Strategic Co-sourcing

“Outsourcing components of our billing services to MedCloud has been a great experience for us. It has enabled us to streamline our operations and raise our bottom line.”

A North East RCM Company
Executive
Eligibility/Authorization
To reduce AR delays and claim denials Medcloud crosschecks patient Medical Insurance Eligibility with the applicable Insurance Company which enables us to determine which elements of the treatment is covered by the patient’s policy
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Charge Entry
Charge Entry is a crucial step in the medical billing process. The treatment and services rendered to a patient are documented and categories prior to the claims submission. Our team is dilligent to ensure that no services or procedures are omitted from the patients billing file.
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Medical Coding
Medcloud provides industry specific services for medical coding to healthcare organizations. Medical services, procedures, diagnosis, treatments, and medical equipment & supplies used by Healthcare Organizations needs to be reimbursed through claim submissions or by billing the patient.
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Patient Billing
MedCloud facilitates the projected balances for our clients patients and manages the claims process through it’s adjudication to finalize the patients responsibility. Our Patient Billers then submit statements to those patients to collect payment. Working with you and your business’s preferences, parameters are set to make sure the balance is appropriately and adequately retrieved.
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AR & Denials Management
Medcloud provides a full suite of clinically integrated AR and Denials Management service. Our service module has been designed with the focus of improving AR aging.
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Payment Posting
Payment posting defines the payer of the medical bill. The Medcloud billing team hastens to prepare the bill once the diagnosis is complete and the course of treatment has been determined. The sooner this information is compiled and sent to the insurance company the faster they can revert back with their approval or comments.
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Data Entry
The MedCloud Data Management service allows Healthcare Organizations relief in the management of Data Entry. our team updates all of your Patient Files and Medical Services related data in the system.
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Collections
Insurance companies are notoriously inconsistent with their claim adjudication practices. At Medcloud, we mitigate those inconsistencies through our Collections Team holding the Insurance Companies accountable through our thorough Follow Up Procedures. We specialize in being persistent and tenacious when dealing with Insurance Companies in all facets which is highlighted no more than in our Post Claim Adjudication practices.
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Want to know more on how Medcloud can help you in reducing costs and inducing operational efficiencies?