Critical Access Hospitals & Community Hospitals

Let us help you serve your community.

EqualizeRCM has over 15 years of experience and currently works in over 30 Critical Access Hospitals, including specific experience in billing, coding, coding reviews, payor credentialing, registration, denial management, A/R follow-up, Business Office operations, RCM performance consulting, and charge capture analysis. 90% of our hospital team have worked for Critical Access Hospitals on a daily basis.

Our senior leadership team experience sets us apart, by bringing together professionals of the highest caliber – evidenced by hiring a past CAH CEO, CAH Business Office Director, CAH RCM manager, CAH Coding Director, Six Sigma practitioners, CTOs, and experienced consultants from healthcare/financial services industries.

Expert support where you need it most.

  • Top revenue performance solutions for Critical Access Hospitals.
  • Specialized team of RCM specialists focused on the unique needs of Critical Access Hospitals.
  • Affordable and streamlined solutions tailored to prioritize Medicare/Medicaid compliance and reimbursement.
  • Comprehensive approach aimed at optimizing revenue management for better financial outcomes.
Accounts Receivable

Reducing aging A/R takes clean billing and constant work on denials and outstanding balances. Most medical practices and facilities experience high A/R because of denials that have not been worked in a timely manner.

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Denials Management

Reducing aging A/R takes clean billing and constant work on denials and outstanding balances. Most medical practices and facilities experience high A/R because of denials that have not been worked in a timely manner.

A/R Management

Reducing aging A/R takes clean billing and constant work on denials and outstanding balances. Most medical practices and facilities experience high A/R because of denials that have not been worked in a timely manner.

A/R Liquidations

Reducing aging A/R takes clean billing and constant work on denials and outstanding balances. Most medical practices and facilities experience high A/R because of denials that have not been worked in a timely manner.

Coding Services

Correct, accurate, and efficient coding can accelerate the billing cycle, reduce returned claims, decrease denials, and increase revenues. Our team of highly qualified AAPC/AHIMA certified coders provides solutions to common coding problems, preventing human error, managing complex documentation, reducing denials, ensuring fee and service alignment.

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Coding Audits

After signing up for a medical coding review, EqualizeRCM will contact you to request a sample of your previously coded services. Once received, the sample set will be reviewed, feedback captured, and the results included in a summary report.

Hospital Coding

We help hospitals improve their revenue cycle performance by delivering optimal knowledge and support in accurate and specific medical coding

Physician Coding

Our team can keep your staff and providers up to date on the latest coding and payor guidelines to limit and reduce claim rejections.

Business Office Co-sourcing

Reducing aging A/R takes clean billing and constant work on denials and outstanding balances. Most medical practices and facilities experience high A/R because of denials that have not been worked in a timely manner.

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Coding, Billing and Rejections Management

Reducing aging A/R takes clean billing and constant work on denials and outstanding balances. Most medical practices and facilities experience high A/R because of denials that have not been worked in a timely manner.

Denials and A/R Management

Reducing aging A/R takes clean billing and constant work on denials and outstanding balances. Most medical practices and facilities experience high A/R because of denials that have not been worked in a timely manner.

 

Consulting Services

We perform thorough assessments to help hundreds of healthcare organizations uncover opportunities and create actionable solutions.

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RCM Optimization

EqualizeRCM provides detailed insight on RCM and offers prescriptive solutions for optimizing revenue flow.

Interim Leadership

EqualizeRCM can help you find highly capable individuals to lead your healthcare organization while providing you with interim support

Due Diligence

Through our wide-ranging assignments and support with RCM for all types of healthcare entities, we can provide clients with comprehensive insights into the business potential and risks involved.

Credentialing Services

The Credentialing Group at EqualizeRCM is specifically designed to support the needs of hospitals, physician groups, urgent care centers, community health centers, behavioral health facilities, telehealth providers, vision providers, and more.

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Payor Application Projects

The Credentialing Group at EqualizeRCM is specifically designed to support the needs of hospitals, physician groups, urgent care centers, community health centers, behavioral health facilities, telehealth providers, vision providers, and more.

Ongoing maintenance by leveraging best-in-class credentialing software

The Credentialing Group at EqualizeRCM is specifically designed to support the needs of hospitals, physician groups, urgent care centers, community health centers, behavioral health facilities, telehealth providers, vision providers, and more.