Revenue Cycle Management (RCM) and Medical Billing Services

We take complete ownership of Revenue Cycle Management (RCM) and Medical Billing. In today’s rapidly evolving healthcare landscape, hospitals, clinics, and healthcare organizations face numerous challenges when it comes to managing their finances effectively. Ensuring a smooth and efficient revenue cycle is crucial for their financial success and overall sustainability.

This is where AMBNJ plays a pivotal role as we have over a decade of experience in implementing effective RCM strategies. By using our service, healthcare providers can optimize revenue, reduce denials, improve cash flow, and enhance the overall financial health of their organization.

We facilitate in all the steps of medical billing

Patient Registration

We facilitate in accurate and comprehensive patient registration, which includes demographic and insurance information. Proper documentation ensures smooth claims processing and reimbursement.

Insurance Verification

Validating insurance coverage and benefits is crucial to avoid claim denials. AMBNJ verifies patient eligibility, determining coverage limitations, and necessary pre-approvals or authorizations requirement.

Coding and Documentation

We digitally maintain accurate and detailed coding of diagnoses, procedures, and services provided. We realize that healthcare providers need to ensure proper documentation to support the medical necessity of the services rendered.

Claims Submission

After coding and documentation, claims are submitted to insurance companies electronically or via paper. It is crucial to adhere to the payer’s specific billing guidelines and timely filing limits to avoid claim denials or payment delays.

Claims Follow-up and Denial Management

Adhering to the best process, we monitor the status of submitted claims and follow up on unpaid or underpaid claims through appeal.

Unlock the Power of Efficient Medical Billing with AMBNJ

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