Our dedicated team streamline your medical billing process 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.
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 management services 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 premium payer networks to maximize reimbursements while ensuring compliance. Our proven 95% success rate speaks for itself.
Denial Management is the disciplined, data-driven process of identifying, analyzing and resolving every payer rejection at its root. By combining certified coders with real-time analytics we turn write-offs into revenue, reduce AR days and enforce HIPAA compliance across the revenue cycle for sustainable performance.
Supercharge revenue integrity with our Quarterly Medical Audits. We benchmark every chart against national standards, uncover hidden revenue leaks, crush fraud risk, and deliver crystal-clear feedback that boosts quality scores and wins payer confidence so you capture every dollar you deserve.
HIPAA · SOC 2 · ICD-10 & ICD-11 · CPT · CMS-1500 · Clearinghouse-ready · OIG exclusion checks.
Maximized reimbursements and revenue boosts by up to 35%. Outsourcing medical billing services offers significant advantages over in-house billing, including cost savings, data entry, coding errors, 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, ensuring accurate billing for services rendered and preventing revenue leakage.
No need to hire and train in-house office 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, and collections for more revenue.
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.
Medcare MSO’s built-in knowledge base system has over 3 million rules and ensures correct ICD-10, CPT, and HCPCS medical coding at the point of entry. This system can automatically detect issues with claims before they are submitted. Because of this, we have achieved an 98.5% first-pass clean claim rate.
Using this proprietary software, our certified medical coders and billers examine predictive analytics, comparative benchmarking, and payer rules to develop strategies for minimizing denials and improve revenue collection.
Here are the features & processes:
To explore the spectrum of our specialties, including tailored billing services for various medical niches, please click the button below.
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
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
We import your payer rules, set up ERA/EFT, and go live in 14 days.
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 managed billing, charge capture, coding and insurance verification. Effective RCM allows healthcare facility 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 provider.
We take patient privacy very seriously. We provide fully HIPAA compliant medical billing services 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.
Cardiology, OB-GYN, Radiology, Orthopaedics, Mental Health and more.
Ready to maximize your revenue while reducing administrative work? Let’s team up! Our medical billing expert will reach out within 12 hours.
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.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
