Revenue Cycle Management (RCM) Services

Revenue Cycle Management

Inaccurate claim submission prevents your practice from receiving timely reimbursements. Our team collaborates with your operational team to reach your full reimbursement potential.

Our services include:

  • Management of billing under both Fee for service (FFS) and fee for value (FFV) reimbursement models
  • Claim submissions, from start to finish
  • Payment and denial management
  • Credit balance resolution
  • Collections & bad debt activities, like following up on outstanding receivables and writing off uncollectible account balances
  • Performance metrics and trend reporting

Pharmacy Billing and Point of Service Solution

Improve patient satisfaction and engagement by automatically supplying and billing for their medications at the point of care. Utilizing a retail pharmacy point of service model increases your organization’s billing accuracy, provides opportunities for patient education, and eliminates patient billing for pharmacy services while fully resolving the payment of each patient’s medications all in one transaction.

Our comprehensive pharmacy services include:

  • Full-scale implementation of Point of Service (POS) model
  • Claims processing
  • Payment posting
  • Payer analysis, contracting, and negotiations
  • Reporting tools and metrics to ensure maximum revenue potential

Provider and Payer Credentialing

The BRIDGE Credentialing team ensures your providers and insurance carriers are fully credentialed in a timely manner. We work with your team to perform all credentialing requirements, so your providers receive maximum reimbursement for their services.

BRIDGE provides the following:

  • Initial provider credentialing
  • Monitor, track, and follow through to completion all credentialing requirements
  • Recredentialing
  • Notification to all 3rd party payers as needed (e.g. clearinghouses and lab vendors)

Revenue Consulting

BRIDGE Revenue Consulting services are designed to improve your Revenue Cycle Management operations. Our Revenue Consulting services are customized for your needs.

Our contracting experts will help you improve your reimbursement rates through advanced analysis and negotiations techniques to make sure you receive the most profitable fee schedules.

Services include:

  • Full-scale coding audit program
  • Payer analysis, contracting, and negotiations
  • Third-party revenue forecasting
  • Workflow assessment and recommendations
  • Process development

A COMPANY YOU CAN TRUST

Since 2011 BRIDGE has been successfully providing comprehensive shared service offerings to non-profits across the United States.