RMK HOLDINGS INC. specializes in fulfilling the resource gap after the medical claim is billed.

Why is Your Claim Not Processing?
Why is Your Claim Not Processing?

The majority of insurance carriers are mandated to deny or pay a claim within 30 days of receiving it. As a practice, you know you need to receive payment from the carrier (and the patient, for that matter) as quickly as possible. You also know this doesn't always happen. Why?

Key Differences: New Medicare ID Card
Key Differences: New Medicare ID Card

In April of 2018 and continuing for one year, the Centers for Medicare & Medicaid Services (CMS) will launch new Medicare cards. Called Medicare Beneficiary Identifiers (MBIs), these new numbers will replace the current health insurance claim numbers (HICN) that are social security numbers. The idea is to help prevent Medicare fraud and help beneficiaries avoid identity theft.

Collecting Deductible Resets and Patient Payments
Collecting Deductible Resets and Patient Payments

10 million consumers were in high deductible health plans (HDHPs) in 2010. Less than ten years later, 75 million are enrolled in these plans, a 650% increase. For you, this poses a challenge because patients usually ending up paying more out of their pocket for your services.

Understanding the Medicare Advance Beneficiary Notice of Noncoverage (ABN)
Understanding the Medicare Advance Beneficiary Notice of Noncoverage (ABN)

Also known as form CMS-R-131, applying the ABN when needed might be among the most misunderstood areas for Medicare providers. The purpose of the ABN is:

Seven Ways to Stop Claim Denials
Seven Ways to Stop Claim Denials

With denials remaining a significant roadblock to full and timely reimbursement, and while denials occur across the revenue cycle, a high percentage are associated with eligibility, authorization and registration activities, all front-end processes.

How to Stay Ahead of Collection Delays
How to Stay Ahead of Collection Delays

Ensuring payment is just as important as submitting a clean claim on time. Payments are delayed for many reasons resulting in the need to collect more aggressively. This is key since the collection process itself now demands more follow up labor expended than it did in the past. One would think because of technology advances this would not be the case but it is.

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