RCM Services
A Spectrum of Excellence in Healthcare Revenue Cycle Management
EqualizeRCM provides a full range of revenue cycle services including consulting, credentialing, medical coding, A/R and denials management, and extended business office services. Our nationwide clients include hospitals, rural health clinics, FQHCs, urgent care centers, physician clinics, laboratories, DME companies, ambulatory surgery centers, and other healthcare providers and investors.
What makes EqualizeRCM a solid, reliable provider of RCM services is our exceptionally strong team of healthcare industry experts who have confronted virtually every RCM problem and devised innovative solutions to solve them. Our custom approach is much more effective than the typical one-size-fits-all solution. We have created solutions for hundreds of organizations, large and small, each with their own particular complexities. Trust ECRM to do the same for you.
More resources for the same cost
EqualizeRCM has multiple offices across the country, and our international team enables us to be highly competitive. Our company owned delivery center in India, staffed by RCM experts and skilled medical billing veterans, allows us to keep costs down and avoid gaps in service, while scaling to meet the needs of your growing business. Our multiple offices across the nation enable us to apply experts on site as needed to address your RCM challenges.
Talent and technology
We believe it takes both of these components to achieve dramatic results. We can provide end-to-end solutions including:
- Consulting
- RCM Restructuring
- Interim Leadership
- Billing and Collections
- Denials and A/R Management and Appeals processing
- Patient A/R Follow Up
- Facility and Professional Coding
- Payment Posting and 835/837 Reconciliation
- Credentialing
- Extended Business Office Services
- Insurance Verification
- RCM Automation
Software bridging services
Virtually all of our clients have their own preferred medical billing and coding software, and we work in your systems. However, ERCM provides additional value and efficiency by using its add-on Optimus Suite of software tools that create a bridge between our services and your software. This allows us to quickly get up to speed in providing support, interim coverage and analysis to improve your revenue cycle results.
Data, reporting and interpretation
EqualizeRCM’s operations teams use our internal Optimus Suite of software tools to generate a wealth of data which we translate into actionable reports for our customers. These reports are instrumental in repairing, improving, and operating your revenue cycle.
Our RCM services are designed to relieve the burdens that may be felt by underequipped and understaffed revenue cycle departments. EqualizeRCM has made the difference between success and failure for hundreds of hospitals, clinics and other healthcare organizations and thousands of physicians. We also assist already successful organizations to reach new levels. Trust us to do the same for you.
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.
Our dedicated team of experienced billers, coders, and account managers work with our clients daily to bill clean claims and prevent denials.
With the use of our proprietary software and expert team of billers, EqualizeRCM can increase cash flow and identify root causes to help our clients reduce zero balance accounts and improve revenue integrity.
EqualizeRCM has the experience and expertise to help you improve your value-based and risk-based care delivery internal processes and external interactions to simplify reporting, minimize mistakes, and maximize collections.
Hierarchical Condition Category (HCC) coding and Risk Adjustment are part of the payment model which has been mandated by The Centers for Medicare and Medicaid Services (CMS) to calculate risk scores.
Many practices are swapping the fee-for-service model in favor of a risk-based model which calculates the value of a patient vs. the risks they may face based on their prior medical history.
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.
Software is an integral part of EqualizeRCM’s revenue cycle management solutions and we provide time-limited, custom software projects to healthcare companies.
1stCred is expertly designed to help us serve healthcare providers and ensure that the drawbacks of credentialing never stand in the way of efficient workflow.
Optimus Suite empowers facilities and practices to have efficient revenue cycle processes while reducing operational costs.
EqualizeRCM provides AI-driven smart Benefits Verification solutions to help Physician Groups and Hospitals reduce costs and improve the clean claim rate by eliminating human errors.
EqualizeRCM can provide back-office services to clients with high quality personnel.
The team of highly trained revenue management professionals at EqualizeRCM has years of combined experience handling the benefits verification process for our clients.