Services
Services that we provide are:
1. Medical Billing
Welcome to REVCare where our streamlined revenue cycle process is designed to maximize efficiency and financial success for your practice. Our commitment to excellence begins with a meticulous focus on clean submission and thorough audits. Each worked claim undergoes a daily audit, ensuring adherence to the highest coding standards before submission.
Our proactive approach extends to compliance guidelines, minimizing the risk of audits and optimizing reimbursements. As part of our "put ourselves in your shoes" philosophy, we offer comprehensive support, reviewing your fee schedules to ensure accurate payments. Our expert guidance prevents both under billing and overbilling, facilitating a seamless navigation of insurance audits.
Communication is paramount, and we prioritize a transparent and collaborative relationship. With weekly agenda meetings, mid-month and end-of-month AR reports, and a weekly missing log, we ensure that no claim goes unnoticed. Frequent client meetings further prevent communication gaps, fostering a proactive stance in optimizing your revenue cycle.
What truly sets us apart is our focus on preventing denials from the start. We don't just follow up on denials; our main focus is on identifying patterns and implementing preventative measures to improve your revenue and optimize your billing processes.
Choose REVCare for a partnership that goes beyond traditional billing services. We are here to empower your practice with a revenue cycle process that prioritizes efficiency, compliance, and revenue optimization, allowing you to concentrate on providing exceptional patient care.
Achieve Peak Revenue Performance with Outsourced Medical Billing
1.1: Ensure the Comfort of Your Patients
Navigating the complexities of medicine and healthcare billing is no small feat. We recognize that your primary focus is on your patients. Our commitment is to ensure that you receive timely compensation for your services, allowing you to preserve your valuable time for patient care rather than being tied up in managing claims and administrative tasks. We provide cost-effective medical billing solutions tailored for small practices, so why not embark on this journey with us today?
1.2: Entrust Your Responsibilities to a Reliable Partner
Count on REVCare as your trusted medical billing companion, backed by a track record of significantly enhancing client revenue. Our skilled billing professionals take charge of the entire billing process, diligently monitoring each claim until it is successfully processed and paid.
Our proactive approach extends to compliance guidelines, minimizing the risk of audits and optimizing reimbursements. As part of our "put ourselves in your shoes" philosophy, we offer comprehensive support, reviewing your fee schedules to ensure accurate payments. Our expert guidance prevents both under billing and overbilling, facilitating a seamless navigation of insurance audits.
Communication is paramount, and we prioritize a transparent and collaborative relationship. With weekly agenda meetings, mid-month and end-of-month AR reports, and a weekly missing log, we ensure that no claim goes unnoticed. Frequent client meetings further prevent communication gaps, fostering a proactive stance in optimizing your revenue cycle.
What truly sets us apart is our focus on preventing denials from the start. We don't just follow up on denials; our main focus is on identifying patterns and implementing preventative measures to improve your revenue and optimize your billing processes.
Choose REVCare for a partnership that goes beyond traditional billing services. We are here to empower your practice with a revenue cycle process that prioritizes efficiency, compliance, and revenue optimization, allowing you to concentrate on providing exceptional patient care.
Achieve Peak Revenue Performance with Outsourced Medical Billing
1.1: Ensure the Comfort of Your Patients
Navigating the complexities of medicine and healthcare billing is no small feat. We recognize that your primary focus is on your patients. Our commitment is to ensure that you receive timely compensation for your services, allowing you to preserve your valuable time for patient care rather than being tied up in managing claims and administrative tasks. We provide cost-effective medical billing solutions tailored for small practices, so why not embark on this journey with us today?
1.2: Entrust Your Responsibilities to a Reliable Partner
Count on REVCare as your trusted medical billing companion, backed by a track record of significantly enhancing client revenue. Our skilled billing professionals take charge of the entire billing process, diligently monitoring each claim until it is successfully processed and paid.
2. Credentialing and Enrollments
Provider Enrollment and Credentialing Services are at the core of our commitment to enhancing the operational efficiency and financial success of your practice. At REVCARE we specialize in comprehensive enrollment and credentialing services, ensuring seamless integration into both commercial and government health plans. Our dedicated team manages credentials and provides timely re-credentialing as needed. We also assist growing practices by facilitating the addition of new physicians to their groups, ensuring their applications are promptly filed with Payers for inclusion.
What Sets Us Apart:
Proven Expertise: With years of industry presence, we bring a wealth of experience to effectively address your enrollment and credentialing needs.
Comprehensive Services: From enrollment with Payers and demographics updates to CAQH profile maintenance, EDI and EFT enrollments, and insurance web logins, we cover every aspect of the credentialing process.
Efficiency and Compliance: Our physician credentialing services prioritize effectiveness, ensuring your practice becomes a participating force in compliance with all contractual payers.
Preventing Revenue Loss: We verify enrollment status before submissions, validating EDI and EFT agreements to streamline processes and prevent revenue loss.
Why Choose Us:
Streamlined Process: Our dedicated professionals guide your credentialing process, ensuring compliance and gathering essential documents for efficient submission.
Simplified Credentialing: We handle all tasks, from verifying document accuracy to swift and efficient application processing, allowing you to maximize practice benefits and enroll with multiple payers.
Maximizing Payer Contracts: Our experts assist you in identifying necessary credentials, meeting enrollment requirements, and securing essential agreements with insurance companies, ensuring accuracy and completeness.
Partner with REVCare for Provider Enrollment and Credentialing Services that not only simplify the process but also optimize your practice's revenue cycle management. Experience the difference as we work diligently to keep your practice aligned with the highest standards of payer requirements.
What Sets Us Apart:
Proven Expertise: With years of industry presence, we bring a wealth of experience to effectively address your enrollment and credentialing needs.
Comprehensive Services: From enrollment with Payers and demographics updates to CAQH profile maintenance, EDI and EFT enrollments, and insurance web logins, we cover every aspect of the credentialing process.
Efficiency and Compliance: Our physician credentialing services prioritize effectiveness, ensuring your practice becomes a participating force in compliance with all contractual payers.
Preventing Revenue Loss: We verify enrollment status before submissions, validating EDI and EFT agreements to streamline processes and prevent revenue loss.
Why Choose Us:
Streamlined Process: Our dedicated professionals guide your credentialing process, ensuring compliance and gathering essential documents for efficient submission.
Simplified Credentialing: We handle all tasks, from verifying document accuracy to swift and efficient application processing, allowing you to maximize practice benefits and enroll with multiple payers.
Maximizing Payer Contracts: Our experts assist you in identifying necessary credentials, meeting enrollment requirements, and securing essential agreements with insurance companies, ensuring accuracy and completeness.
Partner with REVCare for Provider Enrollment and Credentialing Services that not only simplify the process but also optimize your practice's revenue cycle management. Experience the difference as we work diligently to keep your practice aligned with the highest standards of payer requirements.
3. Practice Management Consulting
In the realm of healthcare administration, REVCare introduces Practice Management Consulting services tailored to elevate your practice's operational efficiency and financial success. With a wealth of industry experience, our consultants collaborate closely with your team to optimize workflows, implement strategic solutions, and enhance overall performance. Providing valuable insights into administrative processes and revenue cycle management, our services are designed to empower your practice with the tools and strategies needed for sustained growth and success. Choose REVCare for straightforward and effective Practice Management Consulting that makes a meaningful impact on your practice.
4. Front desk Support
At REVCare, our Front Desk Support specialists bring substantial training and experience to alleviate the burden on your shoulders, saving time and upholding the utmost privacy of your medical records. Our commitment to excellence is evident in the comprehensive care coordination workflow we offer, covering Prior Authorization Services, Eligibility and Benefits Verification, and Insurance/PCP contact.
Choosing us as your outsourcing partner means opting for streamlined front desk processes that significantly influence your bottom line. Our support cuts down on in-house staff costs, mitigates the risk of medical malpractice litigation, simplifies front desk operations with timely data processing, and assists with appointment scheduling, rescheduling, or canceling.
In the realm of medical billing, our bilingual, caring, and knowledgeable billing specialists handle everything from pre-authorization to follow-ups, ensuring timely approval procedures and allowing you to focus on patient care rather than paperwork. Our professionals are dedicated to creating the necessary infrastructure for prompt eligibility and authorization requests.
With service as our cornerstone, we commit to delivering the highest quality support, striving to meet and exceed your expectations. Our comprehensive front desk solution operates 24/7, ensuring minimal disruption to your practice's workflow. Experience the ease of outsourcing with REVCare, where patient care and service excellence are paramount.
Choosing us as your outsourcing partner means opting for streamlined front desk processes that significantly influence your bottom line. Our support cuts down on in-house staff costs, mitigates the risk of medical malpractice litigation, simplifies front desk operations with timely data processing, and assists with appointment scheduling, rescheduling, or canceling.
In the realm of medical billing, our bilingual, caring, and knowledgeable billing specialists handle everything from pre-authorization to follow-ups, ensuring timely approval procedures and allowing you to focus on patient care rather than paperwork. Our professionals are dedicated to creating the necessary infrastructure for prompt eligibility and authorization requests.
With service as our cornerstone, we commit to delivering the highest quality support, striving to meet and exceed your expectations. Our comprehensive front desk solution operates 24/7, ensuring minimal disruption to your practice's workflow. Experience the ease of outsourcing with REVCare, where patient care and service excellence are paramount.
5. Medical Coding
In the dynamic landscape of the healthcare industry, REVCare is dedicated to ensuring the success of your medical practice with unparalleled medical coding services. Our certified medical coders, proficient in both outpatient and inpatient coding, meticulously review all claims, making necessary amendments for optimal accuracy before submission. REVCare offers simplified and flexible medical coding solutions, guaranteeing precise medical documentation, error-free claim confirmations, and a streamlined practice workflow. This, in turn, allows you to redirect your focus towards providing quality care coordination to your patients.
With nearly a decade of industry experience, REVCare's coding team ensures adherence to the highest coding service levels. Our certified professionals adeptly handle CPT, HCPCS, and ICD-10 coding, along with modifiers, NCCI edits verification, and thorough chart reviews for coding compliance.
The benefits of partnering with REVCare for medical coding services are far-reaching. Our services not only improve billing management but also contribute to a streamlined revenue cycle, reducing denials, and enhancing overall efficiency. By preventing revenue loss attributed to unbilled treatments, our approach facilitates increased cash flow and improves the bottom line of your practice.
Choose REVCare for a comprehensive and customized medical coding solution that aligns with your practice's unique needs. With a team of certified coders, advanced technology, and a commitment to excellence, we are your trusted partner in navigating the complexities of medical billing and coding.
With nearly a decade of industry experience, REVCare's coding team ensures adherence to the highest coding service levels. Our certified professionals adeptly handle CPT, HCPCS, and ICD-10 coding, along with modifiers, NCCI edits verification, and thorough chart reviews for coding compliance.
The benefits of partnering with REVCare for medical coding services are far-reaching. Our services not only improve billing management but also contribute to a streamlined revenue cycle, reducing denials, and enhancing overall efficiency. By preventing revenue loss attributed to unbilled treatments, our approach facilitates increased cash flow and improves the bottom line of your practice.
Choose REVCare for a comprehensive and customized medical coding solution that aligns with your practice's unique needs. With a team of certified coders, advanced technology, and a commitment to excellence, we are your trusted partner in navigating the complexities of medical billing and coding.
6. Patient help desk
At REVCare, we specialize in offering comprehensive patient help desk support to healthcare practitioners. Our dedicated team manages incoming calls and facilitates the seamless flow of information between patients and medical practices. This strategic support allows practitioners to prioritize patient care without being burdened by the intricacies of medical documentation.
Our committed help desk team is designed to save valuable time, empowering practices to enhance their focus on patient engagement and significantly boost the financial efficiency of their operations.
Key Services Include:
Patient Statements Review
Handling Incoming Patient Calls
Outgoing Calls for Insurance Updates
Outgoing Balance Reminder Calls
Emailing Additional Bills to Patients
As your outsourcing partner for optimized patient help desk operations, REVCare extends beyond translating medical data. We take charge of sending statements, collecting payments, and responding to patient inquiries, offering a comprehensive one-stop solution for your patient help desk needs.
Why Choose REVCare:
Exceptional Customer Service: Our knowledgeable and patient team ensures outstanding customer service for every patient interaction, aligning with your practice's values.
Efficient Process: We simplify your patient care coordination, managing medical documents, patient payments, health insurance, and more, reducing operational stress.
Dependable Solution: Count on us for reliable patient statement services and comprehensive support without compromising quality.
Stay Ahead: Stay confident in running your practice with our team staying up-to-date on the latest healthcare industry trends and regulations.
Our committed help desk team is designed to save valuable time, empowering practices to enhance their focus on patient engagement and significantly boost the financial efficiency of their operations.
Key Services Include:
Patient Statements Review
Handling Incoming Patient Calls
Outgoing Calls for Insurance Updates
Outgoing Balance Reminder Calls
Emailing Additional Bills to Patients
As your outsourcing partner for optimized patient help desk operations, REVCare extends beyond translating medical data. We take charge of sending statements, collecting payments, and responding to patient inquiries, offering a comprehensive one-stop solution for your patient help desk needs.
Why Choose REVCare:
Exceptional Customer Service: Our knowledgeable and patient team ensures outstanding customer service for every patient interaction, aligning with your practice's values.
Efficient Process: We simplify your patient care coordination, managing medical documents, patient payments, health insurance, and more, reducing operational stress.
Dependable Solution: Count on us for reliable patient statement services and comprehensive support without compromising quality.
Stay Ahead: Stay confident in running your practice with our team staying up-to-date on the latest healthcare industry trends and regulations.
7. Coverage Discovery
Unlocking Hidden Revenue with REVCare's Coverage Discovery Service
A substantial portion of revenue loss in healthcare is attributed to uncompensated care, often stemming from patients being uninsured or underinsured. Additionally, overlooked billing opportunities, whether due to oversight or overwhelmed in-house medical billing staff, contribute to this financial setback. Astonishingly, up to 10% of self-pay accounts that are written off may actually be covered by billable insurance or a government health care program, presenting a significant yet challenging avenue for revenue recovery.
The primary source of this untapped revenue lies in patients' often unknown or overlooked insurance coverage. Young adults might be unaware of their coverage under a parent's plan, while others may not realize they are covered under a plan arranged by their spouse. The complexities of Medicaid and Medicare, coupled with the assumption that medical billing staff automatically have access to all relevant information, further compound the issue.
Key Benefits of REVCare's Coverage Discovery Service:
Maximized Reimbursement: Identifies all levels of coverage to optimize reimbursement, recouping revenue that may have otherwise been overlooked.
Efficient Revenue Cycle: Decreases days in accounts receivable, streamlining the revenue cycle for improved financial efficiency.
Reduced Collection Costs: Decreases the number of accounts sent to collections or written off, reducing the overall cost of collections for unpaid bills.
Minimized Bad Debt: Reduces bad debt by ensuring comprehensive coverage identification, preventing revenue loss.
Enhanced Patient Satisfaction: By uncovering potential coverage, patients experience increased satisfaction, knowing their financial responsibilities are accurately assessed.
A substantial portion of revenue loss in healthcare is attributed to uncompensated care, often stemming from patients being uninsured or underinsured. Additionally, overlooked billing opportunities, whether due to oversight or overwhelmed in-house medical billing staff, contribute to this financial setback. Astonishingly, up to 10% of self-pay accounts that are written off may actually be covered by billable insurance or a government health care program, presenting a significant yet challenging avenue for revenue recovery.
The primary source of this untapped revenue lies in patients' often unknown or overlooked insurance coverage. Young adults might be unaware of their coverage under a parent's plan, while others may not realize they are covered under a plan arranged by their spouse. The complexities of Medicaid and Medicare, coupled with the assumption that medical billing staff automatically have access to all relevant information, further compound the issue.
Key Benefits of REVCare's Coverage Discovery Service:
Maximized Reimbursement: Identifies all levels of coverage to optimize reimbursement, recouping revenue that may have otherwise been overlooked.
Efficient Revenue Cycle: Decreases days in accounts receivable, streamlining the revenue cycle for improved financial efficiency.
Reduced Collection Costs: Decreases the number of accounts sent to collections or written off, reducing the overall cost of collections for unpaid bills.
Minimized Bad Debt: Reduces bad debt by ensuring comprehensive coverage identification, preventing revenue loss.
Enhanced Patient Satisfaction: By uncovering potential coverage, patients experience increased satisfaction, knowing their financial responsibilities are accurately assessed.
8. AR Recovery
Unlock the Revenue Potential with REVCare's AR Recovery Services At REVCare, we redefine AR recovery services to maximize revenue for healthcare providers. Our specialized team focuses on recovering outstanding revenue from aging AR accounts, even those deemed challenging. Unlike other medical billing companies, we offer AR medical billing recovery services as a standalone option, ensuring a tailored approach to meet the unique needs of your business.
Our AR recovery process begins with a meticulous review of every unresolved claim, leaving no potential revenue untapped. We go beyond the obvious high-dollar claims, understanding that every recovered amount contributes significantly to your financial success. Utilizing advanced analytical tools, we stay ahead of payer requirements, minimizing medical account receivables and ensuring you collect the maximum revenue possible.
Our dedicated taskforce doesn't simply aim for quick wins; we prioritize every claim, preventing expirations and diligently following up with payers to recover overdue payments. Whether addressing payer reconsideration, claim appeals, or patient interactions, our team ensures that no claim is left unattended.
We take a proactive approach to claim denials and rejections, identifying recurring issues and permanently eliminating them from your revenue cycle management system. Our commitment to clear communication extends to patients, where we generate easy-to-understand reports, facilitating prompt payments. If desired, we handle direct patient interactions with the utmost professionalism.
With REVCare, AR recovery is not just a service; it's our specialty. Our dedicated team excels at retrieving reimbursements for what others consider "uncollectible." Recognizing the critical importance of timely action on unpaid claims, we streamline the process efficiently. We prioritize efficiency without compromising on comprehensive claims recovery.
Key Features of REVCare's AR Recovery Services:
All Claims Pursued: No claim is too small or deemed unlikely to be paid; we prioritize efficiency to reduce medical account receivables for every claim.
Prioritization for Maximum Recovery: We ensure no claim expires unnecessarily, employing the most efficient approach for optimal recovery.
Dedicated AR Recovery Team: Our experienced team of medical billers is assigned exclusively to investigate every claim in your AR records.
Pay Only for Successful Reimbursement: Our fee structure is based on a small percentage of the recovered amount, ensuring no risk for you if a claim goes unrecovered.
Collection Ratios Over 90%: Benefit from our proven track record of consistently recovering over 90% of claims, making a substantial impact on your financial success.
Appeal Rejections and Denials: Our expert team identifies and resolves errors or omissions, achieving a high success rate in appeal resolutions.
Choose REVCare to unleash the full potential of your revenue recovery journey.
Our AR recovery process begins with a meticulous review of every unresolved claim, leaving no potential revenue untapped. We go beyond the obvious high-dollar claims, understanding that every recovered amount contributes significantly to your financial success. Utilizing advanced analytical tools, we stay ahead of payer requirements, minimizing medical account receivables and ensuring you collect the maximum revenue possible.
Our dedicated taskforce doesn't simply aim for quick wins; we prioritize every claim, preventing expirations and diligently following up with payers to recover overdue payments. Whether addressing payer reconsideration, claim appeals, or patient interactions, our team ensures that no claim is left unattended.
We take a proactive approach to claim denials and rejections, identifying recurring issues and permanently eliminating them from your revenue cycle management system. Our commitment to clear communication extends to patients, where we generate easy-to-understand reports, facilitating prompt payments. If desired, we handle direct patient interactions with the utmost professionalism.
With REVCare, AR recovery is not just a service; it's our specialty. Our dedicated team excels at retrieving reimbursements for what others consider "uncollectible." Recognizing the critical importance of timely action on unpaid claims, we streamline the process efficiently. We prioritize efficiency without compromising on comprehensive claims recovery.
Key Features of REVCare's AR Recovery Services:
All Claims Pursued: No claim is too small or deemed unlikely to be paid; we prioritize efficiency to reduce medical account receivables for every claim.
Prioritization for Maximum Recovery: We ensure no claim expires unnecessarily, employing the most efficient approach for optimal recovery.
Dedicated AR Recovery Team: Our experienced team of medical billers is assigned exclusively to investigate every claim in your AR records.
Pay Only for Successful Reimbursement: Our fee structure is based on a small percentage of the recovered amount, ensuring no risk for you if a claim goes unrecovered.
Collection Ratios Over 90%: Benefit from our proven track record of consistently recovering over 90% of claims, making a substantial impact on your financial success.
Appeal Rejections and Denials: Our expert team identifies and resolves errors or omissions, achieving a high success rate in appeal resolutions.
Choose REVCare to unleash the full potential of your revenue recovery journey.