Turn Revenue Leakage into
Predictable Cash Flow
AR follow-up, denial recovery, and underpayment tracking are
designed to protect every dollar earned.
AR follow-up, denial recovery, and underpayment tracking are
designed to protect every dollar earned.
Physician groups face persistent revenue challenges including rising denial rates, payer-specific coding complexities, and mounting administrative costs that disrupt cash flow heavily. Without structured RCM processes, practices risk prolonged AR cycles, compliance gaps, and missed reimbursements. Specialized physician medical billing services ensure CPT/ICD-10 accuracy, real-time eligibility verification, and payer-driven claim scrubbing—delivering higher first-pass acceptance and faster reimbursements.
Beyond collections, services extend to denial prevention, AR follow-up, and detailed financial reporting for full-cycle revenue optimization. Strengthen financial performance while keeping clinical focus intact. Schedule a discussion with our physician billing experts to explore a tailored solution for your practice.
Our certified coders apply CPT, ICD-10, and HCPCS codes supported by Clinical Documentation Improvement (CDI) with specialty-specific precision and complete charge capture to avert revenue losses.
Before claims submission, we verify patient coverage and real-time eligibility through payer portals and clearinghouses to confirm patient deductibles and co-pays.
Our automated claim scrubbing engine applies payer-based compliance and edit restrictions to clean claims that are highly competitive for first-pass acceptance.
We maximize reimbursement recovery by analyzing denial codes, identifying recurring systemic problems, and strategically structuring appeals to lower the incidence of denials.
To shorten Receivable (AR) cycles, our specialists aggressively invoice high-value claims while monitoring payers’ follow-up aging reports for timely resolution.
We automate ERA/EOB posting, reconcile payments against payer contracts, and flag underpayments for immediate recovery—ensuring financial accuracy and cash flow integrity.
The team proactively claims and processes high-value treatments and procedures through authorization workflow management to tackle revenue loss.
We manage CAQH and administrative tasks by integrating processes to build compliant workflow documentation for optimally managed claim submissions.
We analyze payment trends and reimbursement metrics to negotiate better fee contracts and enhance profit margins with payers.
We adhere to HIPAA, CMS, and payer-specific regulations through audits and documentation reviews while supporting MIPS, MACRA, and value-based care reporting.
We provide clear patient statements, digital payment options, and financial counseling to improve collection rates while maintaining patient satisfaction.
With dashboards, denial trend analysis, AR forecasting, and EMR/EHR integration (Epic, Kareo, Athenahealth, AdvancedMD), we automate data flows for predictive revenue cycle management.
We equip workflows with telehealth modifiers (95, GT, etc.) and payer-specific billing rules to ensure compliance and reimbursement for virtual visits.
Choosing the right physician medical billing partner is critical to improving reimbursements, compliance, and operational efficiency of hospitals. Here’s how our services deliver measurable value for your practice:
Discover how OutsourceRCM has partnered with healthcare practitioners to navigate the intricate landscape of medical billing through our case studies.
These testimonials illuminate the profound impact we've had on healthcare practices, strengthening their financial health and empowering them to focus on exceptional patient care.
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