Revenue Cycle Management Services

Time proven medical billing protocols and methodologies executed by a highly trained team of professionals are the backbone of our company. Our workflow has been vetted over several decades resulting in revenue enhancement through efficiency and timely focus. We provide a complete menu of accounts receivable management tools and process billing data on a daily basis without delay. Our team utilizes the essential reference tools of our industry including the International Classification of Diseases v10(ICD-10), the Current Procedure Terminology(CPT), the Healthcare Common Procedure Coding System(HCPCS) and other references to process and manage electronic data interchange 837 and 835 transaction sets in the transmission of medical claim information. Strictly adhering to the Healthcare Insurance Portability and Accountability Act of 1996(HIPAA) compliance and confidentiality mandates, we also submit CMS1500 and UB04 claim data forms to all medical insurance carriers including the Centers for Medicare and Medicaid Services(CMS) and all private insurance companies. Our patient dedicated call center is always aware that we represent our clients as an extension of their facility, thereby, we will improve your patient contact experience driving up collections rates while maintaining your duty of care. With the realization that total transparency is essential to our industry, we keep your finger on the financial pulse of your facility by providing time sensitive customized reports and consultation. At Express Claims, Inc. we provide diligent denial follow-up, process patient billing up to the level of sending pre-collections notices, and will vigorously provide support to our clients defending them against onerous audits and appeals.

Advantages of Outsourcing

Our goal is to expand your revenue stream and provide cost effective, efficient, and integrated accounts receivable management.   We allow for the complete outsourcing of your billing functions and removal of oversight responsibility eliminating provider-patient billing interaction. Our skilled and expertly trained billing associates are committed to quality accounts receivable follow-up and will integrate and coordinate with your existing office personnel to efficiently manage and wind down your accounts receivable.

Our Partners:

General Services Administration Contract Holder (www.GSA.gov).

Member of the Healthcare Billing and Management Association (www.HBMA.org).

Partnered with AmerAssist A/R Solutions, Inc. (www.AmerAssist.com).

Utilizing Claimtek Systems MedOffice Claim Software (www.claimtek.com).

Revenue Cycle Management Provided by Availity (www.Availity.com).