Medical Billing Services
Modern, effective, and data-driven medical billing. Every healthcare organization and provider should receive fair, accurate, and timely payments.
- ✓Charge capture and claims submission
- ✓Insurance verification and eligibility checks
- ✓Payment posting and reconciliation
- ✓Patient statement processing
- ✓Detailed financial reporting and analytics
- ✓Multi-specialty billing expertise
- ✓Denial follow-up and resubmission
- ✓Electronic remittance advice (ERA) processing
Revenue Cycle Management Services
Discover the unique, data-driven approach to RCM from a team of experts. Transform your finances with revenue cycle management services that combine expertise, innovation, and partnerships.
- ✓End-to-end RCM workflow management
- ✓Payer contract analysis and optimization
- ✓Revenue leakage identification and prevention
- ✓KPI tracking and performance dashboards
- ✓Regulatory compliance management
- ✓Custom workflow automation via The EmbeddedRCM Way
- ✓Financial reporting and performance benchmarking
- ✓Strategic revenue improvement planning
Collections and Denial Management
AI-powered billing collections and claims denial management solutions that reduce administrative strains and deliver more reliable revenue streams.
- ✓Proactive denial prevention strategies
- ✓Automated denial tracking and categorization
- ✓Appeals management with high success rates
- ✓Root cause analysis for recurring denials
- ✓Payer-specific denial pattern analysis
- ✓Underpayment identification and recovery
- ✓Real-time denial dashboard and reporting
- ✓Staff training and process improvement
Patient Access Management Solutions
Keep patient information up-to-date and accurate. Support billing, scheduling, registration, and eligibility verification for a smoother revenue cycle.
- ✓Patient registration and demographic entry
- ✓Insurance eligibility and benefits verification
- ✓Prior authorization management
- ✓Referral coordination and tracking
- ✓Scheduling and appointment management
- ✓Patient financial counseling and estimates
- ✓Co-pay and deductible collection
- ✓Point-of-service collections optimization
Medical Accounts Receivable
Keeping your medical accounts receivable moving is critical to your overall financial health. We help with customized AR support, strategies, and resources.
- ✓AR follow-up on outstanding claims
- ✓Aging bucket analysis and prioritization
- ✓Insurance and patient AR management
- ✓Bad debt analysis and write-off management
- ✓Collections agency coordination
- ✓Cash flow forecasting and reporting
- ✓Denial-related AR resolution
- ✓Monthly AR performance reporting
Medical Coding Services
Accurate ICD-10, CPT, and HCPCS coding by AAPC/AHIMA certified professionals to maximize reimbursements and ensure full regulatory compliance.
- ✓ICD-10-CM and ICD-10-PCS coding
- ✓CPT and HCPCS Level II code assignment
- ✓Evaluation and management (E and M) coding
- ✓Surgical and procedural coding
- ✓Outpatient and inpatient coding
- ✓Compliance audits and coder training
- ✓Query management and physician education
- ✓Coding quality assurance reviews