At Medisol RCM, our mission is to provide seamless healthcare services that enhance revenue management through efficient medical billing. We strive to ensure accuracy and compliance in every claim we process, streamlining healthcare providers' focus on patient care.
We offer a range of healthcare services that encompass the entire medical billing process, from patient registration to claims submission and payment posting. Our customizable services are designed to enhance revenue management while streamlining healthcare to meet the unique needs of each client.
We verify patients’ insurance coverage before services are provided to avoid costly denials and delays. Our team checks eligibility in real-time, confirms policy status, deductibles, co-pays, and coverage limits, and communicates patient responsibilities upfront. This ensures financial transparency for patients and providers while reducing claim rejections due to invalid or expired insurance.
Accurate coding is the backbone of successful claim submission. Our certified coders assign CPT, ICD-10, and HCPCS codes in compliance with payer-specific rules and industry guidelines. By aligning clinical documentation with correct coding, we help maximize reimbursement, minimize compliance risks, and strengthen audit readiness.
We take data privacy and security seriously. Our medical billing services are HIPAA compliant and we ensure that your patient data is always protected.
Certain procedures, medications, or services require pre-approval from payers. We manage the entire prior authorization process—including preparing documentation, submitting requests, and following up with insurance companies—so providers can focus on patient care without administrative burdens. Our proactive approach prevents treatment delays and avoids denied claims due to missing authorizations.
We prepare, validate, and electronically submit claims to Medicare, Medicaid, and commercial insurers with a focus on first-pass acceptance. Our process includes claim scrubbing for errors, payer-specific formatting, and real-time submission tracking. This significantly improves turnaround time, reduces rework, and ensures your claims are paid faster.
Efficient intake management sets the stage for smooth revenue cycle operations. We capture and manage all incoming patient and referral information—demographics, insurance details, medical documents, and provider notes. Our systemized intake process eliminates missing data, streamlines downstream workflows, and enhances the patient experience.
Every payment matters, and our specialists ensure accurate posting of all payments—whether electronic remittances (ERA), checks, or patient payments. We reconcile payments against claims, record adjustments, and flag discrepancies for resolution. This meticulous approach provides a clear financial picture and supports effective accounts receivable follow-up.
We believe in full transparency. Medisol RCM provides detailed reporting on claim status, denial trends, reimbursement timelines, and collections performance. Our customized analytics dashboards help providers track KPIs, identify bottlenecks, and make data-driven decisions to improve financial health and operational efficiency.