RCM recognizes primary care functions eligible for reimbursement, helps clients drive patient compliance, and builds data that qualifies for top-tier contract rates.
RCM Service Offerings
Eligibility
RCM works to accurately place all demographic and insurance entries into the billing platform.
Charge Entry
RCM works to accurately place all demographic and insurance entries into the billing platform.
ICD/CPT Coding
RCM works to ensure proper diagnosis and procedure codes are on claims for payment. RCM offers everything from code review up to direct coding from notes.
Claim Submission
Our integrated clearinghouse allows for quick and accurate claims submission and filing. Our RCM program has a 98% first pass submission rate on claims for payment. RCM offers everything from code review up to direct coding from notes.
Payment Posting
After claims are created and sent insurances, the practice will receive a Remittance Advice or Explanation of Payment from the insurance carrier in the mail. Practice will then fax or scan to our RCM team for payments to be posted
Denial & Collections
If there are any denials, RCM works to correct any discrepancies and resubmit to insurance or have an insurance representative re-process the claim. Denials are worked until there is no additional recourse. Our team will work with a collection agency of the practice’s choice and whether to send delinquent accounts to collections.
Patient Billing
RCM works to generate patient statements and determine an efficient process for sending patient statements. Our RCM offers Benchmark Pay, an online payment portal that works to receive electronic payments directly from the patient. If the practice decides to send patients to collections, our RCM team works directly with several collection agencies to make information submission seamless.
Reporting
RCM works with practices to determine specific reporting requirements and desired reporting schedules. In addition, the practices are given full access to the Benchmark Systems platform to access any reports, any time – all billing methods are 100% transparent.