Solutions, we offer a comprehensive range of RCM services designed to streamline your practice’s billing processes and maximize your revenue. Our expert team handles every aspect of the revenue cycle, from eligibility and benefits verification to claims submission, payment posting, and denials management.

We ensure that your practice’s claims are submitted accurately and on time, reducing rejections and speeding up reimbursements. With accounts receivable, we track outstanding balances and work to resolve any issues promptly, ensuring faster payments and improved cash flow.

Additionally, we provide patient billing and inquiries support, allowing your front desk staff to focus on patient care while we manage revenue cycle. Our goal is to optimize your practice’s revenue, minimize administrative burdens, and keep your revenue cycle running smoothly.

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Eligibility & Benefits Verification

Payment Posting

Medical Coding

Accounts Receivable

Claims Submission

Payment Disputes

Claim Rejections

Appeals

Denials Management

Patient Billing

Out of Network Negotiations

Patient Calling

Specialty RCM Services We Offer

Individual Practices

Nursing Homes

Healthcare Systems

Skilled Nursing Facilities

Group Practices

Independent Labs

Hospitals

Surgical centers

Hospitalist Group

Home Health

Freestanding Emergency Rooms

Urgent care Centers

DME Suppliers

Rehab Centers

Freestanding Emergency Rooms

Acupuncture

Audiology

Allergy & Immunology

Ambulance Billing

Anesthesiology

Bariatric Surgery

Cardiology

Chiropractic

Dermatology

DME

Emergency Rooms

ENT

Endocrinology

Family Practice

Rehab Centers

Gastroenterology

Geriatrics

General Surgery

Dentistry

Hepatology

Home Health Services

Hematology

Infusion

Internal Medicine

Infectious Disease

Maternal Fetal Medicine

Maxillofacial Surgery

Mental Health

Nephrology

Neurology

NEMT

OB GYN

Osteopathic

Oncology

Ophthalmology

Optometry

Orthopedics

Pain Management

Podiatry

Psychiatry

Pediatrics

Pathology

Physical Therapy

Plastic Surgery

Radiology

Rheumatology

Surgery

Speech Therapy

Telemedicine

Urology

Urgent Care

Vascular Surgery

Workers Compensation

Our Comprehensive Revenue Cycle Management Services

At CapitalMed Solutions, we offer a full suite of RCM services designed to cover every stage of the revenue cycle. Our services include:

At CapitalMed Solutions, our eligibility and benefits verification services play a critical role in enhancing your revenue cycle by ensuring accurate and timely patient insurance verification. We help eliminate potential claim rejections by confirming coverage details, co-pays, deductibles, and policy limits before services are rendered.

By reducing errors in billing and improving upfront payment collections, we streamline your workflow and minimize delays in reimbursement. Our thorough verification process not only improves your practice’s cash flow but also enhances the patient experience by providing clear financial expectations from the start.

Our medical coding and charge entry services at CapitalMed Solutions ensure that your claims are accurately coded and processed for timely reimbursements. Our team of certified coders uses the latest ICD-10, CPT, and HCPCS codes to ensure compliance with industry standards, reducing the risk of denials and audits.

With a meticulous charge entry process, we capture all billable services, ensuring that no revenue is lost due to under-coding or missed charges. By streamlining the coding and entry process, we help boost your revenue cycle efficiency, allowing your practice to focus on delivering quality patient care.

CapitalMed Solutions offers comprehensive claims processing and submission services to ensure your claims are submitted accurately and efficiently. Our team handles every step of the claims submission process, from reviewing claims for compliance with payer requirements to ensuring proper documentation and coding.

By using advanced billing software and electronic claims submission, we minimize errors and reduce the turnaround time for payment. Our proactive approach ensures faster reimbursements and fewer claim denials, helping to optimize your practice’s cash flow and maintain a healthy revenue cycle.

At CapitalMed Solutions, our denials management services are designed to identify, address, and resolve claim denials swiftly, ensuring your practice receives the maximum reimbursement. We conduct a thorough analysis of denied claims to determine the root cause, whether due to coding errors, missing information, or payer-specific requirements, and implement corrective actions.

Our team proactively follows up with insurance companies, resubmitting corrected claims and appealing where necessary. By reducing the volume of denials and shortening the time to resolution, we help improve your practice’s revenue cycle and keep your cash flow consistent.

CapitalMed Solutions offers precise and efficient payment posting services to ensure accurate financial records and streamline your revenue cycle. Our team carefully reviews and posts payments from insurance companies, patients, and other sources into your billing system, reconciling any discrepancies.

By accurately allocating payments, adjustments, and write-offs, we provide a clear picture of your practice’s revenue and outstanding balances. This process not only enhances your financial reporting but also reduces the risk of billing errors and payment delays, allowing your practice to maintain a healthy cash flow and focus on patient care.

At CapitalMed Solutions, our accounts receivable services focus on maximizing collections and reducing outstanding balances to enhance your practice’s financial performance. We diligently monitor unpaid claims, following up with insurance companies and patients to ensure timely payment.

Our team identifies aged claims and takes corrective action to resolve any issues preventing payment. By reducing the number of days accounts remain unpaid and improving cash flow, our A/R services help optimize your revenue cycle, allowing your practice to operate more efficiently and profitably.

CapitalMed Solutions provides comprehensive patient billing services to ensure a smooth and transparent billing experience for your patients. We handle the entire billing process, from generating patient statements to processing payments, while offering prompt assistance for any billing-related questions.

Our dedicated team is available to clarify charges, explain payment options, and resolve disputes, helping to improve patient satisfaction. By offering clear communication and timely support, we not only enhance the patient experience but also help your practice maintain steady cash flow through prompt collections and reduced billing errors.

Benefits of Choosing Us for Revenue Cycle Management

Choosing CapitalMed Solutions for revenue cycle management ensures expert support, streamlined processes, and maximized reimbursements to enhance your healthcare practice’s financial health.

Revenue Cycle Management

Reduced Claim Denials

Our team is skilled at minimizing denials and swiftly addressing rejected claims, leading to higher reimbursement rates.

Faster Reimbursements

By ensuring that claims are submitted correctly and on time, we speed up payment cycles and reduce payment delays.

Improved Cash Flow

Efficient RCM means fewer errors, quicker payments, and improved revenue predictability, ensuring your practice’s financial stability.

FAQs about Our RCM Services

Revenue Cycle Management is the process of managing the financial aspects of patient care from the moment a patient schedules an appointment to the final collection of payments. It includes patient registration, insurance verification, medical coding, claims submission, payment posting, and accounts receivable follow-up. Efficient RCM ensures timely reimbursements, reduces denials, and improves overall cash flow for healthcare practices.

At CapitalMed Solutions, we optimize your entire revenue cycle by ensuring accurate claims submissions, reducing denials, and speeding up payment collections. We provide services such as eligibility and benefits verification, coding and billing, denial management, and A/R follow-up. Our proactive approach helps increase reimbursements and minimizes administrative burdens for your practice.

Outsourcing Revenue Cycle Management allows your practice to focus on patient care while experts handle the complexities of medical billing, claims processing, and payment collections. With CapitalMed Solutions, you benefit from faster reimbursements, fewer denials, and improved financial performance. We stay updated on changing regulations and ensure compliance, which reduces the risk of audits and penalties.

Interested to Learn More About Our RCM Services?

Lets Get In Touch

Call Us

800-851-2860

Email Address

[email protected]

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar land, TX 77478