Rhema Physician Management
Bridging the gap between clinical documentation and revenue integrity
Services
Charge Accuracy
Revenue Cycle
Customer Service (Call Center)
Medical Billing/Coding and Collections
Physician Education
& More
"We don't get paid until you do"
We are paid between 8-13% of the monthly revenue we collect...
First 30 days free
About
Professionalism. Excellence. Timeliness.
Rhema Physician Management (RhemaPM) is an 100% America based business offering outsourced back office operations, with Revenue Cycle management consulting. RhemaPM CEO has over 20+ years of certified experience in the healthcare field performing medical billing, Coding, Collections and Physician Education. All of our staff are located within the USA, and because of this all our team are AHIMA or AAPC certified and devoted to exceptional service to Hospital and Physician offices. And because our team is certified in various fields we are able to be more detailed in our services. While other medical billing companies settle for good results, we settle for nothing less than the best. This means that our team of certified specialists actively pursues all billing claims that your practice is owed.
We utilize the most updated technology for medical billing and coding to provide our clients with fast, efficient service while maximizing their reimbursement. Proper billing and practice management requires a detailed understanding of your practice or billing company. Our management team is equipped to assist you throughout the conversion process. RhemaPM averages 30 days or 30% faster than the industry average. Additionally, our expertise in medical billing/Charge Accuracy and organizational efficiency has enabled us to get a higher percentage of bills paid while charging you less!
Finally, your staff doesn't have to stress over claims, freeing them to support you in delivering superior heath care to your patient's. Regardless of the size, volume or specialty of your medical practice. RhemaPM has the resources and expertise that you need for your medical billing services. Our company offering personalized service that makes a substantial difference for your bottom line. We have developed solutions that can be tailored to meet your Medical practices financial needs, so please contact us.
Top reasons practices lose money
For one reason or another, not collecting co-pays, co-insurance, or deductibles directly from patients.
Due to insurance contract exclusions or incorrect billing of services, non-covered services going unpaid. Bottom line, the insurance company and patient do not pay.
Negligence, inexperience, and/or sloppiness of in house billing staff (un-submitted claims, coding errors, under-coding insurance forms, and lack of proper follow up on denied claims.
Employee theft. Methods of accountability for all collections are a must.
A well qualified and accountable billing service can realistically increase revenue up to 25% to 35%. Today, many specialty clinics, hospitals, private practices, and physician groups are finding a medical billing service is often more cost effective than in-house billing.
Benefits of Outsourcing
DEDICATED, HIGHLY TRAINED SPECIALISTS
The team only has one purpose, to increase the profitability of your practice. They review and post all payments ensuring that the carriers are paying the correct amount and preventing incorrect adjustments. Every outstanding claim is tracked until it is processed and paid to its fullest. This is not a separate team. They are integrated with your existing staff and have the same goals in mind. If the practice does not make money, the billing service doesn’t make money. They work closely with office staff to ensure an efficient overall workflow and provide training when needed. The practice also gains access to a large combined knowledge base of billing experts to aid in navigating the ever increasing industry changes of medical billing and coding
GAIN CONTROL IN AN EVER CHANGING INDUSTRY
Many people think that outsourcing medical billing and coding means giving up control to someone else. The opposite is true, and for most practices, they feel more in control than ever before. Someone else is taking care of the time consuming work and dealing with the headaches, so the providers have breathing room to review their monthly reports and see at a glance the health of the practice. Monthly and annual comparisons are quickly made and all questions are addressed by account managers in detail. Things like charge entry errors or payer reimbursement issues can be identified early before they spiral out of control. Transparency and the ability to run any report 24 hours a day gives a sense of control that they never had before. Adding an expert billing team to the mix utilizes a team approach to progress toward mutual goals.
ECONOMIES OF SCALE
Medical billing services distributes their expenses across the entire client base providing an economy of scale. They can operate at a lower cost than a single practice and those savings are passed on to you. A billing service can afford to hire the best staff possible, so you pay less for the same and often higher collection percentages. In addition to the direct financial benefit of higher returns and lower costs (overhead, staff, insurance, hardware…), you save in the more difficult to quantify areas of time, stress, and office space.
CONSISTENCY WHILE GETTING PAID FASTER
Billing in-house puts your practice at greater risk for revenue interruptions due to unplanned employee absence or staff changes. An outsourced medical billing service means that you have a whole team of people making sure that your claims get processed quickly and accurately, leaving your practice less vulnerable to disruptions in cash-flow. Many medical billing companies can also provide services on your existing EHR/Practice Management software, which means you won’t have to learn a new system in order to outsource your billing and reap the benefits of managing a smaller staff. A medical billing service can provide the benefit of a vast knowledge-base and just as importantly; they are privy to aggregated trends from a network of other practices. This inside information keeps them on the cutting edge and shared knowledge is transferred to the practice in real time. Real time information can be invaluable when the change is fast paced and unprecedented.
FOCUS ON WHAT YOU DO BEST (Patient Care)
You spent all those years in school to become a doctor so that you could enjoy a long career helping people. Little of that time was spent learning the intricacies of medical billing. Doing your billing in house requires a lot of time and effort. Even if you aren’t the one that actually spends 15 minutes trying to contact a carrier to follow up on a single claim, you will still need to deal with the high level management and all of the headaches that come with it. A billing service can free up a substantial amount of time that could be spent with patients or for some much needed R&R. With age comes wisdom and at some point you may ask yourself “what is my time worth to me compared to what I can pay someone else”. A billing service is an ideal way to free up your valuable time while maintaining the same patient volume and potentially increasing your revenue at the same time. Let us handle all your medical billing services!
LESS STRESS
Good medical billing Companies will only charge a percentage of the money that they collect. The less money that is erroneously adjusted off or the fewer claims sent out incorrectly means more money in your pocket. A good billing service will conduct a fee schedule analysis to make sure that you are getting reimbursed at the highest possible rate for your carriers, utilize multiple claim scrubs to ensure that claims are submitted correctly, utilize efficient policies and procedures to reduce your cycle time, and their experienced staff will review denials for accuracy. Each EOB is audited for correct payment, and steps are taken to ensure that you receive accurate reimbursement for your services. A good billing service works hard to improve your collection rate because if you make more, they make more. Most practices that hire a billing service see an increase in revenue and a decrease in cost that far outweighs the billing service fee.
Who uses our services
Our Billing Services and Revenue Cycle Management Services are available to:
Small and Large Practices
Solo Physicians
Independent Medical Practice Groups
Physician Groups
Hospital-owned Physician Practices and Groups
Medical Clinics
Hospitals
In-home health services providers
Non-Emergency Medical Transportation (NEMT)
Freestanding Emergency Centers
Urgent Cares
Ambulance Service (EMS)
DME companies
Laboratories and more…
Contact us Today!
Specialties we bill for Included, but not limited to
To make things easier and more convenient for our clients we offer a variety of medical billing services that are all HIPAA compliant:
Call Center
Insurance Verification
Daily claims entry
Electronic and paper claim submission
Dedicated follow-up
Claim correction and/or re-submission
Government, commercial and private billing
Weekly / monthly customized reports
Patient statements* (soft collections, up to 3 past due notices)
Payment posting / adjustments
Denial management
Tracking / claims management
Managing collections
Patient inquires
A/R recovery
Data Entry
Medical Coding
Medical Coding Auditing/Training
Electronic Claims Filing
Clean Claims Scrubbing
Accounts Receivable Follow-Up
Denial Management
Claims Appeal
Under Payment Analysis
Monthly Customized Billing Reports
Clearinghouse Setup for Payers
Implementation and Maintenance of Patient Accounting System
Physician Credentialing for Insurances or Hospital Medical Staff (CAQH, PECOS, NPPES, and Contracting Services)
24-hour Appointment Scheduling (establishment of 1-800 lines staffed 24 hours per day)
Production of Monthly and Year-end Financial Statements
Establish and Monitor Practice Budgets
Workforce Management
Accounts Payable Management
Payroll Management
Human Resources Consultation
Development of Policy and Procedure Manuals
HIPAA Training
In-House Vs Outsourced
Monthly In-House Billing Expense Our Cost
Billing Dept. Costs
$120,000 (Staff salaries, benefits, taxes, training, time & other) $8-13% monthly revenue
Software costs
$8,000 (Practice management & other computer hardware costs) $0
Hardware costs
$500 (printer and workstation) $0
Training costs
in-house $5,000 $0
Direct claim processing costs
4,500 ($100 per physician per month) $0
Percentage of gross billing collected
40-50% 60-70%
Technology Costs
$23,200 $0
The above data does not include the ancillary costs of in-house billing such as office supplies, office space, the extra manpower needed for patient billing support, and other miscellaneous expenses. It also does not take into account the hassle that in-house billing can entail. With radical changes underway in how providers will get paid (i.e., MACRA and healthcare reforms), staying on top of rules, regulations, and performance incentive plans can take up more of your time than you bargained for. This example does include a modest 10% increment in the percentage of gross billing collected by outsourcing, which any good third-party billing service should be easily able to achieve
In-house: this was calculated by adding up the median salary of two medical billing employees, healthcare costs, training costs, federal and state taxes, and some ancillary costs.
Outsourced: Even when outsourcing, a practice staff will still be required to do some follow up and other tasks to manage the information communicated to and from the billing company.
CollaborateMD Software
If you don't have your own
Web-Based
RhemaPM has partnered with CollaborateMD to deliver a comprehensive and innovative web based medical billing software to make sure your claims get to the medical insurance payer as quick as possible for reimbursement. And because its a web-based program you have 24/7 access 365 days an year.
Although our team prefers to use our own software for our full-scale billing clients, we are willing to use alternative software products to meet our clients’ needs for Medical billing services.
Hours
Mon - Fri: 6am - 6pm
Sat: By Appointment
Sun: Closed
