Services

Revenue Cycle Services

Medspark RCM is a healthcare revenue cycle management company, that focuses on providing end-to-end medical billing services and also provide complete Revenue Cycle Management (RCM) solutions for the clients. RCM processes like Patient information (Personal and Insurance info), Credentialing with insurances, Provider Charges (Symptoms and Treatment), Coding review, Claims Submission (Electronic and Paper), Sending out Patient Statements, Payment postings, Denial Management and finally work towards resolution on outstanding insurance and patient claims, are the services to our valuable Clients.

Medspark RCM ensures complete information security compliance and process efficiency through innovation and technology-driven services & is completely flexible in the services that it can provide as well as the pricing models. Medspark RCM provides exceptional healthcare revenue cycle solutions to our clients.

Why choose Medspark RCM for healthcare revenue cycle management?

Strict adherence to various industry guidelines has helped Medspark RCM in delivering high quality healthcare revenue cycle services resulting in faster payment, zero delays and minimum denials.

Medical Billing

Medical Billing is the process of submitting and following upon on all the claims with the health insurances in order to receive payments for services rendered by the healthcare provider.

Medical Billing has become the crucial part of revenue management for the healthcare service provider and hospitals. Millions of dollars are lost annually due to under-pricing, coding errors, missed charges and un-reimbursed claims. Accurate Medical coding services are essential to reduce denials and generate more revenue for our clients.

Medspark’s medical billing service enables to eliminate these losses and accurately process the medical billing. Our professional approach and expertise always help our client by freeing with the tedious tasks of billing and follow-up function. Medspark’s medical billing service incorporates the latest technological and software developments and is very user-friendly. Medical Billing service is customized to meet individual client’s specific requirements.

Data entry – we obtain information from the provider and/or practice and enter this information into our database.
File claims – most claims are filed electronically and only a few goes on paper. This is dependent upon the insurance carrier the claims are going to.
Statements – are mailed out from our office on behalf of the facility. The protocols of statements and collections are done specifically to client’s specifications.
Payments – as we receive payments and explanations of benefits from the client, we post these into our database. Each EOB will be audited for correct payment and/or benefits.
Reports – are done on a monthly basis. Because each provider and/or practice is different, we are always open to customizing reports on client’s requirements.

Medspark can help to manage the billing process professionally and enhance your revenue generation.

Medical Coding

At Medspark RCM, we understand that medical billing and coding is one of the most important processes in healthcare revenue cycle management preceding a claim submission. Accurate Medical coding services are essential to reduce denials and generate more revenue for our clients.

One of the main reasons for claim denials is medical coding errors. To assist our clients in preventing these errors, we have a team of certified medical coders, who maintain highest level of accuracy in medical coding. By meeting and exceeding the industry standards and compliances without compromising on quality, Medspark RCM guarantees accurate coding and complete satisfaction to our clients by providing high-quality results within the stipulated period of time for multi-specialty clients like Cardiology, Radiology, Neurology, Infectious Diseases, Internal Medicine, Pathology, and Oncology. The principle followed by the Coding team is simple – “If it is not documented, it cannot be coded”. However, coders will be providing the best documentation opportunities for our providers to improve their revenue flow.

Medical coding is becoming increasingly challenging. Technology is changing, and coders are expected to stay on top of new coding standards.

Account Receivable Services

Medspark RCM Accounts Receivable Service saves Healthcare service providers valuable practice time and resources and focus on building core competencies.

Many healthcare providers have tried managing accounts receivables, in the process ended up mismanaging the whole thing, resulting in reduced cash flow and increased collection cost and negligence. Our account receivable service improves cash flow, reduces account receivables, increases collection ratios, and enhances customer relationships with timely Accounts Receivable Follow-Up Service. Our professional approach and timely follow-up have increased the revenue to many healthcare providers. Call center executives meticulously follow patient records, analyze them, take up with the insurance companies, address and rectify the problem.

ANALYSIS PROCESS:

Our competent and knowledgeable professionals review each claim in each payor type to ensure proper reimbursement to the healthcare provider. After the Claims are analyzed, steps are initiated based on the reports.