Reimbursement

REIMBURSEMENT ANALYSIS:

While on-site, conducting the Annual Evaluation Report service, Jim will enter into discussions with the billers and other staff members involved in the billing and posting of reimbursements to make sure the clinic is billing correctly and is receiving the appropriate reimbursements from all payer sources.

Medicare, Medicare Managed Care (Medicare Advantage plans), and other payer classes often do not pay the RHC properly. Jim will make sure you are getting the maximum reimbursements you are allowed before he leaves your clinic.

In addition, discussions will include the details of how the billing is conducted for the RHC, making sure the charges are being posted, bundled and submitted properly so that the correct reimbursement is received.

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