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iSolve RCM LLC

74 employees

iSolveRCM is a healthcare revenue cycle management (RCM) company that helps medical practices, clinics, and healthcare organizations streamline their financial operations. The company focuses on medical billing, coding, credentialing, and revenue optimization to ensure providers maximize reimbursements while reducing administrative burdens. Key Services Offered by iSolveRCM: 1. Medical Billing & Revenue Cycle Management End-to-End Billing Solutions: Handles the entire billing process, from claim submission to payment posting. Claim Scrubbing & Submission: Ensures claims are error-free and compliant with payer guidelines. Denial Management & Appeals: Identifies claim rejections, corrects errors, and resubmits for faster reimbursements. Payment Posting & Reconciliation: Accurately records payments and reconciles accounts to prevent revenue loss. 2. Medical Coding & Compliance CPT & ICD-10 Coding: Ensures accurate coding to avoid claim denials. Auditing & Compliance: Adheres to HIPAA and payer regulations to prevent penalties. Specialty-Specific Coding: Supports various specialties, ensuring optimized reimbursements for different practice types. 3. Provider Credentialing & Enrollment Insurance Panel Enrollment: Helps providers get credentialed with Medicare, Medicaid, and private payers. Re-Credentialing & Compliance Updates: Manages ongoing credentialing needs to prevent reimbursement disruptions. CAQH & NPI Registration: Assists with maintaining provider profiles for seamless insurance billing. 4. Practice Management & Consulting Revenue Cycle Analysis: Identifies revenue leaks and areas for financial improvement. Workflow Optimization: Improves front-office and back-office processes for efficiency. Telehealth & EHR Integration: Helps practices implement and optimize technology for patient care and billing.

Basic info

Industry

Hospitals and Health Care

Sectors

Hospitals and Health Care

Date founded

2020

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