RMK123 - RMK HOLDINGS INC

Welcome to RMK HOLDINGS INC.

Based in the Chicago area, RMK HOLDINGS INC. specializes in resolving non to slow paying balances for ambulance, physician practices and other healthcare organizations.

RMK HOLDINGS INC. supplements internal back office medical billing and collection resources by focusing on root causes of medical reimbursement slow down, improving the time it takes to get you paid so you can realize more cash, early on.

RMK HOLDINGS INC. also partners with third party medical billing agents by deploying early out collection processes to increase self-pay patient engagement, resolve balances and gain a higher return rate for your clients.

The claim and denial management segment of the healthcare revenue cycle is expected to hold the highest compound growth rate over the coming years. Couple this with continual shifts in revenue cycle management staffing, RMK HOLDINGS INC. can benefit you by stabilizing resources, improving collection efficiency and increasing reimbursement.

Whether you are seeking a short-term partner to get healthcare receivables back on track, coping with a backlog of unworked accounts or searching for a long-term solutions partner, RMK HOLDINGS INC. provides you with a custom, flexible workflow to tackle your revenue challenges including the small balances!
Contact us toll-free at 866-446-4800 or by email for a free consultation on how to meet the challenges of reduced reimbursements, self-pay patient balances, and overall revenue cycle management.

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.

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.

BALANCE: $ 2,176.00
PROBLEM: Claim denied because of no insurance coverage for service date.
SOLUTION: Claim was filed to incorrect claims address.

BALANCE: $ 1,013.50
PROBLEM: Claim denied because of insurance ID mismatch.
SOLUTION: Claim filed to traditional plan vs. community care.

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.

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.

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.

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.

BALANCE: $ 1,690.00
PROBLEM: Insurance benefits exhausted denial at clearing house level.
SOLUTION: Consumer questioned why claim repriced differently than a claim from a prior year. Investigated with insurance who confirmed a claim was not on file.
Claim resubmitted and consumer held responsible for their portion only vs. full charge according to provider-payor contract.

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.

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.

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.

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.

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.

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.

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.

Medical Claims Management Tips

How to Jump Start 1st Quarter Revenue

Bridging the Gap to Secure Revenue

When is a Child Responsible for the Balance?

About RMK HOLDINGS INC.