Committed to The the Success Of your practice
At Pump RCM, we are committed to the success of your practice, understanding that effective medical revenue cycle management is crucial for financial stability and growth. Our comprehensive solutions are tailored to meet the unique needs of healthcare providers, ensuring that every aspect of the revenue cycle is optimized for efficiency and accuracy.
Full Revenue Cycle Management Solutions
Pump RCM’s Full Revenue Cycle Management Solutions provide a holistic approach to managing the financial aspects of healthcare practices.
Remote Medical Billers
Pump RCM offers Remote Medical Billers as a key component of our medical revenue cycle management solution, providing healthcare organizations with flexible and efficient billing support.
Insurance Credentialing and Provider Network Enrollment
Our Insurance Credentialing and Provider Network Enrollment solutions are designed to simplify the complex process of getting healthcare providers credentialed with various insurance carriers.
Insurance Contract Negotiations
We champion your interests to secure better contracts with insurance companies. Our primary objective is to enhance the revenue of your medical practice. Sign up now, your practice depends on it.
All Forms of Payment Processing
Our system accommodates a variety of payment methods, including credit cards, debit cards, electronic checks, and mobile payments, ensuring convenience for both providers and patients.
CAQH Provider Portal Credentialing
By leveraging the CAQH (Council for Affordable Quality Healthcare) database, we enable efficient collection and management of provider information, ensuring that all necessary documentation is complete and up-to-date.
Business Planning and Strategy Development
Our experienced team collaborates with healthcare providers to assess current business models, identify opportunities for growth, and develop strategic plans that align with their goals. By analyzing market trends, financial performance, and operational efficiencies, we help practices drive revenue and improve patient care.
EHR and Detailed Billing
Pump RCM provides comprehensive EHR (Electronic Health Record) and Detailed Billing solutions designed to streamline the revenue cycle for healthcare providers. Our advanced EHR systems facilitate accurate documentation and patient management, ensuring that all relevant information is easily accessible and up-to-date.
collection clean-ups
Our team conducts thorough audits of outstanding accounts receivable to identify discrepancies, denials, and uncollected payments.
Clearinghouse Rejection Corrections
Pump RCM offers expert Clearinghouse Rejection Corrections to help healthcare providers effectively manage and resolve claim rejections.
Prior Authorizations
Our experienced team navigates the complex requirements of various payers, ensuring that all documentation and information are accurately submitted on behalf of healthcare providers.
Electronic & Paper Claim Submission
Our team ensures that claims are submitted accurately and promptly, whether through electronic channels or traditional paper methods, adhering to industry standards and payer requirements.
Denial Management & Complex Appeals
Pump RCM specializes in Denial Management & Complex Appeals, offering healthcare providers a robust strategy to effectively address claim denials and maximize revenue recovery.
Patient Statement
Generation
Our system is designed to enhance patient communication by generating customized statements that detail charges, payments, and outstanding balances in an easy-to-understand format.
Claim Review & Scrubbing
This service involves a thorough examination of submitted claims to identify and rectify potential errors before they are sent to payers.
Experienced Expert
Medical Coding
Our team ensures that all medical records are accurately translated into the appropriate codes, which is crucial for maximizing reimbursements and minimizing claim denials.
Insurance Payment Posting
Our dedicated team meticulously posts payments into the billing system, reconciles discrepancies, and identifies underpayments or denials that may require further follow-up.
Accounts Receivable
Pump RCM’s Accounts Receivable solution focuses on effectively managing and optimizing the collection of outstanding payments from patients and insurance payers.
Staff Training
and Certification
Our comprehensive training modules cover essential topics such as coding compliance, billing best practices, and regulatory updates, ensuring that staff members are well-versed in the latest industry standards
Remote Staff Fulfillment
By leveraging a talented pool of remote professionals, we enable providers to efficiently manage fluctuations in workload without the overhead costs associated with traditional staffing.
Credentialing & Provider Enrollment Maintenance
We also handle ongoing provider enrollment maintenance, which includes monitoring expirations and renewals to prevent any disruptions in service.
Payer Fee Schedule
Creation & Evaluation
Our strategic approach not only enhances financial performance but also fosters stronger relationships with payers, ultimately supporting the sustainability of healthcare practices.
Telemedicine Credentialing
As telemedicine gains popularity, ensuring that providers are properly credentialed across various states and payers is crucial.
Medical License Application Processing & Renewals
We understand that timely processing is critical for providers to maintain their practice and avoid disruptions in patient care.
What is your Specialty?
Our team is comprised of certified coders, certified auditors, and expert medical billers with over 15 years of combined experience across various medical specialties.
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We ServeYOU
From billing and collections to credentialing and compliance, our dedicated team works collaboratively with your practice to identify challenges and implement strategies that enhance revenue capture and streamline operations. By prioritizing your success, Pump RCM not only helps improve cash flow but also fosters a sustainable practice environment where you can focus on delivering exceptional patient care. Click below to learn more about our “Spirit To Serve”.
- Expertise and Experience
- Customized Solutions
- Technology Integration
- Transparency and Reporting
- Dedicated Support
- Proven Results
- Compliance and Security
- Let's have a talk!
