Our Services
End-to-End RCM Solutions for Seamless Healthcare Operations!
At M-Pro Sys Technology Pvt Ltd, we provide a comprehensive suite of Revenue Cycle Management (RCM) services designed to optimize your financial processes and improve cash flow. Our expertise helps hospitals, clinics, and healthcare providers navigate complex billing, insurance, and compliance challenges, ensuring maximum reimbursements with minimal delays.
Discover our services
Patient Registration & Pre-Authorization
Efficient patient registration is the foundation of a seamless billing process. Our team ensures: (1.) Accurate Data Entry – Capturing patient demographics, insurance details, and contact information. (2.) Real-Time Insurance Verification – Checking insurance eligibility, coverage limits, and deductibles before treatment. (3.) Minimized Claim Rejections – Verifying policy validity to prevent denials due to expired or incorrect insurance. By validating patient information upfront, we help avoid costly billing errors and claim denials.
Appointment Scheduling & Patient Check-in
Managing patient appointments while ensuring compliance with insurance requirements is crucial. Our services include: (1.) Automated Appointment Scheduling – Optimizing provider availability while considering patient needs. (2.) Pre-Authorization for Procedures – Handling insurer approvals for treatments requiring prior consent. (3.) Ensuring Timely Approvals – Reducing administrative burdens by coordinating with insurance payers. This proactive approach reduces last-minute cancellations and billing issues, ensuring smooth operations.
Appointment Scheduling & Patient Check-in
Managing patient appointments while ensuring compliance with insurance requirements is crucial. Our services include: (1.) Automated Appointment Scheduling – Optimizing provider availability while considering patient needs. (2.) Pre-Authorization for Procedures – Handling insurer approvals for treatments requiring prior consent. (3.) Ensuring Timely Approvals – Reducing administrative burdens by coordinating with insurance payers. This proactive approach reduces last-minute cancellations and billing issues, ensuring smooth operations.
Medical Coding & Charge Capture
Accurate medical coding is essential for maximizing reimbursements. Our certified coding experts specialize in: (1.) Standardized Coding Practices – Using ICD-10, CPT, HCPCS, and DRG codes to classify treatments and procedures. (2.) Error-Free Documentation – Ensuring medical records align with coded diagnoses and services. (3.) Claim Denial Prevention – Mitigating risks of rejection due to incorrect or missing codes. With precise coding, we help healthcare providers optimize their revenue streams while maintaining compliance.
Claims Submission & Processing
Submitting claims correctly the first time speeds up payments and reduces denials. Our approach includes: (1.) Electronic Claim Submission – Using advanced software for fast, error-free processing. (2.) Thorough Pre-Claim Review – Identifying missing information before submission. (3.) Multi-Payer Coordination – Managing claims across various insurers for different patient categories. Our efficient claims submission process ensures faster approvals and higher reimbursement rates.
Claims Submission & Processing
Submitting claims correctly the first time speeds up payments and reduces denials. Our approach includes: (1.) Electronic Claim Submission – Using advanced software for fast, error-free processing. (2.) Thorough Pre-Claim Review – Identifying missing information before submission. (3.) Multi-Payer Coordination – Managing claims across various insurers for different patient categories. Our efficient claims submission process ensures faster approvals and higher reimbursement rates.
Denial Management & Appeals
Denied claims can delay cash flow, but our dedicated team proactively addresses them. We provide: (1.) Root Cause Analysis – Identifying reasons behind claim rejections (coding errors, missing info, etc.). (2.) Resubmission & Appeals – Correcting errors and resubmitting claims for approval. (3.) Claim Follow-Ups – Regular tracking to ensure faster resolution. With a proactive denial management strategy, we help healthcare providers recover lost revenue.
Payment Posting & Reconciliation
Once payments are received, accurate reconciliation is critical to financial stability. Our services include: (1.) Automated Payment Posting–Logging payments received from insurers and patients. (2.) Error Identification – Detecting discrepancies in posted amounts. (3.) Balancing Accounts – Ensuring all transactions align with hospital records. By maintaining accurate financial records, we help streamline accounting and prevent revenue leakage.
Payment Posting & Reconciliation
Once payments are received, accurate reconciliation is critical to financial stability. Our services include: (1.) Automated Payment Posting–Logging payments received from insurers and patients. (2.) Error Identification – Detecting discrepancies in posted amounts. (3.) Balancing Accounts – Ensuring all transactions align with hospital records. By maintaining accurate financial records, we help streamline accounting and prevent revenue leakage.
Patient Billing & Financial Assistance
Transparent patient billing enhances trust and reduces payment delays. Our services include: (1.) Clear & Simple Invoicing – Providing detailed, easy-to-understand medical bills. (2.) Flexible Payment Options – Enabling online payments, EMIs, and other methods. (3.) Financial Counseling – Helping patients understand insurance coverage and payment responsibilities. This approach improves patient satisfaction while ensuring steady revenue collection.
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