RCM Panda

Healthcare Revenue Cycle Management Services

Healthcare revenue cycle management services refer to the process of identifying, collecting, and managing the practice’s revenue. Panda Infosoft offers revenue cycle management services for hospitals and individual practitioners that want to improve cash flow and boost financial performance.

Transform Your Revenue With First-class Revenue Cycle Management Services 

Today, more and more healthcare practices are outsourcing revenue cycle management services. Therefore, it is crucial to understand your organizational needs and transform them as per industry requirements to stay ahead in the competition. In this ever-emerging healthcare industry, it is critical to improving efficiencies through IT investment to ensure better business outcomes. Therefore, you need to partner with a professional revenue cycle management services company to boost overall financial performance. 

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RCMPanda revenue cycle management services start right from patient registration and finish at patient billing. By rendering professional RCM services, we ensure that healthcare providers are getting paid faster and cleaner.

We are equipped with all the resources required to improve and boost your medical billing & revenue cycle management process. Besides 24/7 connectivity, we bring a dedicated source of communication, which provides easy access to reports and dashboards to enable you to check your financial health timely.

Our certified medical coders and billers can handle your back-office operations using our dedicated applications or directly using your EHR application with 99% accuracy. While payers have become highly observant in claim adjudication and reimbursements, it has become vital to take utmost care throughout the medical billing and coding process where these errors are more likely to occur.

Our professional team harness agile methodologies to get a 98% first-pass claim acceptance ratio. You can see the RCMPanda process in the picture.

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We offer best-in-class CRM services to help healthcare providers and practitioners cut-down their operational costs to improve business profitability as well as patient care.

A professional team with amazing communication skills is dedicated to providing complete medical office assistance virtually.

    Our virtual assistance services include the following;

  • Appointment Scheduling
  • Patient Billing Calls
  • Patient Queries
  • Patient Communication
  • Provider Assistant
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Our customer-centric tailored medical billing solutions are designed to help you outsource medical billing services as per your needs. Outsourcing your medical billing and coding needs can reduce the overheads of your staff and help you focus on rendering quality patient care.

Tailored billing services allow you to focus on the bottom line of your medical practice and expand it. By leveraging our RCMPanda tailored billing services, you can grow your business and streamline the operations as well. It can be customized in the following ways.

  • Credentialing and Contracting
  • Account Receivable Follow-up
  • Denials and Appeals Management
  • Eligibility Verification with Payers
  • Referral Submission & Tracking
  • Electronic remittance and payment posting
  • Demographics and Claims Entry/Submission/Reconciliation
  • You can go with one or more to start with our tailored yet professional revenue cycle management services.
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MACRA is basically a law that owns the medical payment system for providers. Medicare’s quality payment program (QPP) is based on MACRA’s rules & regulations for reimbursements and offers providers two different tracks for reporting: MIPS and Advanced APNs.

MACRA combined benefits of the Physician Quality Reporting System (PQRS), Value-Based payment modifier (VBM), and the Medicare Electronic Health Record as well. It all goes into a single program called the merit-based incentive payment system or ‘MIPS’.

MIPS is a new program that determines medicare payment adjustments and acts as an acronym for the Merit-based incentive payment system. Harnessing composite performance score, eligible professionals (EPs)can receive a payment bonus, a payment penalty, or zero payment adjustments. The composite performance score is based on the followings;

  • Quality
  • Resource Use
  • Clinical practice improvement activities
  • Meaningful use of certified EHR software
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Whether you run an established practice or starting a new one, credentialing is an essential aspect of both. Credentialing is an ongoing process that must be reperformed every 3 to 5 years. It is important for providers to stay-in-touch with desired carriers to get reimbursements. All leading health insurance companies demand this process along with CMS/Medicare, Medicaid, and other commercial plans as well as hospital and surgery plans.

Here at RCMPanda, we’ll submit your enrollment applications and other required documents on the behalf of the provider to maintain the physician’s record. It includes a medical license, malpractice insurance, and DEA along with other necessary information to complete credentialing. 

We deal in the following;

  • Commercial insurance provider enrollment and credentialing
  • Medicare and Medicaid provider enrollment and credentialing
  • Medicare revalidation
  • CAQH Registration
  • NPI registration (Both Types)
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Our technical expertise enables us to render the best revenue cycle management services. With years of experience in partnering with various healthcare technology companies, we have developed a deep understanding and can bring fully certified and featured systems for healthcare service providers and patients. We provide complete EHR and PM solutions for medical offices, physicians, PAs, NPs, managed care, front office, billing staff, and patients as well. We offer the following techno-enabled solutions;

  • Cloud-based EHR system
  • Integrate PM system
  • Patient Portal
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LET US BUILD YOU A CUSTOM SOLUTION

Call Now (+1) 703-594-6144 Our professional consultants will reach you in a while with high-end technology solutions.