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Tailored RCM solutions to meet your practice’s unique needs
Increase practice profitability and improve patient engagement
Medical Billing and Coding Services
MedConverge was founded with a vision to bring together technology and skilled manpower to provide the most comprehensive healthcare revenue cycle management solutions. Our mission is to assist healthcare facilities improve their bottom line while ensuring better patient care outcomes.
Total Revenue Cycle Management
Our Total Revenue Cycle Management solutions streamline every stage of your practice’s financial workflow — from coding and billing to collections — ensuring accuracy, compliance, and faster reimbursements.
Complete RCM
Our RCM services include everything from payer contracting/provider credentialing to patient collections.
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Medical Billing
Shorten your payer cycle, reduce your denials, and increase your revenues by utilizing our services.
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Medical Coding
Our AAPC and AHIMA certified coders have multispecialty and multi-facility coding expertise.
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Patient Collections
Our patient help desk and patient web portal will maximize your patient collections.
Read MoreInnovating your practice with Cutting-Edge Healthcare Solutions
Harness the power of technology and expertise to streamline operations, optimize revenue, and redefine success for your practice.
Why choose MedConverge as your medical billing partner?
MedConverge is unwaveringly committed to its mission: Independent practices stay independent and profitable. How do we accomplish this? By bringing enterprise solutions to private practices, negotiating better contracts by forging strong collaborative relationships with PHOs/IPAs/CINs/ACOs, reducing your administrative burden and overhead costs through an intelligent enmeshing of human skill and technology. by helping you shift focus from a fee-for-service model to value based care. MedConverge is much more than the average medical billing company, with a team that has over a century of combined experience in the healthcare revenue cycle management space, we bring innovation not just with technology, but with our creative thinking in people management, training, and workflow optimization.
- AI & RPA Enabled Tailored Medical Billing and Coding Solutions
- Intelligent Practice Management Methodologies
- Real-Time Analytics & Reporting Dashboards
- Provider and Personnel Education
- Quality Metrics Reporting
- Patient Collection Solutions
- Payer Contract Negotiations
Our Services
Provider Contracting
Are you participating with all the payers in your locality? Increase your reimbursement. Let our experts analyze your contracts!
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Credentialing
We handle full-service credentialing and recredentialing for Medicare, Medicaid, PPOs, HMOs, and MCOs—ensuring timely, accurate enrollment and ongoing compliance across all states and lines of business.
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Eligibility Verification
Do you see a lot of Medicaid patients or perform specialized procedures? Let us verify patient eligibility and procedure coverage.
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Prior Authorization
We manage the entire prior authorization process—documentation, submissions, follow-ups, and escalations—for Medicare Advantage, Medicaid MCOs, and commercial plans, reducing delays and easing the burden on your clinical team.
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Clinical Documentation
Do you want to improve medical record quality? Our CDI Specialists can provide personalized solutions based on your practice goals.
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Billing
Our team delivers end-to-end billing services across all payer types, applying payer-specific rules and edits to ensure clean claims, reduce denials, and accelerate collections and reimbursements.
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Medical Coding
Inaccurate medical coding can impact your revenues. Our team of experienced and certified coders provides error-free coding.
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Payment Posting
Whether it is ERAs or EOBs, our automated processes will bring down the turnaround time of posting payments & denial management.
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Denial Analysis
Are you constantly plagued with global denials? Our extensive analytics and knowledge base will bring your denial rate down.
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AR Follow-up
At MedConverge, our commitment to clients is payer AR less than 10% over 120 days and our intuitive processes make this possible.
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Patient Collections
Our experienced customer care staff and free patient portal can help maximize your patient collections. Get in touch with us now!
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MACRA/MIPS Reporting
Are you ready for MACRA? Do you qualify for MIPS? We can help you in ensuring compliance and avoiding financial penalties.
Read MoreWhy Choose MedConverge’s AI-Enabled RCM Services?
Enhance your healthcare practice’s financial performance with MedConverge’s AI-Enabled Revenue Cycle Management (RCM) Services. Our innovative solutions streamline billing processes, reduce errors, and accelerate reimbursements, allowing you to focus on delivering exceptional patient care.
Automated Claims Processing
Our AI-driven system automates claims submission and tracking, minimizing human errors and ensuring timely reimbursements.
Predictive Denial Management
Utilizing advanced algorithms, we predict and prevent claim denials by identifying potential issues before submission, enhancing your revenue stream.
Enhanced Coding Accuracy
Our AI tools ensure precise medical coding, reducing compliance risks and optimizing reimbursements.
Real-Time Analytics
Gain actionable insights into your financial operations with our comprehensive analytics dashboard, enabling informed decision-making and strategic planning.
Learn how we make Practices more Profitable
Discover how MedConverge’s AI-Enabled RCM Services can streamline your operations, boost revenue, and reduce errors.
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Awesome words from Clients
Our work speaks for itself, but it is best to hear from our clients how we continually help them optimize their revenue cycle process to further their success. Here are some testimonials of our many success stories.
