Frequently Asked Questions

With more than 25 years of combined experience in healthcare and business, our expert team offers a wealth of knowledge and insight. Our precision and exceptional skills set us apart from the competition. We are dedicated to helping you operate more efficiently and elevate your business to new heights.

Partnering with us allows clinics, hospitals, labs and individual providers to benefit from our streamlined processes, optimized operations, and innovative solutions tailored to their unique needs.

AdvanceRCM optimizes processes and offers expert services in call center management, medical billing, and digital marketing. This support allows businesses to enhance their operations, focus on their core functions, and ultimately boost their bottom line.

We prioritize the confidentiality and security of client data. Utilizing advanced technology and stringent security protocols, we ensure data protection at every level. Our staff is well-trained in best practices for data security, and we enforce strict confidentiality agreements to safeguard client information at all times.

Insurance eligibility verification involves checking a patient’s coverage details before any services are rendered. This helps avoid claim denials due to inactive or insufficient coverage. AdvanceRCM ensures real-time insurance verification using advanced tools, reducing delays and errors in claims processing.

Medical billing plays a crucial role in ensuring timely patient collections by accurately submitting claims and following up with insurance companies. AdvanceRCM implements automated follow-up systems to streamline patient collections, ensuring that healthcare providers receive payments faster.

When a claim is denied, the billing team will review the denial reasons and resubmit the claim with the necessary corrections or appeal the denial. AdvanceRCM specializes in handling claim denials, identifying patterns, and implementing corrective actions to maximize reimbursements for healthcare providers.

Preventing coding errors is crucial for avoiding claim denials or audits. Certified coders at AdvanceRCM follow strict quality control protocols and use the latest coding software to ensure accuracy in medical coding, reducing the chances of errors that could affect reimbursement.

AdvanceRCM provides a comprehensive range of medical billing services, including charge entry, claims submission, payment posting, accounts receivable management, and denial management. Our goal is to streamline the billing process, allowing healthcare providers to focus on patient care while we handle their revenue cycle management.

AdvanceRCM stays up-to-date with healthcare regulations such as HIPAA and CMS guidelines to ensure compliance throughout the billing process. We conduct regular training sessions for our staff and implement internal audits to identify and rectify any compliance issues promptly.

Yes, AdvanceRCM offers comprehensive revenue cycle management services that include patient registration, insurance verification, billing, collections, and reporting. We analyze the entire revenue cycle to identify areas for improvement and implement strategies to optimize revenue flow for healthcare providers.

Healthcare providers can track the status of their claims through our user-friendly online portal, which provides real-time updates on claim submissions, payments, and denials. AdvanceRCM also assigns dedicated account managers to facilitate communication and provide detailed reports on claim status and revenue metrics.

Absolutely! AdvanceRCM specializes in providing customized medical billing and coding services for multi-specialty practices. Our team understands the unique coding requirements for various specialties and can streamline the billing process across different departments. This ensures that providers receive timely and accurate reimbursements, allowing them to focus on delivering quality patient care.

AdvanceRCM employs certified coders who specialize in various medical fields and stay current with coding updates and regulations. By utilizing advanced coding software and conducting regular audits, we ensure that codes are assigned accurately and consistently, reducing the risk of claim denials and improving overall billing efficiency for healthcare providers.

Medical billing is the process of submitting and following up on claims with health insurance companies to ensure healthcare providers receive payment for services rendered. It is essential to maintain cash flow and prevent revenue loss.

Medical coding involves translating healthcare diagnoses, procedures, medical services, and equipment into universal medical codes. Medical billing uses these codes to create insurance claims for payment.

We offer comprehensive medical billing services including claims submission, payment posting, denial management, patient billing, and revenue cycle management.

Eligibility verification is the process of confirming a patient’s insurance coverage and benefits before their appointment to ensure services are covered by their insurance provider.

We manage the entire credentialing process, from application submission to follow-up, ensuring that healthcare providers are enrolled with insurance payers and meet all required qualifications.

Denial management is the process of identifying and resolving denied or rejected claims. It helps healthcare providers recover lost revenue by addressing issues quickly and preventing future denials.

AR services involve managing the collection of unpaid balances from insurance companies and patients to ensure that outstanding claims are processed and paid on time.

Professional medical billing services ensure timely and accurate claim submission, reduce denials, and optimize the revenue cycle, leading to faster reimbursements and fewer delays.

A medical audit reviews your medical records, coding, and billing processes to ensure compliance with healthcare regulations and identify areas where revenue might be lost due to errors.

We follow all regulatory guidelines, including those from HIPAA, Medicare, and Medicaid, ensuring that all coding and billing practices meet industry standards and protect patient data.

Claim processing time depends on the insurance payer and the complexity of the case. However, with our streamlined processes, we aim to submit claims within 24-48 hours of receiving the necessary documentation.

If a claim is denied, our denial management team investigates the reason, corrects any errors, and resubmits the claim for payment to recover revenue quickly.

Yes, we work with all major insurance payers, including Medicare, Medicaid, commercial insurance companies, and third-party payers.

Credentialing ensures that healthcare providers are recognized by insurance payers, allowing them to receive reimbursements for the services they provide to insured patients.

We adhere to strict HIPAA compliance standards to protect patient data and use secure software to manage all aspects of medical billing and coding.

Outsourcing reduces administrative burdens, improves accuracy, speeds up claim processing, and allows healthcare providers to focus on patient care rather than financial management.

Yes, we tailor our billing and coding services to meet the unique needs of various specialties, including general practice, surgery, radiology, and more.

We follow up on unpaid claims and patient balances through our accounts receivable management services, ensuring that overdue payments are collected efficiently.

We provide detailed, customized reports on billing activity, revenue performance, denial rates, and more to help you track financial health and identify areas for improvement.

Absolutely. We assist new practices by guiding them through the credentialing process, helping them gain approval from insurance payers quickly and efficiently.