RCM360 Solutions handles your claims from submission to payment, so your practice has fewer denials and less paperwork.
New Mexico practices work with Medicare through Novitas Solutions, Medicaid through the Turquoise Care program, and commercial plans such as Blue Cross and Blue Shield of New Mexico, Presbyterian, Molina, and UnitedHealthcare. RCM360 Solutions manages your billing from insurance verification to payment posting, so your staff can focus on patients.
Unpaid claims hold up money your practice has already earned. We track every open claim, contact payers directly, and keep following up until it is paid or appealed.
Certified billers and coders who know New Mexico payer rules and follow each claim until it is paid.
When you add providers or open a new clinic, we take on the extra claims without delays.
Regular reports show what was billed, what was paid, what was denied, and what is still owed.
We find out why a claim was denied, fix the error, and appeal before the deadline.
Claims unpaid after 60 days get direct follow-up with the payer until they are resolved.
From Albuquerque and Santa Fe to Las Cruces, Farmington, and smaller towns, billing errors and slow payments hurt cash flow. We focus on accurate claims and steady follow-up.
Each specialty has its own codes and payer rules. Our billers work with your type of claims every day.
Checkups, vaccines, and sick visits, including claims for children on Turquoise Care.
Imaging claims with correct modifiers, professional and technical charges, and prior authorizations.
Chemotherapy and infusion billing with accurate drug codes and treatment approvals.
Stress tests, echocardiograms, and heart monitoring billed with complete documentation.
There is no need to switch software. We connect securely to the EHR you already use and manage the billing for you.
We bill Medicare, Medicaid through Turquoise Care, Medicare Advantage, and major commercial insurers.
Yes. We work remotely and connect securely to your EHR, so clinics in small towns get the same service as practices in Albuquerque.
We review your open claims, start with the oldest and highest-value ones, and follow up with each payer right away.
No. We work with the system you already use, so your daily routine stays the same.
Let RCM360 Solutions manage your claims, reduce denials, and give your New Mexico practice a clear view of its revenue.
