RMK123 - RMK HOLDINGS INC

Welcome to RMK HOLDINGS INC.

Based in the Chicago area, RMK HOLDINGS INC. specializes in fulfilling the resource gap after the claim is billed. The claim and denial management segment of the healthcare revenue cycle is expected to hold the highest compound growth rate over the next few years. RMK HOLDINGS INC. uncovers root causes of medical cash flow slow down, resulting in efficiency and improved reimbursement for ambulance, physicians and healthcare organizations.

Whether you are seeking a short-term partner to get medical account receivables back on track, coping with a backlog of unworked accounts or searching for a long-term solutions partner, RMK HOLDINGS INC. can help. Even with the small balances!

RMK HOLDINGS INC. specializes in non to slow paying balances for ambulance medical transportation, physician practices and other healthcare organizations. Contact us toll-free at 866-446-4800 or by email for a free consultation on how to meet the challenges of early out collections, medical receivables reimbursement management, and medical claim denials.

The RMK HOLDINGS INC. Approach

Achieving different results may take more persistence than most practices and their staff can support or invest. RMK HOLDINGS INC. pursues open claims with tenacity until resolution is met. RMK HOLDINGS INC. partners with you to create a personalized approach that includes defining a mutual vision, establishing transparent communications, quickly adapting to your specialty, and recommending insightful solutions that improve your medical reimbursement financials for the long term.

The Advantages of Partnering with RMK HOLDINGS INC.

RMK HOLDINGS INC. partners with you to improve cash flow, strengthen processes, and streamline workflows in the most vulnerable areas of your process by filling resource gaps. On average, existing recovery is improves 17% to 40% with RMK HOLDINGS INC.

Success Stories

Read how non-paying problem claims were converted to bottom line results. Average account age at turnover: 180 days plus.

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.

Medical Claims Management Tips

More Tips

Welcome to RMK HOLDINGS INC.

The RMK HOLDINGS INC. Approach

The Advantages of Partnering with RMK HOLDINGS INC.

Success Stories

Read how non-paying problem claims were converted to bottom line results. Average account age at turnover: 180 days plus.

Medical Claims Management Tips

Bridging the Gap to Secure Revenue

When is a Child Responsible for the Balance?

When Does the Revenue Cycle Begin?

About RMK HOLDINGS INC.