Revenue Cycle Management
and Billing Services

RCM Services & Cloud-Based Solutions

Med USA offers a variety of revenue cycle management services to meet your practice’s needs. Whether you want to maintain your billing staff and outsource repetitive functions such as; charge entry, payment entry, statement printing and EDI, or you want to use Med USA’s expertise to manage the entire revenue cycle management billing process– we’re here to help.

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Example Revenue Cycle Management (RCM) Services

Charge Posting Services

  • Manual Posting or Automated Download
  • Patient Registration Verification
  • Point of Service Payment Posting
  • Rules/Halt Warnings – non-participating provider, billed amount lower than payer allowable, and more.
  • Charge Capture Verification – Billed Patients vs Patients Seen Discrepancy Reporting
    Claim Submission
  • Review of Rules Fusion Edits – Ensure clean claim submission the first time.
  • CCI Edits
  • LCD and NCD Edits
  • Demographic Verification
  • Provider Information Verification
  • Customizable Edits
  • Payer Specific Rules

Patient Contact Services

  • Online Payment Portal – Branded for your clinic.
  • Patient Statements & Delinquent Notices
    • Paper and Electronic
    • Tailored 30, 60 and 90 Day Statement Messages
    • Automated Forward Address Updates
    • Bad Address Skip Tracing Using NCOA

Insurance Reimbursement Services

  • EOB and ERA – Insurance Payment Posting
  • Payments Reconciled to Payer Allowable
  • Bank Deposits
  • Lock Box Integration
  • Rules / Halt Warning; payment is below contracted amount, write off exceeds standard amount and more.

Document Imaging Services

Retrieval and viewing of all documentation posted to patient accounts.

Reimbursement and Payer Management

  • Dedicated highly trained staff performs follow up
  • EOB Follow Up / Denial Management
  • Insurance Follow Up – Incoming / Outgoing Calls
  • Unpaid Claims Follow Up
  • Payer specific follow up time periods.

Our Revenue Cycle Management Services Include

Scheduling / Front Office Package

  • Intuitive calendar – single & multiple physician view.
  • Quick scheduling of repeat appointments.
  • Automated Receipt Posting
  • Training – Fundamental to Expert
  • Automated Eligibility Verification
  • Individual Physician Templates
  • Rules/Halt Warnings missing phone number, duplicate accounts and more.

Interactive Provider
Participation System

This program can be seen throughout the MedPrime software. We integrate each physician’s credentialing status with each payer, into both front and back office functions. This ensures that staff is aware of a physician’s status when scheduling appointments, as well as when they are posting payments.

EDI Submission &

  • Daily Claims Submission
  • Electronic Claims Submission and Setup
  • ERA – Electronic Remittance Advice
  • Electronic Submission of Secondary Claims

    Revenue Cycle Management:
    Practice Management Information

    Schedule practice overview reports to be sent directly to you via text message or email. Practice Overview reports can include the following: number of encounters, charges, payments, A/R balance or even your daily schedule.

      RCM Complete Practice

      All MedPrime reports are available on demand and many are provided in customizable month end reports and are intended to aid revenue cycle management. Reports examine each phase of the Scheduling, Front Office, Billing, Reimbursement/Aging, Executive and Employee Monitoring. Custom reports are also available for our RCM services; see ancillary services.

        Revenue Cycle Management
        Software Support

        MedPrime, Med USA’s proprietary practice management software for Revenue Cycle Management and other services, was developed and implemented to meet the needs of our own billing services operation. Our revenue cycle management software is updated on a daily basis with the ever-changing needs of the industry as well as the individual practice.

          Revenue Cycle Management
          Healthcare Compliance

          Med USA’s commitment to healthcare compliance is embodied in our compliance program, Excellence in Action.

          For more information on see our Healthcare Compliance page.

          Transitional A/R Management Services

          Realizing that your practice needs can change very quickly, Med USA offers a very unique solution to more easily manage your reimbursement processes. Our Transitional A/R Management allows your practice to move between Silver, Gold and Platinum Services. If your practice unexpectedly loses your billing employee, Med USA can move you to a Platinum Service until you retain a new employee. This flexibility offers peace of mind regarding your accounts receivable management during transitions in your office staff.

            Revenue Cycle Management, Credentialing
            and Billing for Ancillary Services

            RCM Services to Optimize Your Practice Today

            • Payer Credentialing Services
            • Custom Programs & Reports
            • Prior A/R Conversion & Collection
            • EMR/EHR Interface
            • Coding Interface
            • Email and Text Daily Schedule
            • Automated Appointment Reminders
            • Integrated Partner Programs
            • Lab Company Interface
            • Hospital System