RCM360 Solutions takes care of your claims from submission to payment, so your Pennsylvania practice spends less time on denials and more time with patients.
Pennsylvania practices bill Medicare through Novitas Solutions, Medical Assistance (Medicaid) through HealthChoices plans such as UPMC for You, Keystone First, AmeriHealth Caritas Pennsylvania, Geisinger Health Plan, and Gateway Health, and commercial carriers such as Independence Blue Cross, Highmark, Aetna, Cigna, and UnitedHealthcare. RCM360 Solutions manages each step of your revenue cycle, from verifying coverage to posting payments, so your staff can focus on patient care.
Unpaid claims hold up revenue your practice has already earned. We review your open balances on a regular schedule, contact insurers directly, and follow each claim until it is paid or appealed.
Our certified staff knows Pennsylvania payer rules and manages each claim from submission through final payment.
If you add a provider or open another office, we take on the extra claims right away so billing stays on schedule.
Regular reports show what was billed, paid, denied, and still owed, so you can see how your practice is doing.
We find out why a claim was denied, correct the error, and resubmit or appeal it before the insurer’s deadline.
Older claims get priority attention and direct contact with the insurer, so they are collected instead of written off.
From practices in Philadelphia and Pittsburgh to private offices in Harrisburg, Allentown, and Erie, claim errors and late payments put pressure on cash flow. We focus on sending accurate claims and following up until they are paid.
Each specialty has its own codes and insurance requirements. Our billers work with your type of claims every day, so they are prepared correctly the first time.
Well-child visits, vaccine billing, and claims for children covered by Medical Assistance and CHIP, with correct codes for each visit.
X-ray, MRI, CT, and ultrasound claims with the correct split between technical and professional charges.
Chemotherapy and infusion billing, correct drug codes and units, and insurer approvals for ongoing treatment.
Claims for stress tests, echocardiograms, heart monitoring, and office procedures, supported by complete documentation.
You do not need to change your software. RCM360 Solutions connects securely to the EHR and practice management system you already use, and our team handles the billing from there.
We bill Medicare through Novitas Solutions, Pennsylvania Medical Assistance and its HealthChoices plans, Medicare Advantage plans, and major commercial insurers such as Independence Blue Cross, Highmark, Aetna, Cigna, and UnitedHealthcare.
No. We connect securely to the system you already use, so your team keeps its daily workflow while we handle the billing.
We find the reason for the denial, correct the issue, and resubmit or appeal the claim before the deadline. We also track repeat denial reasons by insurer so the same error does not happen again.
Fill out the contact form or call us. We will review your current billing, explain where we can help, and plan the switch so your claims keep moving without interruption.
Talk to RCM360 Solutions about reducing denials, getting paid sooner, and seeing clearly how your Pennsylvania practice is performing.
