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Complete Revenue Cycle Management

Covering a vast spectrum from patients to payers and encompassing everything in between.

The Comprehensive & Flexible Rcm Solution

ProcareMedex Concierge: A complete revenue cycle management solution, freeing you from collections and enabling full attention on patient care.

With our adaptive and consultative approach, complemented by comprehensive end-to-end services and a dedicated specialized back-office team, we directly address your unique requirements. Allow us to enhance the profitability of your medical group and alleviate administrative burdens.

Adaptive Strategy

Our services are flexible and adaptable, accommodating any platform or technology choice, whether you switch to our PM/EHR system or keep your current provider's solutions.

Above & Beyond

We're exceptional revenue cycle experts, offering comprehensive services for maximum revenue capture. Going beyond the ordinary to optimize both front and back-end operations.

Full Transparency

Get the support you need while retaining control of your business. Achieve growth with accurate analytics and reporting for enhanced efficiency and accountability.

Powerful Support

Our devoted account managers are ever-prepared to address your inquiries promptly, providing quick and dependable responses to your everyday questions.

RCM Experts

Our specialized billing, remittance, and collection experts optimize the payment cycle.

Strategic Advice

Stay informed on industry changes with expert strategic support from a professional team.

Increase Profitability

Breeze offers a seamless virtual experience through its telehealth-focused workflow. With Breeze, patients can effortlessly schedule a telehealth appointment, complete the check-in process, and easily join their virtual consultation with a simple click on their computer, Android, or iOS device.

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Reduce Administrative Burden

Increase your practice’s productivity and experience the tranquility of having a proficient RCM team dedicated to your success. Our experts will alleviate your practice of significant administrative tasks such as handling denials, posting payments, and managing patient statements, freeing up more time for you to focus on patient care. On average, we reduce your days in A/R by an impressive 33%, allowing you to operate your practice more efficiently and effectively.

Claim Submission

Promptly sending claims, electronic or paper, to payers for timely processing.

Payment Posting

Posting paper remittances is a meticulous process we undertake with care.

Payer Follow-up

Efficiently manage claim denials, re-work, and follow-ups for seamless resolutions.

Patient Billing

Patient statements printed and mailed on your organization's behalf.

Enter Charges

Review, enter Superbill charges, and code Operative Reports are possible tasks.

Claim Errors

Error corrections ensure full claim amounts are collected effectively and efficiently.

Adapt To Industry Change

Our committed team of seasoned account managers is here to guide you through the swiftly evolving healthcare landscape of today. With our adaptable business model, we ensure your business stays up-to-date with regulatory shifts such as MACRA or ICD-10, while simultaneously empowering you to foster the growth of your practice at a pace that suits you best.

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Your Complete Revenue Cycle Support

At the core of our approach lies an elevated level of RCM support services. Our mission is to assist you in pinpointing opportunities for enhancing both front- and back-end operational efficiency, ensuring that every dollar is captured throughout the entire process, spanning from patients to payers and everything in between.

Credentialing

Our service aids healthcare providers in obtaining Government/Commercial Payers/Managed Care Plans credentials and quarterly CAQH re-attestations.

Contract/payer Negotiations

In our task, we analyze payer/plan contracts, propose fee schedule/reimbursement adjustments, and diligently track negotiation progress.

Benefits Verification

Our comprehensive support includes phone, fax, and email assistance to explain patient benefits and coverage for medical procedures.

Prior Authorization

We offer complete support via phone, fax, and email to secure prior approval for reimbursement in non-emergency medical cases.

Inbound Patient Call Center

Our hotline assists patients with billing questions and offers phone payment for additional help. Dedicated team ensures seamless service.

Out Of Network Billing

We handle everything from sending claims and posting payments to negotiating the payment from the payer, and working with the payer to pay the negotiated amount.

Worker’s Compensation

We support claim submissions with dedicated payers for different claim types, ensuring a smooth process for all submissions.

One Unified Team Working Across Multiple Platforms

Our extensive medical billing support is available for you, whether you decide to switch to our powerful, integrated PM/EHR platform or stick with your current vendor. With our technology-driven solutions and adaptable, consultative approach, we can assist you in identifying opportunities for financial enhancement.