Vinaora Nivo Slider

Medical Reimbursement Management

Are you receiving reimbursement from Medicare, Medicaid, and insurance carriers promptly? RMK's skilled accounts receivable and recovery professionals fill resource gaps caused by time consuming medical reimbursement and insurance claim follow up tasks.

The RMK Medical Reimbursement Management Approach

We customize the options below and other areas of your specialty including:

  • Insurance eligibility and verification | Address and demographic validation
  • Authorization and precertification | Pre-service pricing estimation
  • Medical billing, claims submission and status monitoring
  • Payment processing and collections | Pre-collection balance messaging and reminders
  • Patient statement fulfillment by traditional mail or electronic delivery
  • Accounts receivable, denial and appeals management
  • Multiple payment channel options

Experienced RMK employees serve as an extension of your staff to help your practice move past the obstacles caused by problems in these areas.

The Advantages of RMK Medical Reimbursement Options

With RMK filling the resource gaps in your practice, we can help set patient, payer, and staff expectations while recognizing the staff, establishing accountability, and isolating / resolving problems quickly.

The results of these efforts will be observed in improved statistics, a better cash flow, and elevated staff morale. The common mission is to tighten intake processes, submit clean claims, and collect payments on a timely basis.

Contact us toll-free at 866-446-4800 or by This email address is being protected from spambots. You need JavaScript enabled to view it.for a free medical reimbursement management consultation today.

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.

bbb rating

Free How To

for Better Medical

Revenue Results

Tip of the Day

TIP: Keep tabs on insurance payment turnaround time so immediate steps can be taken to rectify issues.

RMK Holdings Inc.

111 North Avenue
First Floor, Suite 104
Barrington, IL  60010

866-446-4800 toll-free phone

Go to top