We optimize your revenue cycle, lower expenses, and free up resources to support your organization's financial success and objectives, supporting your mission to provide outstanding patient care.
High Claim Denial Rates: Coding errors and missing information cause denials.
Patient Payment Collection: Ensuring timely payments from high-deductible patients.
Integration of Billing Systems: EHR and billing systems integration causes inefficiencies.
Revenue Leakage: Unbilled services and underpayments need proactive management.
Let us know what challenges you are facing and rest assured, We're here to support you through these challenges.
the result will amaze you...
increase revenue collection
cost cutting upto 40%
98% and higher than first claim pass-ratio
25 day or less day to collect in A/R
At PlusRCM, we ensure seamless transitions and exceptional RCM service delivery for new providers through a meticulous integration process. Our detailed plan addresses any transition challenges, safeguarding operational continuity. Post-transition, we conduct regular performance assessments with clients to maintain high-quality standards, reflecting our commitment to excellence and reliability.
What we Offer
Front-end Cycle
critical process that ensures smooth and accurate billing operations. Our services where it includes eligibility verification, benefit verification, prior authorization, patient registration & demographic verification.
Eligibility Verification
Benefit Verification
Prior Authorization
patient registration & demographic verification
Mid-end Cycle
focuses on accurate and efficient medical coding, charge verification, and claim submission. Our services include medical coding, charge entry, and claim scrubbing, ensuring precise data handling and optimized revenue flow for your practice.
Medical Coding
Charge Verification
Charge Entry
Claim Scrubbing & Submission
Back-end Revenue cycle
focuses on managing accounts receivable, payment posting, and handling rejections and denials. Our services ensure accurate payment processing, effective denial management, and optimized revenue recovery, providing comprehensive solutions for the financial health of your practice.
Account Receivable
Payment posting
Rejection & Denial Management
Underpayment Recovery & Appeals
Patient Statement & Appeal
Cutting-Edge Services
leverage advanced tools and technologies to enhance credentialing, revenue analysis, and automation. These services include provider credentialing, revenue cycle analysis, old A/R recovery, detailed reporting, and smart automation, ensuring your practice operates efficiently and profitably.
Provider Credentialing & Enrollment
Revenue Cycle(Practice Health) Analysis
Old AR Revenue Recovery
Exceptional Reports
Smart Automation & Technology
Practice Health Dashboards
We are excited to introduce our comprehensive live data dashboards for Healthcare Revenue Cycle Management (RCM). Our state-of-the-art dashboards provide real-time insights into every facet of the revenue cycle, including patient registration, insurance verification, claims management, billing, collections, and financial performance. With our services, healthcare organizations can significantly enhance efficiency, transparency, and decision-making, ultimately leading to better financial health and improved patient care.
Why Choose Us
HIPAA Compliance
We ensure the confidentiality, integrity, and availability of PHI with robust safeguards and regular HIPAA training. Frequent risk assessments and audits help us maintain compliance and address vulnerabilities promptly. Adhering to HIPAA standards, we protect patient information and foster a secure, trustworthy environment, committed to the highest compliance levels.
Best in Business
We boost your monthly revenue with a 20% average increase. Our billing process optimizes reimbursement, plugs revenue gaps, and creates efficient workflows for desired results.
Technology the Game Changer
Utilizing automation, data science, and medical billing professionals, our medical billing and RCM technology ensures you don’t miss out on any reimbursements. We capitalize on our expansive industry dataset for maximum reimbursements.
Improvements Always Upwards
You will be assigned a specialized RCM team that consists of certified coders, billers, and revenue cycle managers to make sure your claims are error-free and you get the most out of your reimbursements. We will arrange weekly and monthly meetings to analyze your practice’s performance and search for ways to enhance revenue.
No New Billing Software Required
We provide medical billing services with no need for a billing software migration or platform switch. Instead, we build upon existing infrastructure and IT investments, such as the physician's own EMR and billing platform. We complement those resources with the necessary technology to enhance security, increase efficiency, and maximize productivity – without forcing a costly IT investment or generating redundant resources.
PlusRCM goes beyond being a mere medical billing entity; we are your dedicated partner in the healthcare realm. Our skilled team meticulously refines every aspect of your billing procedures, from coding and billing to handling denials and ensuring prompt reimbursement. With the tools and expertise to address any billing obstacles, we enable you to confidently focus on providing top-notch patient care.
mission
Our mission is to revolutionize the medical billing sector by handling the intricate aspects of billing and coding, allowing healthcare providers to concentrate on their primary goal of caring for patients. We offer innovative and reliable solutions to address the challenges of billing errors, penalties, and audits, ensuring that doctors can provide exceptional care without administrative distractions.
vision
Our vision is to create a healthcare system where medical professionals are empowered to focus entirely on patient care, free from the complexities of billing. We strive to set new standards in medical billing excellence, transforming the landscape to ensure seamless, efficient, and accurate revenue management for all healthcare providers.
Top-rated softwares and several other alternatives...
Client reviews
PlusRCM has been a really useful associate for our business. Their team has not only processed our claims and bills with the highest efficiency, but they have also taken the time to train our front desk employees on new payer regulations and recommend adjustments that would optimize patient and insurance collection. If your medical practice is searching for a dependable, informed, and skilled billing partner, I highly recommend PlusRCM Medical Services
