RCM360 Solutions manages your claims from submission to payment, so your Georgia practice gets paid correctly and on time.
Georgia practices bill Medicare through Palmetto GBA, Georgia Medicaid and PeachCare for Kids through care management organizations such as Peach State Health Plan, CareSource, and Wellpoint, and commercial carriers including Anthem Blue Cross Blue Shield, Aetna, Cigna, Humana, and UnitedHealthcare. Each plan has its own submission rules and denial patterns. RCM360 Solutions manages your revenue cycle from eligibility checks to payment posting, so your staff can spend their time on patients.
Every unpaid claim is revenue your practice has already earned. We review your outstanding balances on a regular schedule, contact payers directly, and keep working each claim until it is paid or appealed.
Our certified team knows Georgia payer requirements and follows each claim from submission through to final payment.
As your practice grows with new providers or locations, we handle the extra claims without any delay in billing or follow-up.
We find the reason behind each denial, correct the coding or documentation problem, and file appeals before payer deadlines.
Scheduled reports show what was billed, what was paid, what was denied, and what is still outstanding in your practice.
Claims that stay unpaid past 60 days are prioritized and pursued with the payer, so older balances are recovered instead of written off.
From busy practices in Atlanta to independent clinics in Savannah, Augusta, and Macon, billing errors and slow payments put pressure on cash flow. Our process is built around accurate claims, steady follow-up, and compliance.
Each specialty has its own coding rules and payer requirements. Our billers work with your type of claims every day, so they are prepared correctly from the start.
Well-child visits, immunization claims, and billing for children covered by PeachCare for Kids and Georgia Medicaid.
X-ray, MRI, CT, and ultrasound claims with correct technical and professional billing, modifiers, and authorizations.
Infusion and chemotherapy billing, accurate drug codes and units, and authorizations for ongoing treatment plans.
Claims for stress tests, echocardiograms, cardiac monitoring, and in-office procedures, backed by complete documentation.
You do not need to replace your software. RCM360 Solutions connects securely to your current EHR and practice management system, so your team keeps its workflow while we manage charge entry, claims, and payment posting.
We bill Medicare through Palmetto GBA, Georgia Medicaid and PeachCare for Kids through their care management organizations, Medicare Advantage plans, and major commercial insurers.
We handle eligibility verification, charge entry, claim submission, payment posting, denial management, and follow-up on unpaid claims. You also receive regular reports on your collections.
We check each claim for coding and documentation errors before it is sent, track denial trends by payer, and appeal denied claims within the required deadlines.
We review all outstanding claims, sort them by age and balance, and start payer follow-up right away. This helps you recover money already owed to you during the transition.
Find out how RCM360 Solutions can reduce denials, speed up payments, and give your Georgia practice a clearer view of its revenue.
