person sitting while using laptop computer and green stethoscope near

RCM MEDICAL BILLER

We are expert Revenue Cycle Management (RCM) specialists providing professional Physician Billing, DME Billing, Hospital Billing, ASC Billing, and Diagnostic Lab Billing services. With comprehensive experience in the full medical billing cycle from patient intake to final reimbursement, we deliver accurate, compliant, and efficient billing solutions.

Our priority is to maximize revenue, reduce claim denials, and support smooth financial operations for healthcare providers and DME suppliers worldwide.

Physician Billing Expertise

We manage all critical billing functions with precision and adhere strictly to payer guidelines and HIPAA standards extensively.

Our Physician Billing Skills Include:

  • Patient demographics and eligibility verification for accurate coverage.

  • Charge entry and encounter processing to prevent claim errors.

  • CPT, ICD-10, and HCPCS coding review for compliance.

  • Clean claim submission to minimize denials and speed reimbursement.

  • ERA/EOB payment posting for accurate financial records.

  • Insurance and patient A/R follow-up until claims are resolved.

  • Denial management and appeals to recover revenue.

  • Primary, secondary, and tertiary insurance verification.

  • Monthly revenue and denial reporting.

  • Experience with all major payers including Medicare, Medicaid, commercial plans, Tricare, and Workers’ Compensation.

man in white dress shirt holding clear plastic bottle

DME BILLING EXERCISE

In addtion, We also specialize in DME billing, managing its unique documentation requirements, payer rules, and claim challenges with expertise.

  • Eligibility, benefits, and prior authorization verification

  • Managing CMNs, LMNs, and all medical necessity documentation

  • Accurate HCPCS coding and modifier usage

  • Processing rental and purchase claims

  • Handling capped rentals and competitive bidding rules

  • Performing same/similar checks to prevent denials

  • Precise insurance and patient payment posting

  • Denial resolution and appeals for medical necessity, modifiers, and frequency issues

  • Experienced with Medicare, Medicaid, and commercial DME payers

  • Coordinating with suppliers and physicians to avoid delays

Our DME Billing Skills Include

Our Hospital Billing Services

  • Inpatient and outpatient billing for all facility services.

  • ASC billing with correct CPT, HCPCS, and revenue codes.

  • Charge master and procedure accuracy review.

  • UB-04 claim creation and submission.

  • Proper revenue code and modifier application.

  • Insurance verification and authorization for surgical cases.

  • Accurate institutional payment posting.

  • Facility denial management for medical necessity, coverage, and authorization issues.

  • Compliance with payer-specific facility billing guidelines.

  • Monitoring and reducing late charges to improve revenue capture.

  • Eligibility & pre-authorization for diagnostic tests.

  • Coding support (CPT/HCPCS/ICD-10) for labs & imaging.

  • Accurate claim submission for labs, imaging centers & IDTFs.

  • Payment posting for diagnostic claims.

  • Follow-up on unpaid or delayed diagnostic claims.

  • Denial management (frequency, medical necessity, PA, coding).

  • Expertise in billing for labs, radiology & advanced diagnostics.

  • Ensuring proper documentation for diagnostic medical necessity.

  • Verifying test-specific coverage rules across payers.

  • Coordinating with providers to reduce diagnostic claim errors.

  • Monitoring reimbursement trends for diagnostic services.

Our Diagnostic Billing Services

Billing Experience Across These Products

We provide accurate, compliant billing for a wide range of medical products to ensure smooth reimbursement.

CPAP/BiPAP Equipment

Nebulizers

Wheelchairs & Walkers

Orthotic Devices

Diabetic Supplies

Hospital Beds

Oxygen Equipment & Supplies

Softwares & Tools We Work On

Athena Health
eClinicalWorks
AdvancedMD
DrChrono
MedQ
Athena Health
Office Ally
MediSoft
Epic
GoScripts
Brightree
DMEHub

Our Approach & Values

We see medical billing as more than data entry—it drives patient satisfaction, provider stability, and business growth. With accuracy, transparency, and diligent follow-up, we ensure maximum reimbursement with minimal delays.

What You Can Expect From Us:
  • Timely claim submission

  • High clean-claim rate

  • Reduced denials

  • Faster reimbursement cycles

  • Full compliance with HIPAA and payer regulations

  • Clear communication and regular reporting

Our Commitment

Whether for medical practices or DME suppliers, we deliver reliable, efficient, and transparent billing services that drive long-term financial success.