Medical billing & RCM
Medical billing &
revenue cycle management.
From eligibility checks to unpaid-claim follow-up, NexCare Solution helps your practice manage the work between patient care and reimbursement.
Revenue Cycle Management
What is medical billing and revenue cycle management?
Medical billing and revenue cycle management connect the administrative steps between a patient encounter and reimbursement. NexCare Solution supports eligibility review, coding and charge entry, claim submission, payment posting, denial follow-up, aged accounts receivable and reporting within an agreed service scope.
Start with your practice.
Share your specialty, current systems, and the main issue you want to solve. Patient records are not needed for this first inquiry.
Eligibility & patient information
Review coverage, authorization requirements, and patient demographics to identify missing information before claims move forward.
Coding, charge entry & submission
Support ICD, CPT, and HCPCS coding, charge capture, claim review, and electronic submission through your clearinghouse.
Payment posting & reconciliation
Post remittance information and review insurance payments, adjustments, and remaining balances.
Denials & aged accounts receivable
Review denial reasons, prepare corrections or appeals, and follow up on outstanding payer balances.
Reporting & revenue cycle review
Review claims, denials, A/R aging, and collections to identify gaps and help your practice prioritize next steps.
The first conversation
A useful place to begin.
Your current workflow
Which parts of billing are handled internally, and where does your team need support?
Outstanding claims
What do your denial patterns and A/R aging look like today?
Visibility & communication
Which reports and update schedule would help you manage the practice?
What can NexCare's revenue cycle management service include?
The service can include eligibility and patient information review, coding and charge entry, electronic claim submission, payment posting, denial management, A/R follow-up and reporting. The tasks included are agreed with your practice before work begins.
Can NexCare help with denied claims and unpaid insurance balances?
Yes. Denial management and aged A/R follow-up are included in NexCare's revenue cycle services. The team reviews denial reasons, prepares appropriate corrections or appeals, and follows up on outstanding payer balances within the agreed scope.
Which reports can we discuss for our practice?
You can discuss claim status, collections, denial patterns and A/R aging. NexCare and your practice agree which reports, delivery schedule and review format fit the service scope.
Start with a conversation
Let’s talk about what your practice needs.
Tell us where billing is taking time away from your team. We’ll discuss a service scope that makes sense for you.