Welcome
There's much to see here. So, take your time, look around, and learn all there is to know about us. We hope you enjoy our site and take a moment to drop us a line.
Services
revenue cycle management
Revenue cycle management is a financial process that tracks and collects payments from patients for healthcare services. It's a key part of healthcare finance that connects a patient's care with the payment they make. RCM handle all aspects of patient revenue, from the first contact to the final payment. They communicate with patients and insurance companies.
medical billing and coding
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 have found that many providers undercode due to poor documentation or lack of coding knowl
pre-authorization
A pre-authorization, also known as prior authorization or pre-certification, is a request for approval from the health insurance provider before a medical service. We work with Out of Network and Urgent/STAT request.
in and out of network collections
ARCMBC works all unpaid and denied claims. Our Collections teams works in depth with all denials to find proper strategies to dispute each encounter. We work with Texas Department of Insurance and other departments that assist with wrongful claim denials. We specialize in OON Collections.
out of network negotiations
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.
credentialing
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 properly complete to avoid any delays in contracting and privileges.
network contracting
Part of insurance credentialing is accepting a fee schedule that 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.
auditing
Do you know what it takes to prevent being audited or being 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 assisting in reviewing and evaluating current process to confirm your company is staying compliant with all regulations.
Consulting and rcm solutions
Do you already have a TEAM you love but you know there can be improvement. Let us help with this area. One of our specialist can set up a consultation and review your current process and point out what areas need improvement and will also come us with a plan to assist in putting a plan in place. Allow us to find RCM solutions to increase your revenue.
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