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Welcome To Advanced RCM Solutions
Medical Credentialing Medical Billing Services are essential parts of every medical practice, and when left in best hands, your staff and medical professionals can focus on the most important aspects of the practice - patient care. Advanced RCMS has been helping healthcare providers, Medical Practices, Group Practices, Hospitals with their Credentialing Services with all Major highly paid insurances in their Areas and for Medical Billing Services maximizing their collection stream, reducing extra expenses and streamlining the business workflow with the most highly experienced billing providers. Advanced RCMS Medical Billing Solutions is an end-to-end revenue cycle management solution geared towards more than 70 Specialties throughout the United States.
35%
You will see massive growth in your revenue every month by 35%
89%
ELECTRONIC SUBMISSION HELPS US GETTING OUR CLIENTS PAID FASTER.
7%
OUR MONTHLY DENIAL RATE IS LESS THAN 7% WHICH IS BETTER THAN THE INDUSTRY AVERAGE!
98%
98% FIRST PASS CLAIM ACCEPTANCE RATE WHICH IS 3% HIGHER THAN THE INDUSTRY AVERAGE!
WHY CHOOSE US
Medical Billing Services At 4.99% On Monthly Collection
42+
EHR & EMR Softwares
50
States Across The Country
60+
Healthcare Specialties
Complete Revenue Cycle Management
Eligibility Check
We confirm every patient’s insurance eligibility to streamline your process, shorten account receivable days, and avoid denials.
Charge Entry
Get timely reimbursements as our detailed and error-free charge entry process ensures first-time approved claim submission. Our first-time pass rate is over 98%.
Claim Scrubbing
Our top-of-the-line electronic claim scrubbing ensures error-free and clean claims are submitted for faster reimbursement and minimum denials/rejections.
Electronic Submission
Claims are submitted electronically to lower administrative, postage, and handling costs. Electronic submissions make complex medical billing process comprehensible and effective.
Payment Posting
We post ERAs and EOBs in a timely manner. Our team of experts verifies each claim for appropriate payment while our A/R team follows up on any denied or rejected claim.
Follow up & Appeals
For any denial, our AR specialists will take swift and effective action to ensure timely reimbursements, keeping you up-to-date on appeals and reprocessing.
Patient Statements
We Send clear patient statements that are simple, easy to read, understandable, and more likely to get paid on time.
Encryption & Security
Our medical billing software are compliant with HIPAA regulations. We ensure no leakage of patients’ data while processing any information.
Monthly Performance reports
We create performance reports each month to track and analyze financial performance of your practice to identify areas of improvement.
Medical Coding Services We Offer
Professional Fee Coding
Our professional medical coders have expertise to assign appropriate codes to the services and procedures provided by healthcare providers and physicians, in order to accurately bill for these services to insurance companies and patients.
Coding Denial Management
We quickly identify, analyze and apeal denied claims to ensure timely and accurate reimbursement for healthcare providers.
Coding Audits
Our medical coding team reviews and verify the accuracy and completeness of medical coding assignments against clinical documentation, in order to ensure compliance with industry regulations and to identify and correct any errors or inconsistencies.
Importance of Professional Fee Coding for timely Reimbursements
Professional fee coding is a critical process that requires a high level of accuracy and attention to detail, as coding errors can lead to denied claims, delayed reimbursement and compliance issues. At Advanced RCMS, we ensure that professional fee coding is done in compliance with standard classification systems such as Current Procedural Terminology (CPT), International Classification of Diseases (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) to ensure timely reimbursements and avoid any potential compliance issues.
We proudly offer Professional Fee Coding Services to various Medical specialties including:
- Internal Medicine
- Allergy & Immunology
- Anesthesiology
- Cardiology
- Family Medicine
- Critical Care
- Dermatology
- Nephrology
- Urology
- Emergency Medicine
- Endocrinology
- Gastroenterology
- General Surgery
- Infectious Disease
- Obstetrics & Gynecology
- Oncology
- Orthopedic
- Pain Management
- Pathology
- Pediatric
- Physical Therapy
- Plastic Surgery
- Podiatry
- Psychiatry
- Radiology
- Rheumatology
- and many more!
EHR/EMR SOFTWARE WE WORK WITH
At Advanced RCMS, we aim to provide healthcare providers with comprehensive and efficient revenue cycle management solutions by choosing the latest and highly efficient medical billing software that are designed to streamline the often complex and time-consuming task of submitting insurance claims, processing payments, and tracking outstanding balances. Our top of the list medical billing software with easy-to-use interface and advanced features, healthcare providers can simplify their billing process, increase revenue and decrease the risk of errors. Our team is dedicated to providing exceptional customer service and ensuring the seamless implementation and integration of our software into your practice. At Advanced RCMS, we work with most advanced, user-friendly and efficient medical billing software including:
AdvancedMD is a comprehensive medical billing and practice management software that offers a range of features, including appointment scheduling, patient portals, and revenue cycle management. Its user-friendly interface and robust feature set make it a popular choice for medical practices of all sizes.
ChiroTouch is a specialized medical billing software designed specifically for chiropractors. It offers a range of features including appointment scheduling, patient portals, and revenue cycle management. It’s a popular choice for chiropractors looking for a specialized solution to their medical billing needs.
Office Ally is a web-based medical billing and practice management software designed to help healthcare providers streamline their billing processes and improve their financial performance. The software is specifically designed for small to mid-sized medical practices, making it a great option for practices looking for an affordable and user-friendly solution.
Amazing Charts is a health technology company that provides electronic health record (EHR) and practice management solutions to healthcare providers and organizations. The company’s EHR software, called “Amazing Charts EHR,” is designed to provide a comprehensive solution for managing patient care and clinical documentation.
NextGen Healthcare is a health technology company that provides electronic health record (EHR) and practice management solutions to healthcare providers and organizations. The company’s software, called “NextGen EHR,” is designed to provide a comprehensive solution for managing patient care and clinical documentation.
Athenahealth is a health technology company that provides electronic health record (EHR) and practice management solutions to healthcare providers and organizations. The company’s software is designed to provide a comprehensive solution for managing patient care and clinical documentation, with a focus on usability and efficiency.
Greenway Health software is designed to provide healthcare providers with a comprehensive solution for managing patient care and clinical documentation. This company provides electronic health record (EHR) and practice management software to healthcare providers and organizations. The company’s software is designed to provide a comprehensive solution for managing patient care and clinical documentation, with a focus on usability and efficiency.
Flexible Pricing Packages to Meet Your Unique Medical Billing Needs
Basic
When your per month collectionis less than $2k.
$
0
00
Monthly -
No Setup fee
-
Personal Account Manager
-
Training & Education
-
24/7 Support
Basic
Premium
When your monthly collectionis between $2k-$15k.
$
500
Monthly
-
No Setup fee
-
Personal Account Manager
-
Training & Education
-
24/7 Support
Premium
Standard
When you start making more than$15K per month in collection.
4
99 %
Monthly -
No Setup fee
-
Personal Account Manager
-
Training & Education
-
24/7 Support
STANDARD
Insurance Credentialing & Contracting Services
At Advanced RCMS LLC, we are proud to offer the best credentialing services in the industry. Our team of experienced professionals uses the latest technology and processes to ensure that we provide fast, accurate, and reliable credentialing services.
We understand that the credentialing process can be overwhelming, so we work closely with our clients to answer any questions they may have and provide guidance throughout the process. Our customer service team is always available to assist clients with any issues or concerns they may have.
We offer a wide range of credentialing services to meet the needs of our clients. Whether it's credentialing for healthcare providers, legal professionals, or other industries, we have the expertise and resources to provide the services our clients need Advanced RCMS can handle any specialty including laboratories and DMEs.
Our experts send error free applications to insurances and do proper follow-up till the case is closed. Our first time application acceptance ratio is 98%. We can assist you in setting up your setups with insurance companies for electronic claims submissions, rejections, eligibility, payment information, denials and fund transfer.
Electronic Data Interchange (EDI)
Electronic Data Interchange is the electronic interchange of claims’ information using a standardized format; a process which allows to send claims information to insurance companies electronically rather than with paper. It’s very fast process to deliver the claims to insurances.
Application Acceptance Ratio is 98%
98%
Applications Rejection Ratio is less then %10
We Send Error Free Applications to insurances
100%
We Provid Best Credentialing & Contracting Services
01.
Electronic Remittance Advice (ERA)
For staying on top of business we provide daily, weekly, monthly, quarterly & yearly practice analysis reports to our clients.
02.
Electronic Funds Transfer (EFT)
EFT is a system of transferring money from one insurances bank account directly to clients’ accounts without any paper money.
03.
Revalidation
We will make sure that our clients don't miss timely revalidation that can result in delayed payments.
04.
Address Change
Any change in address or TIN – we will update with insurance companies.
CREDENTIALING PROCESS WITH INSURANCE NETWORKS
NETWORK RESEARCH
We make sure your Practice or Group has the most varied, popular and effective in-network payor mix. Our credentialing team has extensive experience in enrolling physicians with Medicare, all Medicaid’s Managed Care plans along with all commercial payors. Our team reaches out to each shortlisted payor that you want to enroll with and gets accurate timelines and open panel availability.
APPLICATION FILING
We send you a complete checklist of all the information and documents that are required to file the applications. As soon as we have the details from you, our Enrollment team goes ahead and files the appropriate contract applications and makes sure it’s a flawless submission in the first go, owed to our extensive experience. As a result of our first-time correct application submissions, we proudly boast of the shortest turnaround time in getting the contract.
APPLICATION FOLLOW UP
Our team follows up on the submitted application every two weeks, to ensure that the submitted application has been received and is in the payor’s system and that no additional information is being requested and everything is smooth. We follow-up regularly until the contract comes through and is delivered to your physical location.
APPEALS FOR CLOSED PANELS
Payors like UHC, Aetna and BCBS sometimes have closed panels for Labs for a particular area. We make sure to send an extensive appeal outlining the key points of your service, including niche services and details on how you bring exceptional patient care in your area. All these details are included in your business plan.
OUT OF NETWORK ENROLLMENTS
This is for all providers who choose to stay out of network with certain payors. Or if due to any closed panels, are forced to stay out of network. Our team helps with out of network enrollments, NPI registrations on the payor’s website etc. so that your medical practice is in the payor's system to start receiving out of network payments.
DEMOGRAPHIC CHANGES
We help with all basic and complex demographic changes such as updating a new TAX ID with all payors in your payor mix, updating a new address, bank account, etc. We also help set up all ERA and EFT enrollments.
ANNUAL CREDENTIALING MAINTENANCE
For larger healthcare facilities with multiple providers, accurate provider database management is pivotal. We manage and maintain all your providers’ and physicians’ credentialing data on our credentialing portal. It’s a very comprehensive, transparent and HIPAA compliant tool that we specifically designed to make sure we upkeep your database with the utmost efficiency and accuracy
PECOS AND CAQH SET UP AND MAINTENANCE
Keeping up to date PECOS and CAQH profiles is of utmost necessity in today’s healthcare environment. The biggest payors are all turning the CAQH route to credential and enroll medical providers. We maintain and upkeep your CAQH and PECOS profiles, making sure all your information is accurately profiled and compliant.
CONTRACT NEGOTIATIONS
We not only get you the contracts, but we do fee rate negotiations for you as well. We have an extensive database of all payors’ latest fee schedules. We study your competition and this data helps us to make sure we get you the best possible rates for your procedures, thus solidifying optimum reimbursements for your medical practice. We revisit your older contracts and try and get better rates as per availability from the payor at the current time.
WHICH INSURANCE COMPANIES SHOULD I CREDENTIAL WITH?
When considering which insurance companies you should be credentialed with, you must look at the major national plans, such as:
Medicare – Medicaid – Aetna – Blue Cross Blue Shield – Cigna – Humana – United Healthcare – Anthem – Kaiser Permanente – Health Net-Molina Healthcare – Centene – Highmark -WellCare – Amerigroup – CareSource -Coventry Health Care – Gateway Health – HealthPartners -Independence Blue Cross – Medica -MercyCare – Optima Health – Oscar Health – Premera Blue Cross -Priority Health – Quartz Health Solutions -Regence Blue Shield – SummaCare -Tufts Health Plan-UPMC Health Plan – Vibra Health Plan – Virginia Premier – WPS Health Insurance -Molina Healthcare – Western Health Advantage
However, you also need to know which local insurance companies may be valuable. To determine this, consider asking a peer or another practice in your area which local health insurance companies best meet the needs of your patient base.
When you work with Advanced RCMS, we do extensive network research to ensure your practice or group includes the most varied, popular and effective insurance providers. We consider a variety of factors, including the top payors and your budget. We then follow up with you on this list until you give us the green light to go ahead.
Healthcare Insurances We Work With
Our Top Provider Credentialing Deals
Basic
Get In-network With 5 Highly PaidHealth Insurances In Your State
$
699
99
-
Application Submission
-
Weekly Follow-Ups With Insurances
-
Designated Account Manager
-
24/7 Support
Basic
Premium
Get In-Network With 15 Highly PaidHealth Insurances In Your State
$
1399
99
-
Application Submission
-
Weekly Follow-Ups With Insurances
-
Designated Account Manager
-
24/7 Support
Premium
Standard
Get In-Network With 35 Highly PaidHealth Insurances In Your State
$
2299
99
-
Application Submission
-
Weekly Follow-Ups With Insurances
-
Designated Account Manager
-
24/7 Support
STANDARD
Steps to Build a Successful Digital Product
1
Advertising & Marketing
2
Web Development
3
Mobile App Development
4
Search Engine Optimization
experience
Pay for Qualified Traffic
Advanced RCMS LLC stays ahead of the curve with digital marketing trends. Our success has us leading the pack amongst our competitors with our ability to anticipate change
and innovation.
SEO Analysis
90%
SEO Audit
79%
Optimization
95%
pricing Plans
Affordable WordPress Web Design and Development
Packages for Every Budget!
When it comes to creating a new website, one of the most important considerations is budget. That’s why we offer a range of pricing options to suit different needs and budgets. Our goal is to provide high-quality WordPress web design and development services at a fair price.
BASIC
$ 299
BASIC
- Up-to 5 pages
- Custom made Templates
- Contact Form
- Free Revisions
- Professional designs
RECOMENDED
$ 1199
RECOMENDED
- Up-to 15 pages
- Basic features
- Basic SEO management
- 3 months of post-launch support
- Updates for 1 Year
ADVANCED
$ 2499
ADVANCED
- Up-to 40 pages
- All Recomended plan features
- SEO management
- 6 months of post-launch support
- Updates for 1.5-Year
Testimonials
What Our Clients Say
Customer
Customer
Customer