At Next RCM, we enhance practice performance through our comprehensive medical billing, practice management,
and electronic documentation solutions. We partner with your organization to create a customized workflow that adapts to your business's evolving needs..
"Offering a complete suite of solutions including clinical integration, revenue cycle management, medical billing and coding and credentialing. Our audits help identify and address weaknesses in your current medical billing processes. "
success hinges on securing consistent and dependable income from a diverse payer mix. Achieving this requires a well-structured approach to medical billing, where each component of the revenue cycle is managed by skilled and properly supervised personnel.
Next RCM provides comprehensive billing services for hospitalist groups with 2 to over 50 physicians. Our specialized team excels in inpatient coding and billing, ensuring ongoing quality assurance and process enhancements to reduce errors and optimize provider reimbursement.
Leveraging years of experience in the UCC and ASC sectors, we have refined our expertise to the highest standard. We offer an ideal solution for organizations with UCC and ASC capabilities, providing the necessary resources for effective collaboration with front-office teams.
At the time of patient registration, we meticulously collect and verify all required information. We ensure that patient and insurance details are accurately recorded to facilitate a smooth and effective billing process.
We verify patient insurance to ensure its validity. This essential step helps prevent issues with claims and confirms that the insurance covers the services provided.
Appointments are coded accurately during scheduling to maintain the integrity of the billing system and ensure precise billing to the insurance company.
Charges for services are accurately entered into our billing system and linked to the appropriate codes. This meticulous process helps prevent errors and ensures a seamless reimbursement.
Claims are promptly prepared and submitted to insurance companies with all required documentation. This thorough approach accelerates the process and ensures the insurance company has everything needed for review.
Payments received from insurance companies and patients are recorded and matched to the corresponding claims. This process ensures accurate record-keeping and provides clear insight into financial transactions.
When a claim is denied, we thoroughly investigate the reasons behind it. We correct any errors and provide any additional information required to resolve the claim successfully.
We create clear and detailed statements for patients that outline charges and payments. We ensure open communication to help patients understand their financial responsibilities.
We track our claims through the insurance review process, carefully monitoring coverage decisions, patient responsibilities, and any required adjustments. This ensures accurate and successful claim adjudication.
We liaise with insurance companies to confirm payments are received as expected. For patients with outstanding balances, we collaborate to set up payment plans and address financial issues in a constructive manner.
Next RCM is the best billing company I've ever used for my billing. They are very supportive and work hard on claims to help collect highest payments. I will certainly continue to work with RCM Matter.
Marketing Coordinator
Next RCM is the best billing company I've ever used for my billing. They are very supportive and work hard on claims to help collect highest payments. I will certainly continue to work with RCM Matter.
Marketing Coordinator
Next RCM is the best billing company I've ever used for my billing. They are very supportive and work hard on claims to help collect highest payments. I will certainly continue to work with RCM Matter.
Marketing Coordinator
