Healthcare RCM Services

Enhance Your Revenue Cycle with Our Complete Solutions

At Versacore Healthcare Solutions, we deliver end-to-end Healthcare Revenue Cycle Management (RCM) services designed to optimize reimbursements and ensure the financial health of your healthcare practice.

RCM covers the entire financial process, from the initial patient interaction (Appointment Scheduling) to final payment. Key components include:

• Patient Registration and Appointment Scheduling.
• Eligibility/Benefits Verification and Pre-Authorization.
• Medical Coding (ICD/CPT) and Claim Submission
• Reimbursement and Denial Handling
• Patient Billing and Collections
• Data Reporting and Analysis

Navigating the complexities of healthcare administration is challenging. An efficient RCM process is vital for your practice's success and long-term viability.

  By entrusting your RCM to us, you can focus on patient care while we manage:

• Precise Medical Coding: Avoid claim rejections with accurate ICD/CPT/HCPCS coding practices.
• Thorough Claim Scrubbing: Prepare claims for prompt submission with quality Check.
• Persistent Follow-Ups: Speed up reimbursements with consistent follow-through and monitoring on each Claim.
• Denial Appeal Support: Handle denied claims with expert assistance and rectify them without any delay.
• Efficient Patient Billing: Simplify billing and collections for patients after ensuring the secondary and tertiary Insurances.
• In-Depth Analytics: Access comprehensive revenue cycle insights and a brief Dashboard on each Process.

Choose Versacore Healthcare Solutions to refine your revenue cycle management and enhance your financial performance.

Streamline Your Credentialing Process with Ease

Managing provider credentialing with major payers can be complex and time-consuming—but it doesn’t have to be. Our credentialing experts simplify this vital process for you.

We handle all the intricate details of application requirements, follow-ups, and documentation, allowing you to concentrate on providing excellent patient care. With our specialized system and strong relationships with payers, we expertly navigate your credentials through the approval process.

Advantages of Our Credentialing Services:

• Faster Credentialing: Get your providers ready to see patients sooner with expedited processing.
• Higher Approval Rates: Achieve better first-time approval rates compared to self-submissions.
• Expert Knowledge: Benefit from our deep understanding of payer-specific documentation requirements.
• Ongoing Follow-Ups: Ensure your application stays on track with persistent follow-up.
• Extensive Payer Network: Credentialing services with over 1,000 payers nationwide.
• Recredentialing Support: Maintain your provider status with our recredentialing assistance.

Our user-friendly online dashboard provides real-time updates and status checks, making credentialing straightforward and stress-free. Let Credential Services be your trusted partner in maximizing patient access and reducing administrative burdens.

Accelerate Revenue with Expert Physician Billing

Handling insurance claims, Appointment scheduling, Eligibility Verification, Prior Authorization, patient payments, and complex billing compliance can divert valuable time from patient care. At Versacore Healthcare solutions, our team of dedicated medical billing specialists is here to manage these administrative tasks for you.

By partnering with us, you gain access to a cutting-edge, tech-enabled billing and collections system designed to streamline your practice’s financial processes. We manage everything from claims preparation to follow-ups on stalled reimbursements, allowing you to focus on providing exceptional patient care.

Why Physician Practices Rely on Us:

• Faster Claims Processing: Accelerate claims submissions, Re- submissions and reimbursements.
• High Acceptance Rates: Enjoy improved first-pass acceptance with our expert handling.
• Effective Denial Management: Increase denial overturns through diligent appeals.
• Patient Payment Handling: Manage patient payments and provide top-notch customer service.
• Audit-Ready Protocols: Maintain billing practices that are always ready for audits.
• Transparent Claim Tracking: Access real-time updates on the status of your claims.

Whether dealing with commercial insurers, Medicare, or specialized carriers, our billing experts have the experience to convert your services into revenue. Backed by the latest compliance knowledge and strong relationships with top payers, we enhance your practice's financial performance with quicker payments and higher returns.

Discover the Benefits of Streamlined Billing

Contact us today to learn how our optimized medical billing solutions can transform your practice. Let us handle the complexities so you can concentrate on what you do best—delivering outstanding patient care.

Optimize Hospital Revenue with Expert Billing Services

Hospital billing is intricate and requires specialized knowledge to maximize reimbursement. At Versacore Healthcare Solutions, our expert team offers a streamlined billing and collections engine designed to enhance your revenue cycle.

Why Partner with Us?

In the complex world of hospital billing, you need a partner who understands the nuances of procedures, diagnosis codes, and payer requirements. We bring this expertise, supported by the latest protocols and regulations, to boost your financial performance through:

The Benefits You Receive:

• Skilled Coders: Our CPC certified hospital coders ensure precise translation of procedures, capturing the highest possible reimbursement.
• Accelerated Payments: We submit accurate, error-free claims electronically, speeding up payer review and payment.
• Denial Prevention: Our rigorous internal audits reduce rejections and underpayments due to coding errors.
• Accounts Receivable Optimization: We tailor workflows to align billable charges and manage patient payments effectively.
• Compliance Assurance: We adhere to HIPAA-compliant protocols and implement robust security measures to protect patient data.
• Strong Payer Relationships: Our established connections with payers help resolve claim issues efficiently.
• Insightful Reporting: Receive actionable analytics on key revenue cycle metrics, including deductions, rejections, and A/R.

With our expertise in hospital billing, we ensure steady cash flow, unlock hidden revenue potential, and provide critical analytics for better financial management.

Ready to See Financial Growth?

Contact our specialists today to explore how our billing services can drive revenue and enhance your hospital's financial health.

Streamlined Billing for DME and HME

Managing billing for durable medical equipment (DME) or home medical equipment (HME) can be vast and highly complex, but it doesn’t have to be a burden. At QuickClaim DME Billing, we specialize in simplifying billing and collections for all your DME and HME needs. We handle the administrative challenges so you can focus on what’s most important—providing outstanding patient care with our expertise and dynamic experience.

Why Choose Our DME/HME Billing Services?

• Expertise in DME/HME: Benefit from our deep understanding of DME and HME rules in accordance with CMS guidelines, LCD/NCD regulations, and billing procedures.
• High Claims Accuracy:  Achieve over a 97% first-pass acceptance rate with our meticulous approach to claims.
• Efficient Claims Processing: Experience faster claims submissions, follow-ups, and issue resolutions as per the respective Jurisdiction area.
• Customized Workflows: Tailored billing processes that match your specific equipment and      services.
• Real-Time Tracking: Utilize our cloud-based platform to monitor claim status and progress in real time.
• Payer Performance Analysis: Regularly assess payer reimbursement performance to optimize your revenue cycle.

As seasoned experts in the DME/HME field, we navigate the complexities and leverage strong relationships with payers to enhance your billing efficiency. Let us streamline your billing processes and improve your revenue cycle.

Prompt Documentation:

• We collect purchase orders, shipping logs and medical necessity documents
• Thoroughly record equipment details including HCPCS codes
• Establish medical justification for devices

Insurance Verification:

• Check patient policies for DME coverage details
• Confirm required pre-approvals before shipping devices
• Advise clients if the equipment recommended is non-covered

Code Validation:

• Entry of precise HCPCS Level II codes for procured items
• Internal audits to confirm billing code accuracy
• Reference code updates/changes for compliant submissions

Claims Submission:

• Electronic forwarding of claims to clearinghouses
• Follow-up confirmations ensuring transmission success
• Resolve submission issues if claims are rejected

Reimbursement Follow-Up:

• Aggressive follow-up if claims are denied or delayed
• Appeal flawed determinations with additional documentation
• Address payer questions and concerns promptly

By following this regimented system, we achieved our track record of over 97% first-pass DME/HME claims accepted.

Contact VersaCore Solutions today to learn more about our Healthcare RCM services and how we can help your business succeed. 

Get in touch with our healthcare services team today!