As a healthcare specialist, you must have a high patient rate, and to get appropriately reimbursed for every service, you must need well-versed and knowledgeable staff who know tactics of proficient medical billing and coding. Let us deal with all the complexities and requirements of your healthcare revenue cycle solution because its consultants provide expert-level knowledge and guidelines to medical organizations and help solve granular and specific problems. Our all-in-one platform is adaptable and customizable to completely fit the requirements of your small to large-sized medical practices. Whether your facility is general, free-standing, connected to hospital, interventional, or pediatric, our billing advisors streamline your billing system to improve revenue.
As a top-rated healthcare reimbursement company in the USA, MedsIT Nexus' RCM covers all types of healthcare procedures performed in any specialty, including urgent care, cardiology, HME, PT, and emergency rooms of any size, ranging from small to large facilities. Our proactive crew has an optimal skill set to guarantee appropriate revenue return for approximately 90+ specialties for:
MedsIT Nexus streamlines the financial cycle by assisting and guiding you in every step of coding and billing so that you receive every penny for your rendered services.
| Insurance verification review MedsIT Nexus is renowned throughout the USA because we relieve patients and providers by reviewing authentic coverage verification services. By providing reliable assistance, we help your patients avoid receiving a "surprise bill,” calculate deductibles, and make them understand their financial responsibility, preventing claim denial or delayed reimbursement. |
Claim formation and submission consulting Our back-end clean claim processing assistance services involve rendering customized guidance on translating medical visits into justified bills using codes, submitting the claim digitally/manually to insurers, monitoring the adjudication process, and identifying trends and patterns to stay updated about the claim status. We provide strategies to generate electronic claims in the practice management system and then submit them using medical billing software, which adheres to electronic filing requirements established by HIPAA. |
Scrubbing & Audit consulting Outsource medical billing and auditing services to MedsIT medical coding audit consultants to maximum claim acceptance rate during the insurance claim process in which our expert auditors and billers check the accuracy of codes and claims by scanning the correctness of provider & patient data, insurers' data, medical necessity, age-specific procedures, etc. Our retrospective and prospective auditing services are reliable and help to gain targeted goals by repeating end-to-end reviews of any loophole. |
| Denial analysis & management consulting Denials can cause significant revenue loss if not managed professionally and timely; therefore, we immediately assign a dedicated team that reviews the ERA and EOB and determines your denied claim's actual bone of contention. |
AR follow-up & recovery Reduce your AR days with our innovative strategies for eliminating financial obstacles. We keep a stringent eye on the outstanding claims and propose different options to patients to pay reimbursement. |
Customized reporting We share detailed, real-time, and customized reports on your RVU and claim compared to the previous one on a daily, weekly, bimonthly, and monthly basis. Moreover, we suggest the best tactics to clear glitches and make your RCM more efficient. |
Partnering with MedsIT Nexus means gaining guidance on which system to implement and how to transfer PHI
through these systems for seamless operations. Moreover, you can get access to our updated and web-based
billing software, EHR, EMR, and practice management software that integrates with your organization's
existing data, hence replacing manual work, enhancing operational efficiency, ensuring high-quality
clinical documentation, preventing wrong or incomplete documentation, fostering seamless communication
with patients and providers.
Our assistance group understands how to use technology that integrates with existing records
proficiently and how to guide you in ensuring a quick turnaround in credentialing providers with payers
using these solutions. So, you don't have to invest in buying technologies and learning their usage
method to integrate with your administrative cycle.
Gaining our support means getting access to experts and professionals certified by AAPC who constantly adapt themselves to updates to render a proactive approach and ensure that your workflow uses updated codes. We help implement the most updated and appropriate codes given by CMS and modifiers and ensure documentation accuracy to justify the medical necessity of the service and to reflect the complexity and severity of the patient's history and diagnosis. Our medical coding consultants implement different coding and billing procedures based on inpatient, outpatient, and treated same or next-day visits by adhering to the guidelines set by LCD, CMS, AAPC, and other legal organizations.
Our customized consulting services are well-equipped to overcome the needs of training staff, workforce optimization, outdated processes, and software inadequacies, and we have a proven success record in claim processing.
The underlying philosophy of our compliance service is that claim denial can be controlled if the RCM team complies with HIPAA, legal regulations of privacy, and insurers’ requirements, hence preventing you from abuse and fraud. The ever-evolving field of healthcare revenue has proposed new compliance standards that we follow thoroughly.
Still perplexed about why you should outsource medical billing with us? MedsIT Nexus takes pride in being among the best healthcare financing companies in the United Nations, particularly in Florida, Canada, New York City, and Texas. Our guidance helps you gain more control over your financial cycle from patient registration to AR recovery. Some other peculiarities that distinguish our advisory team from other billing platforms are the reasons why you should hire our consultancy services:
Remarkable help always comes in handy to alleviate administrative burden from your desk. Are you ready to transform your medical facility revenue optimization procedure? Book an appointment with MedsIT Nexus; our revenue integrity consultancy providers can make it much better for you to foster value-based billing.
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