EXPLORE OUR SERVICES
Do you already have a TEAM you love, but you know there can be improvement? Let us help with this area. One of our specialists can set up a consultation, review your current process, point out what areas need improvement, and will also come up with a plan to assist in putting a plan in place. Allow us to find RCM Solutions to increase your revenue.
Starting your career as a physician or planning to open your own practice is an exciting milestone, but navigating the world of medical billing can feel overwhelming. We understand that billing isn't something covered in medical school, and many new providers aren't aware of the options available to them. Did you know you can bill for your professional services even if you don't have your own practice? At ARCMBC, we specialize in helping new physicians understand their options.
Healthcare providers should take a number of important considerations into account when choosing a hospital and insurance credentialing expert. Credentialing requires attention to detail and must be properly completed to avoid any delays in contracting and privileges.
Part of insurance credentialing is accepting the fee schedule the insurance will provide you with. A fee schedule is a rate you accept as payment for your services by encounter, procedure, or surgery. Many providers do not know that they can negotiate these fees based on different factors. You are also able to renegotiate throughout the years even after already being credentialed.
Do you know what it takes to prevent being audited or to be prepared for an audit? Medical auditing is a process of reviewing and evaluating healthcare medical records, processes, and revenue to ensure compliance with guidelines and procedures, and quality of patient care. ARCMBC can assist in reviewing and evaluating current processes to confirm your company is staying compliant with all regulations.
We offer specialized Expert Witness services in medical billing, coding, and insurance reimbursement to support attorneys, providers, and legal teams in complex litigation and claims disputes. Our team has extensive experience handling underpayment disputes, payer abuse, and improper denial cases- with deep expertise in mediation, arbitration, and litigation. Whether preparing a billing analysis or testifying in a deposition, our team provides clear, accurate, and objective support.
A pre-authorization, also known as prior authorization or pre-certification, is a request for approval from the health insurance provider before medical services. We work with Out of Network and Urgent/STAT requests.
ARCMBC works on all unpaid and denied claims. Our collections teams work in depth with all denials to find proper strategies to dispute each encounter. We work with the Texas Department of Insurance and other departments that assist with wrongful claim denials. We specialize in OON Collections.
Out-of-network negotiation refers to the process of trying to bargain with a healthcare provider who is not part of your insurance plan's network, aiming to lower the cost of medical services provided. ARCMBC understands that insurance providers do not always reimburse a fair amount for the services provided, as they do not know the details of each procedure. We work with 3rd party who assist in paying the maximum allowed per case.
Revenue cycle management (RCM) is the financial process healthcare organizations use to manage and track a patient’s account from the first appointment through final reimbursement. It includes essential functions such as patient registration, insurance verification, medical coding, claim submission, payment posting, denial management, and collection of outstanding balances.
Medical billing and coding is the process of identifying diagnoses, medical tests, treatments, and procedures found in clinical documentation and then transcribing this patient data into medical codes to bill government and commercial payers for physician reimbursement. At ARCMBC, we take the extra mile in reviewing all submitted coding for maximum reimbursement to make sure everything is coded properly.
We understand the complexities of billing for WC and PI cases. Our team is experienced in managing lien-based cases, submitting compliant claims, tracking authorizations, and negotiating with insurance carriers and attorneys. We don't just do medical billing- we handle complex Workers' Comp and Personal Injury cases. Don't lose revenue on PI and Workers' Comp claims. We fight to get you paid- legally and efficiently. From accident to settlement-our billing experts handle it all.