- Partner with Our Tested Revenue Cycle Management Services Team
Streamline your revenue cycle for increased operational efficiency
DME Service Solutions provides a comprehensive revenue cycle management solution that relieves healthcare organizations from the burden of collections and enables them to focus on customer care. We are a HIPAA-compliant company that prioritizes staying up-to-date with the latest medical regulations and compliance requirements. This enables you to have peace of mind and focus solely on healthcare while we focus on revenue cycle outsourcing.
Our expertise in revenue cycle management makes us a trusted service provider. Our dedicated team handles critical parts of your revenue cycle, from claims submission to A/R follow-ups to patient collections. With an expert team dedicated to your collections, you will gain meaningful insights to improve processes, reduce denials, and accelerate payment. Leverage our dedicated team of highly skilled RCM experts, who will collaborate closely with you to provide excellent revenue cycle outsourcing services. With our comprehensive solution approach, we guarantee a successful outcome and positive patient experiences.
- Our Solutions
Streamlining Processes from Revenue Cycle Management End to End and Everywhere in Between
- Our Process
Our End-to-End Revenue Cycle Management Process
Our RCM process ensures reliable and consistent cashflow management through a series of well-defined steps, which include:
Eligibility Verification
Our careful eligibility verification process ensures that we confirm the healthcare customer’s medical insurance coverage before proceeding with claims filing. This allows us to accurately report insurance claim information, including demographic details.
Authorization
Medical insurance plans often require pre-approval, known as prior authorization, for complex treatments. Initiating this process well in advance is crucial to avoid coverage denial. Gathering necessary documentation to prove medical necessity is essential for reimbursement.
Claim Submission
We manage the entire medical claims process, which includes preparation, submission, tracking, and follow-up. Our focus is on accuracy, compliance, and meeting payer-specific requirements.
Front-End Rejection
We efficiently handle clearinghouse, payer, and front-end rejections, ensuring timely reimbursement and maintaining cash flow. These billing challenges, stemming from procedural errors, can hinder revenue flow.
Cash Posting
We accurately record and apply payments from insurance companies, patients, or other payers. Timely and accurate cash posting is crucial for diligent tracking of reimbursements and ensuring a seamless financial flow.
Denial Management
We monitor and resolve claim denials, resubmit claims, and track denial reasons for analysis. Through a strategic approach, we enhance cash flow by analyzing, correcting, and preventing claim denials.
Accounts Receivables
Our comprehensive Accounts Receivables service includes tracking claims, managing patient balances, and conducting a thorough analysis of outstanding accounts. With targeted procedures and effective actions, we ensure prompt and secure payment.
Credit Balance
We efficiently manage overpayments and refunds to ensure compliance, accuracy, and a positive reputation. Mishandling carries legal implications that impact your practice, payers, and patients.
- Our Advantage
DME Service Solutions Revenue Cycle Management Outsourcing Advantage Process
Scalability
Our services can be easily scaled based on your needs, providing the flexibility you need during periods of growth or when managing changes in healthcare customer volume.
Cost Savings
Our RCM services offer cost savings compared to maintaining an in-house billing and coding department. This includes reductions in salaries, benefits, office space, and technology expenses.
Expertise and Specialist
We, as a team of experts, specialize in RCM processes and billing. Staying up-to-date with industry regulations and best practices, we aim to minimize the risk of billing errors and compliance issues.
Improved Efficiency
By utilizing Lean techniques and streamlining processes, we efficiently handle RCM tasks. Consequently, we achieve faster claims processing, decreased denials, and quicker reimbursement.
Focus on Core Competencies
By outsourcing Revenue Cycle Management (RCM) to us, our clients can concentrate on customer care and clinical operations. This streamlined process improves both the quality of care and healthcare customer satisfaction.
Increased Revenue
We have the expertise to process claims submission, and denial management. As a result, effective RCM can lead to increased revenue capture and improved financial outcomes.
- Why Choose Us
DME Service Solutions
The Leading Healthcare Revenue Cycle Management Company in the Industry
At DME Service Solutions, we take pride in being a human-centered BPO company that caters specifically to the healthcare industry. Our team is highly engaged and specialized to meet your unique requirements. We understand the importance of customer satisfaction and strive to provide tailored solutions that enhance your operations. Our commitment to partnering closely with you sets us apart in the industry and allows us to deliver the best possible service. At DME Service Solutions, our goal is to help you achieve your objectives and exceed your expectations.
- Maintained support for Increase in call volume
- Days average TAT for hiring
- Consistent service level results
- Decrease in average days to collect documents
- Increase CGM Orders YOY Q1-22 vs Q1-23
- Decrease in avg handling time
