Reliance® Medical Billing Solutions

Medical Billing
Made Simple®

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Reliance® Medical Billing Solutions

Medical Billing
Made Simple®

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How Healthy is Your RCM?

The question on every Practitioner's mind

Medical Billing
Made Simple®

Healthcare revenue cycle management (RCM) is defined as the flow of provider, patient PHI, clinical, and financial data (PPC$) through people, processes, and a myriad of technologies. From a systems perspective, PPC$ data flows through multiple internal (provider) and external (payer) revenue cycle event-driven process chains (EPCs) via the electronic data interchange (EDI).

Inefficient Medical Billing can lead to overwhelming complexities. Achieving healthy RCM requires a strategy and results-driven implementation. Here is what our 4-step approach to healthy RCM looks like:

Reliance® Holistic Approach to RCM

In taking a “holistic/cradle-to-grave” approach, our goal is to enable our clients to optimize their provider revenue cycle in achieving the revenue cycle management “triple aim” of improving system performance, accelerating cash flow, and increasing practice profitability in reducing the excessive administrative burdens often associated with medical practice billing.

REVENUE HEALTH ASSESSMENT By Reliance®

Our Outcome driven “mini-assessment” of your revenue cycle involving insights into accounts receivables highlighting inefficiencies which might be present in your “upstream processes” such as: credentialing, enrollment, contracting, patient access, encounter processing, claim coding, claims submission, and more.

The Reliance® Revenue Cycle Audit

During our full revenue cycle management audit we review and scope out all of the multiple entry points involved in a provider revenue cycle pipeline. By leveraging process analysis, technology, and flexible reporting applications, we can map, combine, and display information in various forms providing medical practices with the ability to derive information from data, detect data patterns and correlations, and spot trends.

MEDICAL CHART AUDIT & REVIEW By Reliance®

Our certified coders will examine patient encounters/medical records to determine what primary and ancilliary services we performed to determine if the documentation is compliant, medical coding is accurate, and if charges were entered correctly based on your carrier and/or contractor policy requirements. During a medical chart review/audit we can examine:

  • ICD-10 Codes
  • Service Codes: CPT’s, HCPCS, Revenue Codes, DRG’s
  • Procedure Code Modifiers Usage
  • Referral, Medical Necessity, Precertification, Prior Auth.
  • Payor Contracts

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What Makes Us Different?

Our CoreFour℠ approach is why Practitioners choose Reliance®

Accurate and Compliant Billing

Certified professionals ensures accurate and compliant medical billing. We leveraging expertise in industry standards delivering comprehensive training in coding and claims submission.

Professional Communication

We excel in professional communication, prioritizing clear, compassionate interactions with patients and providing regular updates on claims and billing, addressing any concerns promptly.

Transform Billing into Seamless Experience

Reliance Medical Billing Services enhances billing efficiency with advanced technology, ensuring quick, accurate processing, minimizing errors, and maximizing reimbursements.

In-Depth Reporting and Insightful Analytics

Reporting and analytics provide an in-depth analysis of billing performance and financial metrics, offering actionable insights for more informed decision-making and identifying areas for improvement.

Resources

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