MedCare MSO has been a leader in healthcare revenue cycle management for over 10 years, thanks to our expert medical billers who enhance revenue cycle workflows and increase collection rates. Our end-to-end medical billing services will streamline your practice revenue, regardless of size. Our systems seamlessly integrate electronic data interchange (EDI) and electronic claims processing, simplifying billing processes and improving healthcare practice efficiency.
Let's team up to streamline your medical billing processes and manage the entire Revenue Cycle Management (RCM), boosting your revenue growth by up to 35% with automated denial tracking.
MedCare MSO stays ahead of the curve by constantly updating our medical coding and billing solutions. Accurate billing and coding are crucial for ensuring timely reimbursements and error-free compliance with regulations. We use secure, two-way electronic links with Availity, Change Healthcare, and all major payers Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, and Humana, so you get real-time updates on every claim from submission to payment.
We provide comprehensive revenue cycle management services, including hospital RCM, medical AR services, advanced EHR/EMR technologies, practice management, and patient engagement solutions. Outsourced medical billing services give hospitals a cost effective way to reduce operational burdens and expenses and focus more on patient care.
Our proactive AR recovery strategies in managing accounts receivable lead to a 35% reduction in outstanding AR balances by tracking outstanding payments from patients and insurance payers. We have a proven record of generating revenue from aged AR reports (aging more than 120 days).
Top-notch physician revenue cycle solutions at competitive rates, provided by expert medical billers. Our expertise in payer reimbursement strategies will ensure transparency, efficiency, and maximum reimbursement for your independent practice.
Get result-oriented healthcare credentialing solutions. Our credentialing team provides essential support in the payer enrollment process, helping you get enrolled in the premium payer networks for maximum reimbursements. Our proven 95% success rate speaks for itself.
Get faster payments and happier patients with our Eligibility Verification service. We run real-time, automated checks that confirm coverage, benefits and pre-auths before the appointment eliminating billing surprises, reducing claim rejections and supercharging cash flow while keeping you 100% payer-compliant.
Upgrade the patient experience with our end-to-end Billing & Statements service. We generate clear, jargon-free invoices, deliver them via print, portal, text or email and offer 24/7 self-pay options reducing call-backs, accelerating collections and boosting patient satisfaction without adding workload to your front desk.
Maximize revenue with our Fee Schedule Review. We audit every CPT charge against current payer contracts, RVU data and market benchmarks, flag underpriced codes and deliver a clean, optimized schedule that captures full reimbursement and compliance no lost dollars, no surprises.
SOC 2 (Type II) │ HITRUST CSF │ URAC-Accredited Operations — Zero Reportable HIPAA Breaches Since 2012.
Maximized reimbursements and revenue boosts by up to 35%. Outsourcing medical billing services offers significant advantages over in-house billing, including cost savings, claims processing accuracy, simplified batch payments and specialized expertise.
Process 75,000+ error-free claims submissions daily with innovative medical billing automation technology.
Tailored solutions and scalable healthcare billing services customized to your specialty needs.
No need to hire and train in-house staff, which will reduce 50% recruitment and payroll costs, and significantly decrease billing costs through automation and efficiency, benefiting various medical practices by optimizing their financial performance and administrative workflows.
Real-time access to your practice’s revenue trends, billing, claim status, & collections.
A dedicated medical billing account manager provides live phone support every step of the way, ensuring HIPAA compliance.
No More Billing Headaches! Our AI-powered medical billing software, MAXIMUS, simplifies claims, patient data, streamlined scheduling, Instant eVerification and payment tracking seamlessly integrating with your existing system. By optimizing the healthcare revenue cycle, it leads to improved billing efficiency and collections.
As the leading medical billing service provider, we smoothly handle all system setup, EDI implementation, documentation, and process coordination. The best part? No software installation costs.
You do not lose control over your practice when you outsource billing services to Medcare MSO. With online reporting and analytics, you have complete financial visibility anywhere and anytime.
Here are the features & processes:
Our medical billing company offers a wide range of specialty-specific billing solutions for medical practices of every size. We manage the entire billing process, from insurance verification to payment posting.
Here are the top specialties we serve:
Are you seeking reliable US-based medical billing company to optimize your revenue cycle?
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
Medical billing is the process of submitting and following up on claims to health insurance companies to get paid for medical services. This process is complex and involves several steps, starting with patient registration, demographic entry, and insurance verification. Once those steps are complete, the process moves on to charge entry where services are added, then medical coding, where medical procedures are translated into CPT and ICD-10 codes.
Then claim submission where the coded claims are sent to insurance for payment. Finally, payment posting where payments are received and applied. Medical billing can be done in-house or outsourced to third-party companies, giving medical practitioners revenue optimization and operational efficiency.
Revenue cycle management (RCM) is the total process of managing the finance of a healthcare organization from patient registration to payment posting. This complex process has many steps, including medical billing, charge capture, coding and insurance verification. Effective RCM allows medical service providers to have an improved cash flow, reduce administrative burdens and optimize their finances. By managing the entire revenue cycle, healthcare specialists can focus more on patient care while keeping their financial house in order.
Medical billing is the process of submitting and following up on claims to insurance companies to get paid for services rendered by healthcare providers. It’s a big part of the revenue cycle and directly affects the financial health of medical practices.
Outsourcing medical billing can bring many benefits to healthcare professionals, including improved cash flow, reduced administrative burdens and increased revenue. By partnering with a medical billing outsourcing company, practices can tap into expertise and technology to streamline the billing process, reduce errors and get paid faster. Plus, outsourcing billing services allows practices to focus on patients and leave the time-consuming tasks of billing to the professionals.
We handle claim denials by thoroughly analyzing the root cause, correcting errors, and promptly resubmitting the claims. For appeals, we gather necessary documentation, follow payer guidelines, and advocate for accurate reimbursement.
Yes, absolutely! We utilize real-time claim scrubbing software to identify and rectify errors before submission. By addressing incomplete information, coding errors, and insurance verification processes, we can streamline billing and improve efficiency.
We take patient privacy very seriously. Our medical billing services are fully HIPAA compliant and employ robust security measures to safeguard your patients’ data. This includes:
Payment posting times can differ based on the speed of individual insurance companies. However, we work diligently to ensure prompt posting. Our team actively monitors claim status and follows up with payers for faster processing. We will provide you with regular reports on your account activity, including copays collected, AR per payor, denials, claim status, and payment details.
Yes, we can integrate seamlessly with your existing EHR system. This integration allows for efficient data exchange, streamlining the scheduling process.
You can directly schedule appointments within your EHR. The most up-to-date patient balance information will be available on the scheduler. You’ll receive timely reminders about your copayments at the time of service.
We provide comprehensive billing solutions tailored to the needs of various healthcare providers, from individual doctors to large hospitals and specialized clinics.
Absolutely! We understand the challenges of setting up a new medical practice. Our onboarding process includes:
Ready to maximize your revenue while reducing administrative work? Let’s team up! Our medical billing expert will reach out within 12 hours.
A member of our team will get in touch with you in 12 hours.
800-640-6409
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
