As part of our mission to promote a culture of collaboration and effective patient management across the entire continuum of care; to produce exceptional clinical outcomes, reduce costs, and consistently achieve the highest level of patient and family satisfaction while enjoying a distinction for value within the community and across the region we continually strive to provide our Practice Partners with opportunities to become more efficient and profitable.
RCMPbrings an a-la-carte offering of state-of-the-art Practice Management services. RCMP has offices in Coral Gables, Florida and serves clients Nationwide.
RCMP is a full-service Practice Management Company where your bottom line is our bottom line; we will make your Practice more profitable. RCMP shares in the same principles of quality, integrity and profitability. RCMP customizes its a la carte services to fit your specific needs and takes total responsibility for the financial health of your practice. On average, RCMP increases Monthly receipts between 10%-22%.
Consulting (i.e. System setup/implementation, compliance training, enrollments, etc.)
Are you maximizing your Practice’s performance and profitability?
Is your collection rate 95% or higher?
Are you collecting what’s due to you?
Is it a headache to maintain and supervise your billing & collections staff?
Do you have efficient workflows that maximize your Collections?
If you answered YES to any of the questions, let RCMP assess where you stand, without compromise, and make an informed decision about your best options going forward.
Capture payments for Uninsured COVID Patients
But Act Fast to Get a Slice
In addition to the first two rounds of Provider Relief Fund allocations, there is additional funding to help reimburse providers who have cared for the uninsured with COVID-19.
Who can Apply? Health care providers who have conducted COVID-19 testing of uninsured individuals or provided treatment to uninsured individuals with a COVID-19 diagnosis for dates of service or admittance on or after February 4, 2020 may be eligible for claims reimbursement through the program as long as the service provided meets the coverage and billing requirements established as part of the program.
What services are covered as part of the program? Office visits (including telehealth), emergency room, inpatient, outpatient/observation, skilled nursing facility, long-term acute care (LTAC), acute inpatient rehab, home health, DME (e.g., oxygen, ventilator), emergency ambulance transportation, non-emergent patient transfers via ambulance, and FDA approved drugs as they become available for COVID-19 treatment and administered as part of an inpatient stay.
Is there an end date to this program? There has not been an end date issued to this program and it will continue until funds have been depleted.
What is the total amount allocated to this program? No specific amount has been announced, but a portion of the Provider Relief Fund will be used to reimburse providers treating uninsured individuals with COVID-19.
Providers now have a way to capture reimbursement for the treatment of uninsured patients during the COVID-19 emergency. But bear in mind that funds are limited, and you'll have to wade through various registration steps to get set up.
HHS has started accepting claims for encounters dating back to February 4, 2020. HHS promises an expedited turnaround time.
The COVID-19 Uninsured Program Portal, where you can register and submit claims, is an outgrowth of the Families First Coronavirus Response Act (FFCRA) and the Paycheck Protection Program and Health Care Enhancement Act, each of which designated $1 billion for the treatment of uninsured patients. Additional funding is allocated by the Coronavirus Aid, Relief and Economic Security (CARES) Act.
In general, the steps involved in obtaining payments for uninsured encounters will follow this framework:In addition to the first two rounds of Provider Relief Fund allocations, there is additional funding to help reimburse providers who have cared for the uninsured with COVID-19.
Set up Optum Pay. This will create a direct deposit mechanism by which you can gain payments. Note that the process can take a week or longer to get into place.
Add your provider roster. Note that only one person per TIN can serve as the program administrator, so you'll want to coordinate your efforts across your organization. This designated person "must agree to make their name and email address available to others within their organization for coordination of provider and patient rosters," HHS says. "This will involve accessing temporary member IDs from the program portal and sharing across their organization as needed." Note: The verification process for the provider roster can take up to three days to complete.
Add your patient roster. You'll need to show that you've confirmed the patient's uninsured status. Specifically, you must have "verified that the patient does not have coverage such as individual, employer-sponsored, Medicare or Medicaid coverage, and no other payer will reimburse you for COVID-19 testing and/or care for that patient," HHS stipulates.
Submit claims for reimbursement. Until funds have been depleted, you can begin submitting claims for professional and facility services.
HHS says it will pay claims at a rate on par with Medicare payments.
Focus on eligible codes.
Note that eligible claims must involve a patient with a COVID-19 or related diagnosis. The agency notes that one of the following diagnoses codes must be included -- in any position -- on the claim:
Z03.818 Encounter for observation for suspected exposure to other biological agents ruled out (possible exposure to COVID-19)
Z11.59 Encounter for screening for other viral diseases (asymptomatic)
Z20.828 Contact with and (suspected) exposure to other viral communicable (confirmed exposure to COVID-19).
The uninsured payments cover testing services as well as "testing-related visits," HRSA says. The covered testing-related encounters encompass office visits, telehealth encounters, urgent care and emergency room visits.
CONTACT RCMP TODAY 305-504-7002
AND FIND OUT HOW RCMP CAN HELP YOUR PRACTICE BECOME MORE EFFICIENT AND PROFITABLE
