Country
150+ year of expertise with RCm solutions
-
< $25/hr
10 - 49
United States
Total RCM Solutions is a St.Louis, MO-based company that has been providing exceptional medical billing and coding services to specialty physician practices and ambulatory surgical centers. We were founded by healthcare executives as a solution to their on-going billing and coding problems. For over 15 years, we have been working to provide our clients with superior, outsourced medical billing, coding, and revenue cycle management services. We pride ourselves with not just maintaining, but exceeding, the level of accountability, communication, and customer service that is valued in traditional, on-site billing departments. Total RCM Solutions builds on that mission to add what 15 years of experience in the medical billing field has taught us: that, no matter the size, healthcare organizations need a strategic partner and that is what we are here to provide. You will feel the difference through the level of dedication and commitment we provide to our clients. At Total RCM Solutions, we don’t just provide services, we deliver solutions.
Explore Total RCM Solutions office locations and service areas.
6347 Peachwood Trail St. Louis Missouri United States 63129
1 (844) 731-6009
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What core services does Total RCM Solutions provide?
Total RCM Solutions specializes in comprehensive revenue cycle management services. This includes medical billing, medical coding, accounts receivable management, payment posting, denial management, and credentialing services designed to optimize financial performance for healthcare providers.
Which healthcare sectors does Total RCM Solutions support?
The company serves a wide range of healthcare specialties, including primary care, multi-specialty clinics, surgical centers, and various private practices. The focus remains on streamlining administrative workflows and improving revenue collection across these diverse medical environments.
How does the company assist with medical coding accuracy?
Total RCM Solutions employs certified medical coders who ensure compliance with current industry standards, such as ICD-10, CPT, and HCPCS. By maintaining high accuracy in coding, the company helps reduce claim rejections and ensures proper reimbursement for services rendered.
Does Total RCM Solutions handle denial management?
Yes, the company provides systematic denial management. This involves identifying the root causes of claim denials, performing timely appeals, and implementing corrective actions to prevent future rejections, ultimately accelerating the cash flow for healthcare practices.
Can the company manage accounts receivable for medical practices?
Total RCM Solutions offers dedicated accounts receivable management to track outstanding claims. The team follows up with insurance payers to resolve unpaid balances, ensuring that the revenue cycle remains healthy and that providers receive payment for their work in a timely manner.
What is the approach to patient billing and support?
The company manages patient statements and inquiries, providing a professional interface for billing questions. This helps maintain positive patient relationships while ensuring that patient responsibility portions are collected efficiently and accurately.
How does Total RCM Solutions ensure data security and HIPAA compliance?
Security is a top priority. The company adheres to strict HIPAA regulations to protect patient health information. Robust data security protocols are in place to ensure that all sensitive medical and financial data remains confidential and secure during processing.
Does the company offer credentialing services?
Yes, Total RCM Solutions assists healthcare providers with the complex credentialing and enrollment process. This ensures that physicians and facilities are properly registered with insurance payers, preventing delays in billing and reimbursement.
How can a healthcare practice get started with Total RCM Solutions?
Interested practices can initiate contact through the official website by filling out the inquiry form. A representative will then reach out to discuss specific practice needs, current billing challenges, and how the company’s solutions can be tailored to improve financial outcomes.
What are the primary benefits of outsourcing RCM to this company?
Outsourcing to Total RCM Solutions allows healthcare providers to focus on patient care rather than administrative burdens. Benefits include reduced operational costs, lower claim denial rates, improved cash flow, and access to a team of experienced billing professionals.
Is Total RCM Solutions equipped to handle high-volume medical billing?
The company is structured to scale with the needs of the practice. Whether managing a small private clinic or a high-volume multi-specialty facility, the infrastructure is designed to handle large volumes of claims efficiently while maintaining high standards of accuracy.
Does the company provide reporting and analytics?
Total RCM Solutions delivers regular financial reports and performance analytics. These insights help practice managers understand their revenue trends, identify areas for improvement, and make informed decisions regarding the financial health of the practice.
How does the company handle payment posting?
Payment posting is handled with precision to ensure that all insurance and patient payments are accurately recorded in the practice management system. This reconciliation process is vital for maintaining accurate patient balances and financial records.
Does Total RCM Solutions work with specific electronic health record systems?
The team is experienced in working with various electronic health record (EHR) and practice management software platforms. This flexibility allows for seamless integration with existing systems already in use by the healthcare provider.
What is the typical turnaround time for claim processing?
The company prioritizes rapid claim submission to minimize the time between service delivery and reimbursement. By streamlining the billing workflow, the goal is to achieve the fastest possible turnaround time for claim processing and payment collection.
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