We’re eager to hear about your goals and how we can help!
We understand finding a correct RCM partner can be daunting task as it directly affects the financials of a practice, but it can be a rewarding experience if you get it right. Not only can it add to your income directly but can also help you look at the bigger picture.
A right RCM partner must meet the following three criteria that we define as “Triple C" (Capability, Cost, and Compliance) in all areas of business and operations.
Cost: This can be a deciding parameter for a lot of practices. Generally, RCM company charge a percentage of what they collect for you, but would you rather pay a competitive price for the services or pay below market price to a company who is only collecting easy money and not fighting for every dollar ($) that is collectible.
Capability: The RCM should be managed by professionals who can help you drive your business to the next level of growth. They should help you achieve this through their domain/process knowledge, changing insurance guidelines and requirements. They should work on getting you maximum reimbursement and getting you paid quicker by billing clean claims. They should have the flexibility of working on any Billing/EMR software and should have knowledge about your specific specialty.
Compliance: Their People/Process/Infrastructure should be HIPAA and PHI compliant. Compliance should be built as part of their process. Each employee should be trained on compliance and sign a HIPAA compliance agreement. Periodical assessments must be conducted to ensure compliance. They should also have a robust Business Continuity Plan that ensures NIL interruption in your business in any situation.