Medical Billing Services for Providers in Rhode Island

Unload The Higher Billing Software Costs, Cash Flow Issues & Compliance Challenges With our Professional Medical Billing Experts.

About Rhode Island Medical Billing Consultancy Services

Rhode Island medical billing services is your one-stop solution to prevent claim denials causing revenue leakages in your revenue cycle. We have extensive training and understanding of local medical billing issues pertaining to US-based insurance companies. In addition to billing errors and administrative burdens, medical practitioners must also deal with evolving regulations that lead to inefficient reimbursement collections. We offer revenue cycle management solutions that utilize advanced AI software to expedite payment, enhance cash flow, and provide complete control over claim denials. Our cost-effective billing solutions handle complex billing processes, medical coding, account receivables, and denial management for healthcare organizations so they don’t have to hire expert medical billers and coders, resulting in a minimum of 50% reduction of operational costs.

Our Billing Services for Healthcare Providers

Rhode Island Medical Billing Company provides sophisticated revenue cycle management solutions meeting your needs appropriately and eliminating revenue losses. The unique insurance claim billing solutions we offer provide a minimum of 15% increase in the first few months. We operate and offer our RCM services to all major cities of Rhode Island, including Providence, Newport, Cranston, Warwick, etc. Here is a snapshot of our services for helping clinicians get full reimbursement on patient claims.

Medical Coding Services

We offer experienced medical coding experts with AAPC and AHIMA certification that ensures the right and skilled persons are assigned to your practice, resulting in full compliance with CPT and ICD-10 coding standards.

Eligibility & Verification of Benefits

Our medical billing professionals obtain timely verification of benefits and eligibility to expedite the billing process, prevent future unexpected costs for patients, and prevent claim denials on your rendered services.

Authorization Services

As per requirements of different insurance companies, we obtain prior authorization 2-3 days in advance to prevent complication in billing. We also perform retro-authorization where payers specify it as a medical necessity for formal approval of claim processing.     

AR Management

Dedicated account receivable managers closely work with payers and patients to recover pending dues. Consistent communication via text, call, email and mail ensures your practice doesn’t suffer financial troubles and write-offs.

Provider Enrollment Consultancy

We offer smooth and quick enrollment in different payers’ health plans that help providers take full advantage of privileges by treating patients in out-of-network and in-network coverage contracts resulting in significant increase in revenue.

Reimbursement Forms Filing Support

We offer our revenue cycle management services that work as an extended arm of your in-house team assisting in reimbursement forms filing on behalf of your medical practice, effectively eliminating lags, coding errors and streamline billing process.

Our Billing Process

We follow the best practices of the industry that allows streamlined revenue cycle management process resulting in efficiently billing patients treated at your facility. Here’s our unique billing process that guarantees results every time without interruptions.

We Are Specialized In

Medical Billing for Small Practices

Medical billing consultancy services for solo providers practicing in small clinics in and around all the cities of Rhode Island.

Medical Billing for Group Practices

Automated billing and coding solutions for group and multi-disciplinary practices offering clear compliance with ICD-10 and regulatory standards.

Medical Billing for Urgent Care Facilities

Specialty-specific billing support to improve patient intake and billing accuracy for urgent care clinics and hospitals for optimize (RCM).

Medical Billing for Small Practices

24/7 medical billing assistance for hospitals offering in-patient and out-patient treatment facilities.

Medical Billing for Pharmacies

Fast claim processing solutions for pharmacies offering medication and re-fills to patients for boosting medical revenue.

Medical Billing for Labs

Medical billing consultancy solutions for diagnostic laboratories including radiology and hematology testing facilities to reduce billing claim denials.

Benefits of our Revenue Cycle Management Services for Practices

Outsourcing revenue cycle management solution from Rhode Island medical billing company offers billing services of top-class taking your practice to a new level of efficiency and optimal patient care.

KPI Dashboard

Interactive KPI Dashboard for billing insights providing complete information pertaining to claim processing, submissions, etc.

Revenue Monitoring

Complete and proactive revenue monitoring for healthcare practices across Rhode Island for AR Followup/Management.

Intelligent Billing

AI-powered billing workflows for enhanced EHR integration for seamless billing and claim processing enhancing revenue collection.

Compliance Driven

Full-scale compliance of clinical practices with HIPAA guidelines ensuring providers meet all healthcare regulations effortlessly.

Bills Collection

Trained and skilled teams collect all reimbursement and add into the database promoting financial stability.

Performance Metrics

Practice’s performance is evaluated with established metrics to identify revenue leakages and finding gaps for improvement.

Choose Us As Your Medical Billing Services Partner in Rhode Island