Critical Access Hospitals have trusted us for the past 10 years for their RCM needs. We have the experience to help you.
Healthcare Revenue Cycle Services
We understand the unique requirements and reimbursement rules you must comply with because of your CAH designation.
We work with Critical Access Hospitals to be their complete back office, CBO, and manage all aspects of their revenue cycle for them.
We also customize our services to help CAHs to augment their in-house revenue cycle teams and take on the work you don’t have staff to manage on your own.
Our approach to RCM is flexible, customizable and based on the needs of each client with the goal of working with them long-term. Year after year we work hard to continue to build a relationship of trust and commitment to them.
We’re available to help you with your needs. Just send us an email and we’ll get in touch.
What Makes Us Different
There may other options you’re considering so you should know what sets us apart and makes us a long-term trusted partner for our Critical Access Hospital clients.
Our expertise is from 10 years of focus on Critical Access Hospitals and Rural Health Clinics.
Our team is in the Northwest and not overseas. It matters to our clients that when we engage with them and their patients they are speaking to people that are local.
Our commitment to rural comes from a long history when our parent company, Inland Imaging, was established in Spokane WA. Our radiologists provide services to rural communities and are committed to supporting rural healthcare.
Commited Employees: We have a great work culture and our employees average 7 plus years with us. This means our clients can rely on experienced team members who are familiar with their CAH from working with them year after year.
Celebrating 10 Years Serving our Clients!
We’re available to help and makes things easier for you and your team.
RCM Services We Deliver
CBO or Central Billing Office where we become your billing partner by performing all billing functions from sending initial claims to securing reimbursement, addressing denials and payment posting. (learn more)
Insurance Billing Collections: We do the follow-up process to ensure reimbursements have been paid. This means monitoring the status of submitted claims, following up with the insurance company as needed to ensure timely payment and keeping track of what amount is reimbursed. Our AI tools allows our team to be efficient and spend more time solving reimbursement issues. (learn more)
Payment Posting where we take care of posting payments from commercial insurance payers, Medicare, Medicaid and individual patients in hospital systems, and making timely remote bank deposits. Reconciliation of payments with corresponding claims. Investigation of partial payments and the reasons for denial, including appealing such decisions.
Patient Payment Billing Follow Up for Self Pay Collecting money owed requires diplomacy, persistence, a sympathetic ear, and in some cases being bilingual. Our staff can also screen for financial assistance, establish and administer payment plans and coax credit card payments over the phone. We also assist with charity applications.
Provider Enrollment and Credentialing We use QGenda to credential and enroll our clients’ providers. Our hands on approach ensures providers are efficiently enrolled so the facility can begin submitting claims for reimbursement on their behalf. (learn more)
Workflow review and recommendations for improvements. Consulting services for your specific needs. (learn more)
Legacy system AR follow up & other project work. (learn more)
Business Office Staff Augmentation: we have experienced team members that can focus on your needs to become part of your team but we maintain all of the requirements of the employee relationship. We receive qualified resumes on a regular basis from candidates that want to work with our team and can quickly find the right resource for you if we do not already have them on the team.
Our Commitment To You
We will become your go-to trusted partner and help you meet your revenue goals year over year. We are proud to offer all US based teams that work remotely (some are based in rural communities themselves) to support your commitment to serve rural communities. This is why our clients stay with us for the long term.
Critical Access Hospitals not only take care of the health of the community but also help ensure it’s economic vitality and growth. The community and the hospital need each other and we want to support your success!
