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Medical Revenue Service by EHealth, generates and collects payments for the services a provider provides to their patients. It’s a complete RCM solution managing end-to-end RCM operations like patient registration
Managing a medical practice’s finances is complex. Between evolving regulations, strict insurance policies, and patients with expectations higher than Mt. Everest – it’s a recipe for revenue leakage, cash flow disaster, and operational chaos.
Luckily, the medical revenue cycle management (RCM) experts at EHealth can restore your practice to full financial health. Our certified coders ensure accurate billing and coding to stop revenue leakage. Our enrollment specialists secure contracts with top commercial payers to expand your patient pool. And our billing experts work diligently to collect every dollar your practice earns.
Our audit specialists utilize the BellMedEx Revenue Integrity process to analyze your current revenue cycle, uncovering exactly where coding and billing improvements will have the biggest impact. Our billing consultants then design targeted solutions to resolve those defects. We treat your revenue cycle as a whole and prescribe the best healthcare revenue cycle management remedies to make it stronger.
We enroll providers in Medicare and Medicaid programs, which are the largest health insurance programs in the US, covering millions of Americans. By enrolling in these programs, providers can expand their patient base, increase their revenue, and comply with federal and state regulations.
We credential providers with commercial insurance payers like Aetna and Humana, which are private health insurers that offer different plans and networks for their members. By credentialing with these companies, providers can access more patients and negotiate better reimbursement rates.
Our credentialing solutions help individual providers (Type 1) and organizations (Type 2) with obtaining and updating their National Provider Identifier (NPI), which is a unique 10-digit identification number assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS). Having an NPI is required for billing, reporting, and electronic transactions.
EHealth medical revenue service boosts revenue cycles through expert medical coding. Our acclaimed BellCoding technology reviews medical charts and identifies high-value codes. Our coders, armed with CPC certifications, then examine each chart to find revenue escalation opportunities algorithms miss. Through this man-machine symbiosis, BellMedEx delivers an RCM solution that promises more revenue for your healthcare facility.