Services - Emerging Medical Billing Services Provider
Services we offer
Welcome to AlterMed RCM, Your Trusted Partner in Streamlining Healthcare Revenue Management.
We understand the intricacies of medical billing and are committed to maximizing your revenue while ensuring compliance and accuracy.
At AlterMed RCM, we understand the critical role accurate medical coding and billing play in the financial success of healthcare providers.
Navigating the intricate process of provider credentialing can be a time-consuming and complex task.
In the dynamic landscape of healthcare, staying abreast of regulatory changes, industry trends, and best practices is crucial for financial success.
Your Success, Our Commitment
Partnering with AlterMed RCM isn’t just about managing revenue; it’s about optimizing it. Your financial success is at the heart of everything we do. Join us on a transformative journey where precision, innovation, and partnership converge to elevate your healthcare revenue management.
Discover the AlterMed RCM advantage – Where Your Revenue Management is our Expertise!
What have we achieved
Frequently Asked Questions
General FAQs
Q1: What services does Altermed RCM LLC offer?
We specialize in end-to-end Revenue Cycle Management (RCM) services, including medical billing, coding, credentialing, payer enrollment, licensing services, primary source verification (PSV), privileging, and CAQH profile management.
Q2: Do you work with all medical specialties?
Yes, we work with all specialties, including OBGYN, Mental Health, Physical Therapy, Dental, and more. We customize our services to meet the unique needs of each specialty.
Q3: What software platforms does your team use?
We are proficient in leading platforms such as InSync, AdvancedMD, Athena, ECW, Charm, Kareo, NextGen, and more. We also adapt to new software with proper training from clients.
Billing and Coding FAQs
Q1: What is included in your end-to-end billing services?
Our billing services include charge entry, claim submission, payment posting, denial management, AR follow-ups, and financial reporting. We ensure a streamlined process to maximize revenue collection.
Q2: Do you handle denials and unpaid claims?
Yes, our team specializes in denial management and AR recovery. We focus on resolving unpaid claims efficiently, reducing AR days, and maximizing reimbursements.
Q3: Do you comply with coding standards?
Absolutely. Our certified coders strictly follow CPT, ICD-10, and HCPCS guidelines to ensure compliance and accuracy in claim submissions.
Credentialing and Payer Enrollment FAQs
Q1: What is credentialing, and why is it important?
Credentialing is the process of verifying a provider’s qualifications to ensure they meet the standards of healthcare organizations and payers. It is crucial for providers to gain approval for payer reimbursements and ensure patient trust.
Q2: Can you handle payer enrollment for all insurance companies?
Yes, we manage payer enrollment with Medicare, Medicaid, and commercial insurers, including Managed Care Organizations (MCOs).
Q3: How long does the credentialing process take?
Credentialing typically takes 60-90 days, depending on the payer’s requirements and the completeness of provider documentation.
Q4: Do you provide CAQH profile management?
Yes, we assist with creating and maintaining CAQH profiles, ensuring accuracy and timely updates to avoid delays in enrollment.
Licensing and Privileging FAQs
Q1: Do you help with provider licensing?
Yes, we assist in obtaining and renewing licenses for various specialties, including NP, RN, MD, DO, OT, and PT, across multiple states.
Q2: What is privileging, and can you help with it?
Privileging is the process of granting providers the authority to perform specific procedures in a healthcare facility. We assist in securing admitting and hospital privileges for providers.
Client Onboarding FAQs
Q1: What is your onboarding process?
Our onboarding process involves understanding your practice needs, gathering necessary documentation, setting up systems, and conducting a free trial to ensure seamless integration.
Q2: Do you offer a trial period for new clients?
Yes, we offer a one-week free trial to demonstrate our efficiency and expertise.
Q3: How do you ensure data security?
We are HIPAA-compliant and employ secure systems and processes to protect sensitive patient and practice data.
Pricing and Contracts FAQs
Q1: What are your pricing models?
We offer flexible pricing, including fixed monthly rates or percentage-based models, tailored to meet the needs of each client.
Q2: Is there a minimum contract period?
Yes, our minimum contract period is 12 months, with a review after six months. The contract can be terminated with a 45-day notice under special conditions.
Q3: Do you provide weekly updates or reports?
Yes, we schedule weekly calls and provide detailed reports to ensure transparency and track progress effectively.
Primary Source Verification (PSV) FAQs
Q1: What is primary source verification?
PSV is the process of validating a provider’s credentials directly with the issuing authority. This ensures compliance with NCQA, CMS, and Joint Commission standards.
Q2: Can you handle PSV for healthcare organizations?
Yes, we offer cost-effective PSV services for healthcare facilities, helping them maintain compliance and streamline credentialing workflows.