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Revenue Cycle Management Services

Zero Risk - Expert Solutions for Maximizing Financial Performance

At Medical Billing Services 360, we streamline revenue cycle management to enhance efficiency and profitability. From billing and coding to denial management and financial reporting, we ensure you capture every dollar owed. Partner with our dedicated experts.

3x
Increase in POS Collections

96%
Clean Claim Rate (CCR)

85%
Improvement in Issue Resolutions

Enhance Revenue, Efficiency and Patient Experience with MBS360

Unlock your healthcare organization’s full potential with MBS360’s all-encompassing Revenue Cycle Management (RCM) services. Our approach goes beyond mere cost reduction and revenue optimization; we ensure an enhanced patient experience. As the industry shifts from fee-for-service to value-based care, expertise in medical coding, claims submission, and billing is essential.

With over a decade of expertise our RCM teams leverage their extensive experience across the country to craft customized solutions that meet your unique requirements. We employ data-driven strategies to optimize your entire revenue cycle, ensuring a holistic improvement in efficiency, profitability, and patient satisfaction. Partner with MBS360 to elevate every aspect of your revenue cycle.

Comprehensive Revenue Cycle Management Solutions by MBS360

Discover advanced healthcare billing with MBS360’s end-to-end Revenue Cycle Management. Our expert solutions leverage experience and technology, ensuring accuracy and efficiency for every specialty. Partner with us to streamline operations and maximize revenue potential.

Master the the Revenue Cycle with MBS360: Precision on every step

This involves accurately recording all medical services and procedures performed on patients into the billing system. It ensures that each service is documented for billing purposes, laying the foundation for revenue generation and claims submission.

A critical step in revenue cycle management, charge audit verifies the accuracy and completeness of billed services. It helps identify any discrepancies or errors before claims are submitted, ensuring compliance with regulatory requirements and maximizing reimbursement.

MBS360’s medical coding services translate healthcare providers’ diagnoses, treatments, and procedures into universally recognized alphanumeric codes. This standardized coding process is essential for accurate billing, claims processing, and reimbursement from insurance payors.

This involves thorough scrutiny of coded medical records to ensure accuracy and compliance with coding guidelines. By conducting regular audits, MBS360 ensures that coding practices meet industry standards, minimizing coding errors and optimizing revenue capture.

MBS360 focuses on enhancing clinical documentation to provide clear, comprehensive, and accurate patient records. Improved documentation supports better communication among healthcare providers, enhances patient care coordination, and ensures accurate coding and billing.

MBS360 negotiates favorable contracts with insurance payors on behalf of healthcare providers. By leveraging industry expertise and data analytics, MBS360 aims to secure optimal reimbursement rates and favorable terms to maximize revenue for healthcare practices.

Efficient patient scheduling is key to optimizing clinic workflow and enhancing patient satisfaction. MBS360 ensures streamlined appointment booking processes, minimizing wait times and maximizing provider productivity.
MBS360 manages patient appointments from scheduling to confirmation, ensuring efficient clinic operations. This includes sending reminders, managing cancellations, and rescheduling appointments as needed, improving patient attendance rates and clinic efficiency.
Prior to patient appointments, MBS360 verifies insurance coverage and eligibility. This proactive step ensures that services rendered are covered by insurance, minimizing claim denials and reducing financial risks for healthcare providers.
MBS360 facilitates the prior authorization process, obtaining approval from insurance payors for specified medical services or procedures. By managing this process efficiently, MBS360 ensures timely patient care delivery and minimizes delays in treatment.
MBS360 handles patient registration processes, collecting and verifying patient demographics, insurance information, and medical history. Accurate registration ensures proper patient identification, facilitates billing accuracy, and supports efficient healthcare delivery.
MBS360 manages the processing of remittances from insurance payors, reconciling payments received with billed services. This includes posting payments to patient accounts, identifying underpayments or overpayments, and ensuring accurate financial reporting.
MBS360 monitors and manages accounts receivable, tracking outstanding payments owed to healthcare providers. By optimizing collections processes and following up on unpaid claims, MBS360 accelerates revenue cycle turnover and improves cash flow for healthcare practices.
MBS360 resolves claim denials promptly and effectively, identifying reasons for denials and taking corrective actions. By appealing denials and addressing root causes, MBS360 maximizes reimbursement and reduces revenue loss due to denied claims.
MBS360 handles credit balances resulting from overpayments or refunds, ensuring timely resolution and accurate account adjustments. By managing credit balances efficiently, MBS360 maintains financial integrity and compliance with regulatory requirements.
MBS360 provides comprehensive analytics and reporting on financial performance and billing processes. These insights help healthcare providers make informed decisions, optimize operational efficiency, and identify opportunities for revenue growth and process improvement.

RCM Solutions for Healthcare Providers, Hospitals, Clinics, and Medical Practices

Take Complete RCM Ownership Or Optimize Gradually

MBS360 offers a flexible approach to explore the Revenue Cycle Management (RCM) services. Providers can opt for comprehensive end-to-end RCM services, where MBS360 handles every aspect seamlessly. Alternatively, they can choose specific services to optimize gradually, addressing backlogs or talent deficits in their team. This tailored approach ensures efficient revenue optimization and smoother operations tailored to each provider’s unique needs.

Patient Access

Medical Credentialing

Medical Billing & Coding

Payor Contract Negotiation

Reclaim you Revenue Potential MBS360's Robust RCM Solutions

Why Choose Medical Billing Services 360 for Revenue Cycle Management?

Medical Billing Services 360 has evolved with the dynamic healthcare landscape, offering custom-tailored Revenue Cycle Management (RCM) solutions unique to every client. With a steadfast commitment to maintaining data integrity for PHI and compliance, we ensure total safety for all entities. Our decades of experience and access to a vast pool of experienced and certified resources have transformed struggling practices into financially thriving ones. Experience the difference of partnering with industry experts dedicated to your financial success.

Benefits of Outsourcing Revenue Cycle Management to MBS360

Industry Expertise with Over a Decade of Experience: With more than ten years of industry experience, MBS360 has developed a deep understanding of RCM complexities. Our seasoned professionals adeptly navigate the intricate landscape of claims management, reimbursements, and financial optimization.
Technology Agnostic and Proficient Team on All Major Billing Platforms: Our proficient team is well-versed in all major billing platforms, ensuring seamless integration and optimal performance. Being technology agnostic allows us to work with your existing systems, minimizing disruptions and maximizing efficiency.
Customized Approach Tailored to Your Practice: We understand that each practice has unique needs. Our customized approach ensures that our RCM solutions are tailored specifically to your practice’s requirements, enhancing operational efficiency and patient satisfaction.
Quantifiable Results and Maximized Revenue Capture: Our strategic RCM practices are designed to maximize revenue capture. Through meticulous claim management, denial resolution, and proactive follow-up, we ensure that you receive the reimbursements you deserve, reducing revenue leakage and boosting your bottom line.
Revenue Insights with Detailed Monthly Reports: Gain comprehensive insights into your financial performance with our detailed monthly reports. We provide transparent and actionable data, allowing you to make informed decisions and continuously improve your revenue cycle management.

Unlock Your Revenue Potential!

Discover how Medical Billing Services 360’s expert RCM services can transform your practice. Get a complimentary billing audit today and see the difference! Contact us now to optimize your revenue cycle and enhance your financial health.

FAQ's

Medical Billing Services 360 works with a comprehensive range of payers, including Medicare, Medicaid, commercial insurance companies, and third-party administrators. Our extensive payer network ensures that your claims are managed effectively and efficiently, maximizing reimbursements and reducing denials across all payer types.

Medical Billing Services 360 provides RCM services across a wide array of specialties, including cardiology, orthopedics, neurology, oncology, and more. Our team of certified professionals is equipped with the knowledge and expertise to handle the unique billing requirements of each specialty, ensuring optimal financial performance for your practice.

Yes, Medical Billing Services 360 specializes in providing RCM services to out-of-network providers. We excel in negotiating with payers to secure higher reimbursement rates and ensure that OON claims are processed promptly and accurately. Our team handles the complexities of OON billing, allowing you to focus on patient care.

Absolutely. Medical Billing Services 360 offers flexible RCM solutions that can be tailored to meet your specific needs. Whether you require comprehensive end-to-end RCM services or need support in specific areas like billing, coding, or denial management, you can select the services that best suit your practice.

Medical Billing Services 360 offers a variety of payment methods, including fixed-fee structures and incentive-based fee structures. Our goal is to provide cost-effective solutions that align with your financial objectives. We work with you to determine the best payment method to maximize your return on investment.

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