End-to-End Revenue Cycle Management for your Success

Medical Billing Services for US Healthcare Providers

Medisure is here for the success of independent medical practices. We provide all-in revenue cycle management so you can provide top-notch quality care to your patients while we take care of the boring bits.

Our RCM process at a Glance

Medical Billing Services for US Healthcare Providers

Medisure is here for the success of independent medical practices. We provide all-in revenue cycle management so you can provide top-notch quality care to your patients while we take care of the boring bits.

Get the Most Out of Your Claims

Our goal is simple: drive your financial success by leveraging our network of expertise and adopting innovative technology.
From credentialing to payment posting, we cover all aspects of the revenue cycle, ensuring you get the most out of your claims.

We’re your True Partner in Revenue Growth.

Cash Flow Challenges

Cash flow impacted by bad debt and underpayments.

Poor A/R Handling

Mounting A/Rs due to poor handling of eligibility and claims.

Misaligned Payer Compatibility

Finding it difficult to comply with multiple payers and different claim types, such as fee-for-service, value-based, and capitated.

High Denial Rates

High denial rates from payers

Increased Admin Workload

Spending hours dealing with denials and appeals

Unsatisfied Patients

Time spent managing instead of patient care

Complicated Patient Management

Increasing patient financial responsibility due to high deductible health plans (HDHPs) and self-pay patients

Increased Cash Flow

Reduces bad debt and underpayments by ensuring accurate and timely claim submission and follow-up

Managed A/R

Visibility into A/R performance, such as days in A/R, A/R aging, and A/R turnover

Aligned Payer Compatibility

Stay ahead of the changing payer requirements and maximize reimbursements.

High Recovery Rates

A proactive and preventive approach resolving the root causes of denials thus boosting denial recovery rates and revenue integrity.

Time Back in Your Practice

We give you time back to spend in your practice so you can focus on patient care while we take care of submitting claims with utmost accuracy

Returning and Satisfied Patients

Focus on patient care while boasting revenues and growth

Patient Management, Simplified

Live eligibility and real-time authorization estimates for patient’s out-of-pocket costs before the service

In House Billing Cots

Calculations is based on a medium scale practice with $100,000 collections.

Headache-Free Credentialing

Our specialists manage the entire process - from collecting additional information to finalizing submission packages. We stay on top of any status updates and ongoing re-credentialing schedules for your payers.

Accurate Medical Coding

Our certified coders stay updated with industry trends and ensure accurate CPT, ICD-10, and HCPCs coding to maximize your claims' success rate.

Claim Submission & Management

Clean claims equal healthy revenue cycle. Our team maintains a 98% average clean claim rate. We proactively address denials, reducing days in AR and increasing realized revenue from payers.

Insurance Eligibility & Verification

One of the only billing companies to offer live eligibility checks. We excel at confirming patient insurance status and coverage specifics, resulting in a 98% clean claim rate.

Denial Management

If you're experiencing claim denials, we can help! Our team specializes in identifying root causes, handling appeals, and resolving underpayments.

Prior Authorization

Trust our proprietary process to get authorization for minor procedures in real-time. When insurance payers require authorization for specific procedures or medications, our dedicated team follows our process to get you quick turnarounds.

Payment Posting

Our team has processed over $5 million in payments in the last year alone, ensuring accurate application and recovery of lost revenue.

FAQs

Do You Have Any Questions?

Think of Revenue Cycle Management (RCM) as the heartbeat of your healthcare practice's finances! It's all about mastering the art of billing, coding, collecting, and reconciling payments from patients and insurance companies. RCM keeps your financial operations in robust health, ensuring you get paid for what you do best—caring for patients!
RCM services are your financial stress-busters! They streamline your billing processes, minimize errors, and boost patient satisfaction. Embracing RCM means watching your practice’s revenues grow while you keep your focus squarely on patient care.
Our approach is all about agility and insight. We tackle claim denials head-on, swiftly navigating through appeals to meet every deadline. Plus, we dive deep into denial patterns to stop similar issues from happening in the future, keeping your revenue flow smooth.
Our pricing is as straightforward as it gets: we earn when you earn! We charge based on a percentage of the revenue we collect for you. This aligns our goals directly with yours, creating a partnership rooted in mutual success.
Your data's security is our top priority. We stick to stringent HIPAA standards and use top-notch, encrypted technology to safeguard your information, ensuring peace of mind for both you and your patients.
We are all about metrics and improvement. By tracking key performance indicators like collection rates, denial rates, and days in accounts receivable (A/R), we gauge our effectiveness. We're constantly honing our processes and training our team to boost these metrics and enhance our service.
Let us handle the financial heavy lifting so you can concentrate on patient care. From patient registration and insurance verification to coding, billing, and collections, we manage it all. Partner with us, and watch as we enhance your revenue and cut down on administrative hassles, all while you provide excellent patient care.