Info@streamlinercm.com
Phone: 954-955-1106
Our Services
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Zero Balance Accounts with Auto
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Payment Posting
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Denial Management
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Claims Management
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Secondary Filing
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Appeal Procedure
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Reducing Claim Denials
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Maximizing Reimbursements
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Dedicated Support
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Procedural Compliance with HIPAA
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HIPAA Trained Reps
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Background Checks on All Reps
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Consulting Services
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Payment Posting
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Denial Management
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Claims Management
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Secondary Filing
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Appeal Procedure
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Reducing Claim Denials
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Maximizing Reimbursements
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Dedicated Support
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Procedural Compliance with HIPAA
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HIPAA Trained Reps
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Background Checks on All Reps
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Consulting Services
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Assessment & Audit
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Process Optimization
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Technology & System Assessment
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Compliance & Regulatory Guidance
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Financial Performance Improvement
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Training & Knowledge Transfer
WHY RCM FOR URGENT CARE,
HOSPITALS or CLINICS?
WHY RCM FOR A PHYSICIAN’S PRACTICE?
(Family medicine, specialties)
WHY CONSULT WITH
AN RCM SPECIALIST?
A Revenue Cycle Management (RCM) company plays a crucial role in optimizing the financial operations of urgent care, hospitals and clinics centers by streamlining billing, increasing collections, reducing claim denials, and improving cash flow.
Here’s how an RCM partner like Streamline RCM can benefit clinics and urgent care facilities:
1. Fast & Accurate Medical Billing & Coding
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Ensure correct CPT, ICD-10, and HCPCS coding to minimize denials.
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Quickly process claims for high patient volume environments like urgent care.
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Reduce errors that can delay reimbursements.
2. Insurance Verification & Eligibility Checks
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Confirm patient coverage to prevent claim rejections.
3. Efficient Claim Submission & Processing
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Submit claims electronically for faster approval.
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Tracks claims in real-time, addressing rejections or errors quickly.
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Reduce the burden on front-office staff, allowing them to focus on patient care.
4. Denial Management & Appeals
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Identifies and corrects common denial reasons.
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Submits appeals efficiently to recover lost revenue.
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We have implemented strategies to prevent future claim rejections.
5. Payment Posting & Reconciliation
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Accurately post payments from insurance companies.
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Detect underpayments and follow up for appropriate reimbursement.
6. Compliance & HIPAA Security
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Ensures billing practices meet HIPAA, Medicare, Medicaid, and payer regulations.
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Protect patient and financial data with secure processing systems.
7. Financial Reporting & Revenue Insights
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We provide customized reports on revenue, denials, and outstanding claims.
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We can help practices make data-driven decisions to improve profitability.
8. Reduced Administrative Burden & Increased Efficiency
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Reduce workload for clinic staff by handling billing and follow-ups.
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Allow front-office teams to focus on patient experience instead of payment issues.
9. Maximized Revenue & Improved Cash Flow
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Help clinics maintain a steady cash flow while minimizing write-offs.
By partnering with an RCM expert like Streamline RCM, clinics and urgent care centers can improve financial performance, reduce administrative stress, and enhance patient satisfaction—all while focusing on quality care.
A Revenue Cycle Management (RCM) company helps a physician’s office optimize financial operations by managing the entire billing process, ensuring timely reimbursements, reducing denials, and improving cash flow.
Here’s how an RCM company like Streamline RCM can support a physician’s practice:
1. Efficient Medical Billing & Coding
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Ensure accurate CPT, ICD-10, and HCPCS coding to prevent claim denials.
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Submit clean claims the first time, reducing errors and payment delays.
2. Insurance Verification & Eligibility Checks
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Confirm patient coverage before appointments to avoid billing issues.
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Reduce claim denials due to ineligibility or policy lapses.
3. Claim Submission & Management
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Submit claims electronically for faster processing.
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Track claims to address delays, rejections, or required corrections quickly.
4. Denial Management & Appeals
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Identifies reasons for claim denials and submits necessary appeals.
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We have implemented strategies to reduce future denials and maximize reimbursements.
5. Payment Posting & Reconciliation
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Accurately posts insurance and patient payments to accounts.
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Identify underpayments and follow up with insurance payers for adjustments.
6. Compliance & HIPAA Security
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Ensure billing follows regulatory standards (HIPAA, Medicare, Medicaid, and payer policies).
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Keep financial and patient data secure and compliant.
7. Financial Reporting & Analytics
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We provide customized reports on revenue, denials, and outstanding claims.
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We can help practices make data-driven decisions to improve profitability.
8. Reducing Administrative Burden
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Using Streamline will free up office staff to focus on patient care instead of chasing payments.
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We streamline workflow, improving efficiency and reducing errors. If you will forgive the pun.
9. Increased Revenue & Faster Cash Flow
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Optimize the revenue cycle for higher collections and fewer outstanding balances.
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Shorten reimbursement timelines, ensuring steady cash flow.
With a trusted RCM partner like Streamline RCM, a physician’s office can focus on delivering quality patient care while ensuring financial stability.
In the complex world of healthcare revenue cycle management, even small inefficiencies can lead to significant financial losses. Our consulting services provide the expert guidance needed to streamline workflows, enhance compliance, and optimize reimbursement processes. Whether you're looking to improve claim accuracy, reduce denials, or boost overall financial performance, our tailored solutions help healthcare organizations operate more efficiently and profitably. Let our industry expertise empower your team with the strategies and insights needed for long-term success.
1.Assessment & Audit
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Review current revenue cycle processes (billing, coding, collections).
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Identify inefficiencies, compliance risks, and revenue leakage.
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Benchmark performance against industry standards. 2. Process Optimization
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Streamline patient registration, insurance verification, and prior authorization, if applicable. Specific to facilities, clinics, and physicians offices.
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Improve medical coding (CPT, ICD-10, HCPCS) for higher reimbursement rates.
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Enhance claims management to reduce denials and delays. 3. Technology & Systemnb Implementation
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Recommend and implement RCM software (e.g., Epic, Cerner, Athenahealth).
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Suggestions for automated billing and reporting systems for improved efficiency.
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Ensure system integration with EHRs and accounting platforms. 4. Compliance & Regulatory Guidance
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Ensure adherence to HIPAA, Medicare, Medicaid, and payer guidelines.
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Mitigate risks related to audits and compliance violations.
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Provide training on regulatory changes affecting revenue cycles.
5. Financial Performance Improvement
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Develop strategies to increase collections and cash flow.
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Optimize payer contract negotiations for better reimbursement rates.
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Reduce accounts receivable days and bad debt write-offs.
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6. Training & Knowledge Transfer
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Conduct training for billing teams, coders, and administrative staff upon request.
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Provide documentation for ongoing revenue cycle improvements.
OUR GUARANTEE!
At Streamline RCM, we handle the entire revenue cycle with precision and efficiency. Our system accelerates every step, from data entry to claims submission, ensuring a smooth and effective process. The rise of managed care has led to a significant increase in payer denials, with industry estimates showing that denied claims now account for approximately 18% of all charges for U.S. healthcare providers. In today’s cost-sensitive healthcare environment, overlooking the impact of denials is no longer an option. Providers are implementing proactive strategies to recover revenue from current denials while working to minimize future occurrences. While appealing denied claims is crucial, Streamline RCM goes beyond simple appeals—we help physicians, hospitals, and clinics address the root causes of denials to prevent recurring issues. From start to finish, our approach ensures efficiency. We streamline data entry, expedite claim submissions, and execute strategic appeals to overturn denials. Our billing and collections system is designed to maximize revenue by aggressively pursuing denied claims, increasing cash flow, and signaling to payers that your organization will not accept denials as a standard business expense. With in-depth insights and customized reporting, we help identify denial trends and their underlying causes. This allows you to refine processes, enhance payer negotiations, and track long-term progress in reducing claim denials—ultimately improving your bottom line.
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WATCHING YOUR BOTTOM LINE! WE ONLY GET PAID WHEN YOU DO!
A Revenue Cycle Management (RCM) company helps reduce payroll costs by eliminating the need for large in-house billing staff. Instead of paying full-time salaries, benefits, and training expenses for an internal billing team, healthcare providers can rely on an RCM partner that operates on a performance-based model—only getting paid when they successfully collect payments from insurance claims. This ensures that providers are not burdened with fixed payroll costs for billing personnel and instead benefit from a cost-effective, results-driven approach that maximizes revenue while minimizing overhead expenses.
Definitions
Payment Posting The process of recording and reconciling payments received from insurance companies and patients into the billing system. This includes applying payments to specific claims, handling adjustments, and identifying denied or underpaid claims for follow-up.
Claims Appeals The process of challenging denied or underpaid claims with insurance payers to secure proper reimbursement. This involves reviewing denial reasons, gathering supporting documentation, and submitting reconsideration requests or formal appeals to recover lost revenue.
Claims Tracking and Follow-up The continuous monitoring of claims after submission to ensure they are processed by payers in a timely manner. If a claim is delayed, denied, or underpaid, follow-up actions are taken to resolve any issues, request additional information, or escalate the claim as needed.
Entering New Patient Demographics The process of collecting and inputting accurate patient information—such as name, date of birth, contact details, insurance coverage, and guarantor information—into the medical billing system. Proper data entry is critical for claim accuracy and timely reimbursement.
Claims Information Verification The process of reviewing claim details for accuracy before submission. This includes verifying patient demographics, insurance eligibility, procedure codes, diagnosis codes, and provider information to minimize errors that could lead to denials or payment delays.
Claim Submissions to Insurance Companies The process of transmitting claims to payers for reimbursement, either electronically or via paper. Proper submission includes verifying compliance with payer-specific requirements to prevent claim rejection or denials.
Correction and Resubmission of Claims The process of identifying errors or missing information in denied or rejected claims, making necessary corrections, and resubmitting them to insurance companies for proper processing and payment. This step helps recover revenue that would otherwise be lost due to claim errors.