A set of AI-based solutions for health systems, hospitals and ambulatory to aggregate and curate data & images from structured and unstructured data sources while providing specialty reporting solutions, analytics and automated registry data submission.
Revenue Cycle Management Solutions & Services
Medstreaming analytics-driven and technology-enabled Revenue Cycle Management Program provide consulting and outsourcing services for physician billing, medical coding, collections, claims and business analysis for all types of care settings.
Our extensive expertise in the healthcare space allows us to develop a unique program to help you make the most out of your billing using our billers certified in Vascular, Cardiac and Interventional Radiology specialties.
“Medstreaming RCM services enabled us to reduce our billing cycle of 90 days to less than three weeks. Medstreaming integrated comprehensive system allows visibility of all aspects of the process to all team members as promised.”
Paramjit “Romi” Chopra, M.D.
Founder, President, CEO and Medical Director
Midwest Institute for Minimally Invasive Therapies
Medstreaming RCM Services
Claim Processing
- Daily claims submission
- Provide fast turn-around time for the submission and collection of claims
- Adhere to strict standards of confidentiality of client records
Patient Management
- Check patient eligibility
- Generate and mail patient
statements
- Patient balance soft collections (reminder letters and phone call)
statements
Medical Coding
- Review entered charges for accuracy
- Coding auditing and guidelines
- Add modifiers as needed, and check against CCI and medical necessity<br/>edits
Payment Processing
- ERA and EOB payment processing
- Refund/over payment reporting
Denial and Appeal Handling
- Denial and appeal management
- Identify and report workflow issues causing incorrect claims or denials
Revenue Enhancement
- Identify opportunities for increasing revenues and reducing costs
Leverage Your Most Valuable Asset
Medstreaming Data Analytics & BI Platform uses a very holistic acquisition engine to bring together disparate data silos for better understanding to help you identify opportunities for increasing revenues and reducing costs with:
- Comprehensive monthly financial reporting
- On demand analytics reports
- Analytics dashboards and BI tools
The Key to Success with MIPS/MACRA
Adopting our RCM best practices will not only lower claim denials, increase patient collections, and help physicians achieve more profitability and grow a business, it also increases your success under MACRA and value-based care transition.
A complete System in The Cloud
With our system running in the cloud and fully certified billers assisting your OBL or ASC, you have a complete turn-key solution that allows you to focus on the clinical side of your business. Our MIPS consultation and compliance as well as data analytics services will make you feel that you have a much bigger team.
Revenue Cycle Management for OBL/ASC
Our extensive expertise in the OBL space allows us to develop a unique program to help you make the most out of your billing using our billers certified in Vascular, Cardiac and Interventional Radiology specialties.
Related News:
Medstreaming Announces The Acquisition of RCM Provider, Physician Billing Partners
On July 27, 2016, Medstreaming announced the acquisition of Physician Billing Partners (PBP), a trusted provider of revenue cycle management services. The combined organizations will provide a complete suite of ambulatory informatics products along with integrated revenue cycle management services.
