Maximize Your Revenue
Efficient medical billing services ensuring clean claims and faster reimbursements for exceptional patient care.
Billing Solutions
Maximize reimbursements with accurate, clean medical billing services.
Medical Claim Coding
Translating diagnoses, procedures, and treatments into standardized codes (ICD, CPT, HCPCS) that insurance companies use to process claims. Accurate coding ensures maximum reimbursement and fewer denials.
Charge Entry
Entering patient and billing information—like services provided, codes, and charges—into the practice management system. This step ensures the claim is built correctly before submission.
Claim Submission
Sending the completed claim (with patient info, codes, and charges) to the appropriate insurance company—either electronically or via paper. Timely, error-free submissions mean faster payments.
Payment Posting
Recording payments received from insurance companies and patients into the system. This includes noting allowed amounts, patient responsibility, and any denials or adjustments.
Denial and Appeals Management
When a claim is denied or underpaid, this process involves identifying the reason, correcting issues, and resubmitting or appealing the claim to recover the payment.
Patient Billing
Sending statements to patients for any outstanding balances after insurance payment. This also includes handling billing questions and offering support to patients regarding their bills.
Accounts Receivable (AR) Follow-Up
Tracking and following up on unpaid claims or patient balances to ensure every dollar owed is collected. This helps reduce outstanding AR and improve cash flow.
End-of-Month Reporting & Analytics
Providing clear financial reports that show collections, denials, AR trends, and practice performance. This helps providers make informed business decisions.
Compliance Auditing
Reviewing processes, claims, and documentation to ensure everything meets HIPAA, payer, and coding regulations. Prevents legal issues and helps maintain high billing standards.
Testimonials
ClearClaim RCM has helped countless providers simplify their billing and boost their revenue. Here’s what they have to say about working with us.
