RCM360 Solutions handles your claims from submission to payment, so your North Carolina practice collects the revenue it has earned with fewer denials and delays.
North Carolina practices bill Medicare through Palmetto GBA and NC Medicaid through its Standard Plans, such as AmeriHealth Caritas, Carolina Complete Health, HealthyBlue, UnitedHealthcare Community Plan, and WellCare. They also bill commercial carriers such as Blue Cross and Blue Shield of North Carolina, Aetna, Cigna, and Humana. RCM360 Solutions manages every step of your revenue cycle, from checking insurance coverage to posting payments, so your staff can focus on patient care.
Unpaid claims hold up money your practice has already earned. We review your open balances every week, contact insurers directly, and follow each claim until it is paid or appealed.
Our billers and coders are certified and know North Carolina payer rules. They manage each claim from submission to final payment.
If you add a provider or open a new location, we take on the extra claims right away, so billing and follow-up stay on schedule.
You receive regular reports showing what was billed, what was paid, what was denied, and what is still owed to your practice.
We find out why a claim was denied, fix the coding or paperwork issue, and file the appeal before the insurer’s deadline.
Claims unpaid after 60 days get extra attention and direct contact with the insurer, so they are collected rather than written off.
Whether your office is in Charlotte, Raleigh, Durham, or a smaller town like Asheville or Wilmington, billing errors and late payments strain your cash flow. We focus on sending accurate claims and following up until they are paid.
Each specialty has different codes and insurance requirements. We assign billers who work with your type of claims every day.
Checkups, vaccine billing, and claims for children covered by NC Medicaid, with correct codes for every visit.
Claims for X-ray, MRI, CT, and ultrasound, with the correct split between technical and professional charges.
Chemotherapy and infusion billing, correct drug codes and quantities, and insurer approvals for ongoing treatment.
Claims for stress tests, echocardiograms, heart monitoring, and office procedures, supported by full documentation.
There is no need to change your software. RCM360 Solutions connects securely to your current EHR and practice management system, so your team keeps working as usual while we handle the billing.
We bill Medicare through Palmetto GBA, NC Medicaid and its Standard Plans, Medicare Advantage plans, and major commercial insurers such as Blue Cross and Blue Shield of North Carolina, Aetna, Cigna, and UnitedHealthcare.
Yes. You receive regular reports on claims sent, payments received, denials, and unpaid balances, so you can see how your practice is doing at any time.
We find the reason for the denial, correct the problem, and resubmit or appeal the claim before the deadline. We also track repeat denial reasons by insurer so the same mistake is not made again.
Fill out the contact form or call us. We will review how you bill today, explain what we can improve, and plan the switch so your claims keep moving without a gap.
Talk to RCM360 Solutions about reducing denials, getting paid sooner, and seeing clearly where your North Carolina practice’s revenue stands.
