Extended

Billing

Services

The Billing Department at Cardiac RMS features a team of skilled billing and coding professionals committed to delivering tailored insurance and billing solutions. We recognize that each partner has unique needs, and our services are designed to optimize reimbursements and collections.

Our Extended Billing Services offer flexible support, from auditing claims to full reimbursement management, streamlining your billing processes to maximize revenue.

Consider the following questions to determine how we can assist you:

Medicare fee schedule, contracted rates:
Do you have the resources to track trends in reimbursement rates from Medicare’s fee schedules and contracted rates with private payors?

Appeals for denied claims:
Do you have the bandwidth to do it?

Paper claims for out of network patients:
Are you equipped to submit the claims?

Pre-authorizations, insurance eligibility, insurance referrals

We offer our services in a tiered approach and are happy to discuss your clinic’s needs.

Service

All Cardiac RMS Customers

Tier Two: Claims Audit

Tier Three: Complete Billing Services

Provide monthly billing reports

Investigate and identify problem areas

Verify correct reimbursement from Medicare and private payors is being received

Re-submit claims with changes, as necessary

Provide any necessary training

Appeal denied claims

Evaluate audit results in one month

Submit claims

Process paper claims to non-electronic payors

Process insurance reimbursements

Manage claim discrepancies

Post-billing review

Evaluate audit results in one month

To learn more about our Extended Billing Services, please contact Mike Mantzouris, VP of Customer Development at mmantzouris@cardiacrms.com.

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