Consulting Solutions

Consulting Solutions

Our consultants are leaders and subject matter experts. RCM Physicians Services, LLC, offers comprehensive consulting solutions that will propel you to where you want to be. We provide transformational experience and expertise, fully customized revenue cycle management, credentialing, compliance, and billing consulting services. RCM provides expertise and resources to guide your healthcare companies in addressing operational, clinical, and financial challenges.

Our team of consultants can help your physician practices, health care providers, and non-medical home care organizations achieve improvements in areas that drive effectiveness, outcome excellence, and reimbursement optimization. We support your unique agency needs and help attain best practices for you.

Pursuing Possibilities in the fast-paced Healthcare Market

Healthcare is changing rapidly, and we have walked in your shoes and know exactly the risks and opportunities that you are presented with each day. As our relationship continues to evolve, we help our clients address and solve both key strategic and tactical challenges across your organization with practical solutions grounded in experience.

Consulting Services

Credentialing Services

Billing Services

  • Medical billing and claims processing
  • Revenue cycle management and accounting
  • Denial management and appeals
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RCM Physician Services, LLC, Consulting Services

RCM Physician Services, consultants, are knowledgeable and have the credibility and the experience to support your organization. In today's society, healthcare consulting services play a crucial role in supporting healthcare agencies, ensuring they provide quality care while navigating operational, clinical, and financial challenges. Our role at RCM is to assist your healthcare-related organizations to run your businesses effectively.

At RCM our duties may include finding methods to reduce costs, increase revenue, and maintain customer and patient satisfaction. Here are some key aspects of RCM consulting services:

Resources

More information on RCM Responsibilities .

RCM Physician Services, LLC, Consulting Responsibilities

Business Planning: - Assisting with the development of a comprehensive business plan, including market analysis, financial projections, and operational plans. - Identifying and assessing potential risks and developing strategies to mitigate them.

Licensure and Certification: - Assisting with obtaining necessary licenses and certifications, such as Medicare and Medicaid certifications. - Ensuring compliance with all relevant regulations and standards, such as HIPAA and OSHA.

Marketing and Sales: - Developing a marketing and sales strategy to attract and retain patients. - Assisting with the creation of marketing materials, such as brochures and websites when requested.

Operations Management: - Assist with the development of policies and procedures for clinical and administrative operations. (Contracted services) - Identifying and procuring necessary equipment and supplies.

Human Resources: - Assisting with the recruitment and hiring of qualified staff, including nurses, aides, and administrative personnel: Developing employee policies and procedures, such as those related to hiring, training, and performance evaluations.

Financial Management: - Assisting with the development of a financial plan, including budgeting and forecasting. Identifying and securing funding sources, such as private investors or loans.

Legal and Regulatory Compliance: - Facilitating compliance with all relevant laws and regulations, such as those related to patient privacy and employee safety. - Reviewing and drafting contracts with payers, vendors, and other business partners.

Risk Management: - Identifying and assessing potential risks to the agency, such as liability and reputational risks. - Developing strategies to mitigate these risks, such as obtaining appropriate insurance coverage and implementing risk management policies.

Quality Improvement: - Assisting with the development of a quality improvement program to ensure that the agency is providing high-quality care to patients.

RCM Physician Services, LLC Credential Services

RCM Credentialing provides comprehensive medical credentialing for all healthcare providers who are eligible for credentialing with Medicare, Medicaid, or commercial insurance carriers.

The health care provider will have a dedicated medical credentialing consultant who will ensure that all essential documentation is collected and processed per each payer's needs. We will also help you with developing the necessary documents.

Medical credentialing enables healthcare providers to utilize the patient’s insurance to pay for medical services performed. To be successful, healthcare providers must be credentialed with most payers depending upon the geographical area. Not having medical credentials may result in losing patients to other healthcare providers.

RCM’s Provider Credentialing Process

  1. Gathering credential documents
  2. Credential documents verification
  3. Suggest updating or how to obtain certain missing documents
  4. Payer application evaluation
  5. Application submission to payers
  6. Follow up with payers until the applications are approved
  7. Maintain provider data and CAQH profile

Credentialing Status

Do not Fear the credentialing process!

The credentialing process can be time-consuming, particularly when in-house resources are stretched thin. Schedule a call today to learn more about our credentialing process and how we can support your practice.

More information on RCM Responsibilities .

RCM Physician Services, LLC, Credentialing Responsibilities

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RCM Physician Services, LLC Billing & Revenue Management Services

At RCM, billing and revenue management encompasses the processes, technologies, and methodologies your organization employs to manage its billing cycles.

Revenue Cycle Management (RCM)

RCM is crucial in healthcare organizations. It begins when a patient schedules an appointment and concludes when the account balance is resolved through insurance payments, contractual adjustments, write-offs, or patient payments. The goal of RCM is to strengthen revenue by minimizing claim denials, reducing days in accounts receivable, and increasing collections.

Key steps in an effective revenue cycle include appointment scheduling, registration, charge capture for services, billing, denial management, and accounts receivable follow-up.

Billing and Revenue Management (BRM) involves managing financial operations related to billing and collecting revenue for products and services sold. BRM plays a pivotal role in maintaining financial stability and compliance across various industries. At RCM Services, we ensure accurate revenue flow and operational efficiency.

Why RCM Physician Services?

With over 30 years of experience in medical billing and credentialing services, RCM will support your practice by:

More information on RCM Responsibilities .

RCM Physician, LLC, Services

Billing & Revenue Management Responsibilities

Service Delivery Process and Approach

Service Delivery Process and Approach

Client Onboarding

Ongoing Support and Maintenance

Service Level Agreements (SLAs)