Custom Tailored Medical Billing Services Company
We have a 99.9% claim acceptance rate.
From the moment your patient walks in until you receive payment for the services rendered, our medical billing services team supports your growth by focusing on problem areas in your revenue cycle.
1200+ Providers Served
100+ Medical Specialties
500+ Certified Coders & Billers
50 States Served
Our Client Base
Right Medical Billing offers comprehensive medical billing and revenue cycle management services to a diverse client base. We partner with healthcare providers of all sizes, from solo practitioners navigating complex healthcare landscapes to large healthcare systems managing bustling operations. Our commitment lies in delivering tailored solutions that drive revenue and efficiency.
Why Choose RMB as your Medical Billing Services Provider?
As your dedicated medical billing services provider, we’re an extension of your practice. Imagine us as your financial team. While you focus on patient care, we’ll handle the complex world of insurance claims, patient billing, and revenue collection. Together, we'll ensure your practice runs smoothly and efficiently.
Your healthcare facility is a complex system with many moving parts, all working together to deliver exceptional patient care. We at Right Medical Billing are proud to be a vital component of that system. As a trusted medical billing services provider, we handle the financial aspects of your practice, allowing your team to focus on what they do best: providing compassionate care.
Medical Billing Services We Offer
Medical Billing and Coding
The single most important element to guarantee reimbursements is proper medical billing and coding. Even the smallest mistake can result in a delay of payment. Right Medical Billing has a dedicated team of billers and coders that ensure patients and payers reimburse healthcare facilities for the services that they deliver.
Accounts Receivable Management
Right Medical Billing aggressively manages your practice’s accounts receivable by pinpointing any outstanding payments that the provider or healthcare facility should be expected to receive, then pursues the patient or insurance payer for the unpaid balance. We post payments in a timely manner to ensure an optimal billing process.
Credentialing & Contracting
Credentialing and contracting are the basis of starting a healthcare facility. They also lay the foundation for your relationships with insurance companies as well as patients. RMB will negotiate contracts with insurance payers and ensure that your contracts are up to date so you can attain the highest reimbursement rates.
Out of Network Negotiation
Right Medical Billing negotiates out-of-network claims aggressively with pricing vendors such as Multiplan, Zelis, Viant, and GCS. Our negotiation and settlement team have decades of expertise. Out-of-network billing is the trickiest aspect of billing, and we are well-known in this industry as the experts in the field.
Eligibility and Benefits Verification
Eligibility and insurance benefits verification are critical to receiving accurate information about insurance coverage and reimbursement. Healthcare facilities need to verify each patient’s eligibility and benefits to ensure that they will receive payment for services rendered. Consider us a part of your team in this process.
Complete RCM Services
Right Medical Billing offers you complete revenue cycle management, starting from the moment your patient walks in the door up until the payment for your services are received. We are available to manage and educate your staff on compliance, streamlining workflow, and maximizing productivity. Think of us as an extension of your staff.
Benefits of Choosing Our Medical Billing Services
Right Medical Billing will not only take care of your financial burdens, but we, as a company, will strive to improve your overall RCM operations. This is our promise to all of our medical billing clients across the US. Just as you are the best at what you do, we are the best at what we do. If you succeed, we succeed.
Below are some of the reasons as to why many of our clients decided to choose us over our competitors.
More Focus on Patient Care
Reduced Administrative Duties
Enhanced Cash Flow
Reduced Billing Errors
Improved Patient Satisfaction
Secured Patient Data
Billing Compliance
Process Claims Faster
Is Your Practice Leaving Money
on the Table?
Our expert audits carefully identify hidden revenue leaks caused by coding errors, patient demographic inaccuracies, and claim denials.
Maximize your reimbursements and streamline your billing process for optimal financial health.
Compliance Audits
- Ensure adherence to all applicable regulations including HIPAA, Medicare, and Medicaid rules.
- Verify coding accuracy to prevent claim denials and underpayments.
- Validate patient demographic information for accurate claim submissions.
- Review claim submission processes for timely and accurate filings.
- Assess payment posting accuracy to avoid errors and delays.
Revenue Cycle Audits
- Identify and address coding errors that impact reimbursement.
- Analyze claim denials to identify common causes and develop prevention strategies.
- Evaluate the efficiency of the billing process to identify bottlenecks and improve workflows.
- Review payment posting procedures for accuracy and timeliness.
- Assess the overall health of your revenue cycle to identify areas for improvement.
Internal Control Audits
- Evaluate the effectiveness of internal controls to prevent fraud and errors.
- Review access controls to ensure that only authorized personnel have access to sensitive data.
- Assess documentation procedures to ensure that all necessary information is captured and retained carefully.
- Evaluate the effectiveness of the organization's compliance program to ensure adherence to regulations.
- Address potential conflicts of interest among employees.
Our Medical Billing Process
Patient Registration:
Patient information is collected, including demographics, insurance details, and contact information.Patient Visit:
Medical services are rendered to the patient. Detailed medical records are created, including diagnoses and procedures.Coding:
Medical coders assign specific codes to diagnoses, procedures, and medical services. These codes are used to communicate with insurance companies.Claim Preparation:
A medical claim is created, including patient information, insurance details, and coded services.Claim Submission:
The claim is electronically submitted to the patient’s insurance company.Claim Adjudication:
The insurance company reviews the claim for accuracy and completeness. They determine the amount to be paid based on the patient’s insurance coverage and the provider’s contracted rates.Payment or Denial:
If the claim is approved, payment is sent to the medical provider. If the claim is denied, the provider may need to resubmit it or appeal the decision.Patient Billing:
Patients may be responsible for co-payments, deductibles, or any amounts not covered by insurance. Bills are sent to patients, and follow-up is conducted to collect outstanding balances.
Client Testimonials
