The data collection and tracking requirements that are placed on today’s medical practices by insurance providers can be daunting. Couple this with even more stringent reporting requirements for use in the quality payment program process, and it has become even more difficult for the practice to cost effectively meet the required metrics.

The burden that these extensive data requirements can often overload the practice and lead to missed opportunities for incentive payments that could improve patient outcomes and drive better care delivery. With so many variables required, providers are often unaware of the full range of payment opportunities available which then makes it difficult to assess which initiatives will provide the best return on investment for the practice.

Resolution Medical Billing services work off a platform that utilizes a Provider Quality Payment Program (PQPP) as an effective and valuable tool for providers to reduce their administrative burden, optimize quality outcomes, and maximize reimbursement opportunities. The RMB suite of integrated QPP services ensures providers report relevant performance data, identify areas of improvement for their practice and uses the most detailed and accurate data to make more informed decisions.

Our Quality Payment Program

Quality Enhancement

The RMB Team of Associates provide extensive quality enhancements in support of all practice payment variables

Practice Baseline Evaluation

Our Team of experienced associated will evaluate the current state of the practice and provide detailed plan to improve on all quality goals

Quality Assurance Reviews

On a continuous basis the RMB Team will review all practice processes, systems, & procedures as a means to ensure continual improvement

Compliance Monitoring

The RMB Team will ensures compliance by monitoring performance, reviewing documentation and tracking all relevant metrics

Performance Evaluation Report

The RMB Team will provide a detailed analytical report to identify weaknesses & develop strategies that lead to improved practice efficiencies

Timely Followup, Increased Revenue

Follow up Services that Make a Difference

Claim Creation and Submission

The RMB Team adds patient demographics and prepares the claim with accurate information for submission to payers for further processing.

Denial Resolution

Our system for claim denial management enables resolution of denials quickly and without delays.

Monitor Aging Bucket

Our A/R team will ensures the Aging bucket is closely monitored for timely reimbursement.

Accurate Payment Posting

Posting insurance payments using EOB and ERA for accurate tracking, resulting in less errors and improved revenue managment.

Reporting & Analytics

Providing detailed analytics and reporting to assist with keeping track of all A/R activity

Comprehensive RCM Review

The RMB Team will review revenue the cycle management process, including denials and eligibility verification.