At CrediBill RCM, we offer a full suite of Revenue Cycle Management services tailored to meet the needs of today’s healthcare providers. From accurate coding and billing to credentialing and virtual front desk support, our end-to-end solutions are designed to optimize your practice’s revenue while letting you focus on what matters most—patient care.
Our comprehensive medical billing solutions are designed to ensure your practice receives accurate and timely reimbursements. From clean claim submission and diligent follow-up to reduce delays, to effective denial management and appeals that minimize revenue loss, we handle it all. We also provide meticulous payment posting and reconciliation for accurate financial tracking, along with patient billing and collections that improve your cash flow and reduce outstanding balances.
Accurate coding is essential for compliance and successful reimbursements. Our team of certified coders is proficient in CPT, ICD-10, and HCPCS coding standards. We conduct thorough medical documentation reviews, audit codes for accuracy and optimization, and ensure full compliance with CMS and HIPAA guidelines—helping you avoid costly claim rejections and maintain regulatory integrity.
We simplify and expedite the credentialing and payer enrollment process, ensuring you get in-network faster and start billing without delays. Our services include new provider credentialing, ongoing re-credentialing and expirables management, CAQH profile registration and maintenance, and insurance panel contracting—all designed to take the administrative burden off your shoulders.
Prevent claim denials before they happen with our real-time insurance eligibility and benefits verification services. We confirm accurate coverage details, determine co-pays, deductibles, and out-of-pocket costs, and handle pre-authorizations and prior approvals—ensuring smooth, compliant billing from the start of the patient’s visit.
Elevate your patient experience with our professional virtual front desk services. We manage appointment scheduling and reminders, assist with patient registration and data entry, and verify insurance coverage before appointments. Our team also handles inbound calls and provides responsive customer support, allowing your clinical staff to stay focused on care delivery.
Don’t let aged claims and unpaid balances weigh down your revenue cycle. Our A/R management services focus on resolving outstanding claims quickly and effectively. We analyze aging reports to identify trends, follow up diligently on unpaid claims, and take preventive measures to reduce future denials—ensuring maximum recovery of your revenue.
As virtual care continues to grow, our telemedicine billing services ensure that your remote services are billed efficiently and compliantly. Our team stays current with evolving regulations to handle telehealth claims correctly, securing timely reimbursements and maintaining your compliance with payer guidelines.