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Medical Claims Management
About Us
• MediClaimsManagement is a provider of innovative
healthcare revenue cycle management solutions that
transform the administrative and clinical operations
of healthcare organizations of all sizes.
• MCM services and systems are designed to get you
paid faster, reduce denials, track claims efficiently.
• Our world-class billing processes include electronic
claim submission, claim tracking, denial tracking and
updated CPT codes.
• We deliver a uniquely customized service to
international hospitals, physician, and ambulance
companies.
Our Mission
• As medical billing management experts we are
resolved to dependably and flawlessly offer world-
class solution focused on your bottom-line
• Our skilled and dedicated team delivers operational
excellence with specialized expertise.
Revenue Cycle Management
Revenue Cycle Management is the process used by
healthcare systems in the United States to track the
revenue or encounter with the healthcare system to
their final payment of balance.
RCM Process
Claims
Submission
Financial
Reporting
Payment
PostingReconciliation
Pre Visit
Pre Visit
• Pre insurance eligibility check
• Data entry of patient demographic and insurance
information
• Patient appointment , remainder calls
• Patient collection tools
Claims Submission
• Medical coding , claims submission and follow
• Patient invoicing
• Electronic Payment and e-statements
• Denial Management and tracking with payers
Financial reporting
• Customized financial reporting
• Monthly update
Medical Claims Management Ensures Your Practice gets
paid in an optimized and timely manner.
Payment Posting and Reconciliation
• Electronics remittance advice
• Cash balance reconciliation
Services
• Physician Billing & Claims Management
• Medical Billing
• Medical Coding
• Ambulance Billing
• Providing Proprietary Software & Devices
• Electronic Billing and Filling
• Legal Expert Consulting Services
International Claims Management
• MediClaimsManagement has developed a unique
system for international hospitals to optimize
revenue and recover funds quickly.
• MCM is proficient at providing our clients with the
necessary tools to properly manage their
international portfolios.
Hospital Medical Claims Process
3. MED-X’S TEAM PROPERLY
FORMATS TO MEET INUSRANCE
COMPANY REQUIRMENTS .
2. HOSPITAL SENDS MED-X PATIENT INVOICE
WITH ALL NECESSARY HIPPA SECURED
DOCUMENTS.
1. HOSPITAL TREATS FOREIGN
PATIENT FOR EMERGENCY
SERVICES.
4. MED-X’S IN HOUSE LEGAL TEAM
REVIEWS MEDICAL RECORDS AND
INVOICE FOR PROPER SUBMISSION TO
INSURANCE COMPANY AFTER ANALYSIS.
5. MED-X’S LAWYERS NEGOTIATE INVOICE
PAYMENTS WITH INSURANCE EXECUTIVES
FOR HIGH DOLLAR AMOUNTS.
6. INSURANCE COMPANY SENDS PAYMENT
TO LOCK-BOX/BANK ACCOUNT FOR
DISTRIBUTION.
Contact Us
Medical Claims Management
Address PO Box 720 Matawan, New Jersey 07747
Cell No 917 965 5544
Email info@mediclaimsmanagement.com
Website www.mediclaimsmanagement.com
WWW.MEDICLAIMSMANAGEMENT.COM

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Medical claims management

  • 2. About Us • MediClaimsManagement is a provider of innovative healthcare revenue cycle management solutions that transform the administrative and clinical operations of healthcare organizations of all sizes. • MCM services and systems are designed to get you paid faster, reduce denials, track claims efficiently.
  • 3. • Our world-class billing processes include electronic claim submission, claim tracking, denial tracking and updated CPT codes. • We deliver a uniquely customized service to international hospitals, physician, and ambulance companies.
  • 4. Our Mission • As medical billing management experts we are resolved to dependably and flawlessly offer world- class solution focused on your bottom-line • Our skilled and dedicated team delivers operational excellence with specialized expertise.
  • 5. Revenue Cycle Management Revenue Cycle Management is the process used by healthcare systems in the United States to track the revenue or encounter with the healthcare system to their final payment of balance.
  • 7. Pre Visit • Pre insurance eligibility check • Data entry of patient demographic and insurance information • Patient appointment , remainder calls • Patient collection tools
  • 8. Claims Submission • Medical coding , claims submission and follow • Patient invoicing • Electronic Payment and e-statements • Denial Management and tracking with payers
  • 9. Financial reporting • Customized financial reporting • Monthly update Medical Claims Management Ensures Your Practice gets paid in an optimized and timely manner.
  • 10. Payment Posting and Reconciliation • Electronics remittance advice • Cash balance reconciliation
  • 11. Services • Physician Billing & Claims Management • Medical Billing • Medical Coding • Ambulance Billing • Providing Proprietary Software & Devices • Electronic Billing and Filling • Legal Expert Consulting Services
  • 12. International Claims Management • MediClaimsManagement has developed a unique system for international hospitals to optimize revenue and recover funds quickly. • MCM is proficient at providing our clients with the necessary tools to properly manage their international portfolios.
  • 13. Hospital Medical Claims Process 3. MED-X’S TEAM PROPERLY FORMATS TO MEET INUSRANCE COMPANY REQUIRMENTS . 2. HOSPITAL SENDS MED-X PATIENT INVOICE WITH ALL NECESSARY HIPPA SECURED DOCUMENTS. 1. HOSPITAL TREATS FOREIGN PATIENT FOR EMERGENCY SERVICES. 4. MED-X’S IN HOUSE LEGAL TEAM REVIEWS MEDICAL RECORDS AND INVOICE FOR PROPER SUBMISSION TO INSURANCE COMPANY AFTER ANALYSIS. 5. MED-X’S LAWYERS NEGOTIATE INVOICE PAYMENTS WITH INSURANCE EXECUTIVES FOR HIGH DOLLAR AMOUNTS. 6. INSURANCE COMPANY SENDS PAYMENT TO LOCK-BOX/BANK ACCOUNT FOR DISTRIBUTION.
  • 14. Contact Us Medical Claims Management Address PO Box 720 Matawan, New Jersey 07747 Cell No 917 965 5544 Email info@mediclaimsmanagement.com Website www.mediclaimsmanagement.com