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Our Beginning and Evolution

Beginning in the 1980s, the original founder focused on medical bad debt acquisition and collections for public and private agencies under a different company. Using this experience, RMK was formed in 2000 to handle medical reimbursement recovery services with a concentration on workflow process analysis to increase reimbursement turnaround early in the revenue cycle.

Today's Core Service Area

Today, RMK's key focus area is supporting medical and ambulance clients with early out recovery services. Oftentimes, resources are thin for the legwork that may be needed to successfully resolve a balance after the initial billing but before turnover to an outside collection agency. After efforts are exhausted, balances are then turned over to its third party collection agency partners.      

With the increase in consumer driven health plans, cost sharing and medical billing complexities, patient support advocacy services delivered under Medical Bill & Claim Resolution (MBCR) adds another layer of diversity.

Overall, the increased rate of recovery for clients is an average of 17 to 40 percent plus over their existing provider.

Fundamental Principles

Our fundamental principles remain the same:

  • Engage with internal team members who are high touch and exude passion for what they do
  • Respond quickly, follow through, and exemplify integrity in every interaction
  • Collaborate and create open communication for positive results
  • Remain agile, adapting to changing operational shifts
  • Fully address concerns and questions with transparency
  • Quality over quantity to produce predictable results with minimal waste and duplicate effort
  • Protect those whom we serve, both team members and clients

Our highly personalized approach emphasizes better quality conversations, streamlining processes, and improving systems. These directly contribute to sustainable and maximum recycle cycle recovery.

Professional Memberships:

  • AAPC, American Academy of Professional Coders 
  • ABMA, American Medical Billing Association 
  • Accredited Business with the Better Business Bureau, A+ Rating

Mission Statement:

"Implement recovery solutions based upon the best efficiencies possible, backing team members so they can provide exceptional services to our clients with kindness, dignity and respect." 

Success Stories


Average bill age when our office received: 180 days plus BALANCE: $ 1,233.00 PROBLEM: Claim denied needing primary EOB. SOLUTION: Claim billed to supplemental policy instead of MMAI policy which was effective for service date.
Average bill age when our office received: 180 days plus BALANCE: $ 2,176.00 PROBLEM: Claim denied because of no insurance coverage for service date. SOLUTION: Claim was filed to incorrect claims address.
Average bill age when our office received: 180 days plus BALANCE: $ 1,013.50 PROBLEM: Claim denied because of insurance ID mismatch. SOLUTION: Claim filed to traditional plan vs. community care.
Average bill age when our office received: 180 days plus BALANCE: $ 1,203.00 PROBLEM: Patient disputed charge/balance owed, comparing it to a similar past bill. SOLUTION: Explained itemized charges and balance owed because of deductible. Patient stated first time someone took the time to explain and set up a payment plan.
Average bill age when our office received: 180 days plus BALANCE: $ 1,007.50 PROBLEM: Denied by hospice as non-eligible benefit and Medicare as ID name mismatch. SOLUTION: Verified/corrected Medicare ID, name and date; confirmed hospice non-eligibility.
Average bill age when our office received: 180 days plus BALANCE: $ 1,305.00 PROBLEM: Denied no pre-authorization for service. SOLUTION: 3-way call with patient and insurance. No ER report on file when claim originally submitted. ER report since received.
Average bill age when our office received: 180 days plus BALANCE: $ 1,001.50 PROBLEM: Denied with "misrouted" and "claim not covered by payor". SOLUTION: 3-way call with patient and insurance. Claim was related to mental health so should have been filed through carve out policy.
Average bill age when our office received: 180 days plus BALANCE: $ 1,755.00 PROBLEM: No response from insurance after requested records submitted. Patient stated insurance paid. SOLUTION: Billing office did not receive/post insurance payment. Called insurance and records received but claims representative had not released for processing.
Average bill age when our office received: 180 days plus BALANCE: $ 4,540.50 PROBLEM: Multiple bills, same service dates as claims already paid. Denied due to no pre-authorization for service. SOLUTION: Call to insurance who verified no pre-authorization requirement. Two claims not found. To prevent duplicate denial upon resubmission, account rep notated resubmission for return transportation trip. Proof of timely filing submitted with claims.
Average bill age when our office received: 180 days plus BALANCE: $ 1,180.00 PROBLEM: Denied due to no pre-authorization for service. SOLUTION: 3-way call with patient and insurance. Claim should have been sent directly to IPA vs. umbrella insurance location.
Average bill age when our office received: 180 days plus BALANCE: $ 1,117.00 PROBLEM: Unpaid due to incomplete demographic information. SOLUTION: Contacted pick up and drop off locations. Sent release to obtain information and patient’s name misspelled.
Average bill age when our office received: 180 days plus BALANCE: $ 1,605.00 PROBLEM: Denied due to medical necessity. SOLUTION: 3-way call with patient and insurance. Spoke with multiple reps and received different answers including claim not found. Claim was found with no response from medical board. Patient had to submit medical records.
Average bill age when our office received: 180 days plus BALANCE: $ 1,007.50 PROBLEM: Denied multiple times as duplicate. SOLUTION: Located claim number ID, amount paid and date paid. Claim had already been paid in full but not posted.
Average bill age when our office received: 180 days plus BALANCE: $ 1,650.00 PROBLEM: No insurance on file. SOLUTION: Pick up location was state prison. Located inmate ID and could be billed to prison insurance as still within timely filing limits.
Average bill age when our office received: 180 days plus BALANCE: $ 2,295.50 PROBLEM: Denied as “forwarded to another entity for processing”. SOLUTION: Called insurance for medical group processing information. They did not have claim on file. Resubmitted with proof of timely filing.

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