RCM360 Solutions manages your claims from submission to payment, helping New Jersey providers reduce denials and receive payments sooner.
New Jersey practices bill Medicare through Novitas Solutions, NJ FamilyCare (Medicaid) through managed care plans such as Horizon NJ Health, Aetna Better Health of New Jersey, UnitedHealthcare Community Plan, and Wellpoint, and commercial carriers such as Horizon Blue Cross Blue Shield of New Jersey, Aetna, Cigna, and Oxford. Many practices also bill auto insurance (PIP) and workers’ compensation claims, which follow separate rules. RCM360 Solutions manages each step of your revenue cycle, from verifying coverage to posting payments, so your team can focus on patients.
Unpaid claims hold up revenue your practice has already earned. We review your open balances on a regular schedule, contact payers directly, and follow every claim until it is paid or appealed.
Our certified team understands New Jersey payer rules and manages each claim from submission to final payment.
When you bring on a provider or open a second location, we take on the extra claims right away so billing stays on schedule.
Regular reports show what was billed, paid, denied, and still outstanding, so you can see how your practice is performing.
We find the reason for each denial, correct the error, and resubmit or appeal the claim before the payer’s deadline.
Claims unpaid after 60 days receive priority attention and direct payer contact, so they are collected instead of written off.
From practices in Newark and Jersey City to private offices in Edison, Cherry Hill, and Princeton, 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 payer 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 NJ FamilyCare, with accurate 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 payer 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 billing from there.
We bill Medicare through Novitas Solutions, NJ FamilyCare and its managed care plans, Medicare Advantage plans, and major commercial insurers such as Horizon Blue Cross Blue Shield of New Jersey, Aetna, Cigna, and UnitedHealthcare.
Yes. These claims have their own filing rules and documentation requirements in New Jersey. We track the requirements and submit them accurately alongside your regular insurance 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 payer so the same error is not made 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 gaining a clear view of your New Jersey practice’s revenue.
