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Revenue Cycle Management
Getting Started

Efficient revenue cycle management is a critical part of the success of any medical practice!

Failure to optimize every aspect of claims submission, claims payment and accounts receivable management, including both insurance and patient balances, can seriously affect your practice’s revenue flow. The rules and regulations affecting this most important aspect of your practice’s financial health are changing constantly with both commercial carriers and government plans.

MDmanagement provides highly advanced revenue cycle management services that can help you effectively manage this most important aspect of your practice, giving you dramatically improved cash flow, far more efficient medical records processing, and outstanding claims denial management.
MDmanagement can train your staff on the intricacies of revenue cycle management, or like many physicians, you may choose to partner with
MDmanagement for all of your revenue cycle management needs and outsource that function to us. Either way, you receive the benefit of 30+ years of experience, functional scale and proficiency in this critical area.

MDmanagement assists clients with development of coding and billing compliance programs to include:

  • Establishing coding and billing policies to assure recognition of payer rules
  • Orienting coding and billing personnel to specific payer and institution guidelines
  • Performance of routine internal and external audits to identify problems
  • Update staff to revisions in payer policies and procedures
  • Development of ongoing training and skills assessment programs
  • Identification and orientation of staff to facilitate assistance to employees with problems in complying with institution and/or payer policies

MDmanagement focuses on the systems needed to:

  1. Identify billable procedures
  2. Determine appropriate fees for services
  3. Calculate the revenue potential of multiple locations
  4. Establish billing policies
  5. Analyze billing systems
  6. Improve the documentation on which billing is based

Hospital-Based Practices

Since 1984, our hospital-based physician clients (Anesthesiology, Emergency Medicine, Pathology and Radiology) have sought advice regarding their frustration of not knowing if their billing company was doing an effective job of billing & collecting for services rendered. Many times, we were asked to recommend a new billing company. Historically, we have been reluctant to recommend third-party billing companies due primarily to the fact that there were only a handful of billing companies that could be relied upon in our service area to fully meet the needs of our clients.

During a strategic planning session in1988, a new division of MDmanagement was created to service the needs of hospital-based physician groups. Our focus is to identify and correct inefficiencies that arise in the performance of fundamental billing and reimbursement activities by your third-party billing company.

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Acting independent of your billing company and on a direct reporting basis to our physician clients, we schedule monthly site visits to your billing company to audit the previous month’s billing & collection activities. We investigate not only suspected problems, but also common operational areas that are often overlooked or not thought to be an issue. We ensure that your business practices are effective and financially strong.

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