RIO Medical Billing & Collection

Why RIO Medical Billing?

Rates as low as 3% All claims are submitted within 24 Hours Online portal access to your Patients & Financials 24/7 We guarantee to collect 99% of your claims in 45 days or less! Get paid FASTER Industry Leading Technology (Free Practice Management & EHR Software) Automatic Secondary Insurance Billing SMS Notifications of Remitances and Money Recieved No No Setup Fee’s Contracts Custom Reports to meet every clients needs Eliminate payer denials Reduce your billing costs Full Service Credentialing (Free for our Clients) Rates as low as 3% All claims are submitted within 24 H Online portal access to your Patients & Financials 24/7 Get paid FASTER Industry Leading Technology (Free Practice Management & EHR Software) Automatic Secondary Insurance Billing Custom Reports to meet every clients needs Full Service Credentialing (Free for our Clients) We guarantee to collect 99% of your claims in 45 days or less! SMS Notifications of Remitances and Money Recieved Eliminate payer denials Reduce your billing costs No No Setup Fee’s Contracts

Services

Services

Full Service Credentialing

Completion of credentialing applications for insurance carriers. We also provide all necessary follow up with insurance carriers and track the application through to approval.

Statements

Mailed out from our office on behalf of the practice or facility. Design of statements and collections are done specifically to client specifications.

Maintain Credentialing Documentation

We maintain all pertinent credentialing documentation (e.g. DEA, CDS, Medical Licenses, Board Certificates, Malpractice Insurance Face Sheets, CME's etc.

Payments

As we receive payments and explanations of benefits from clients, we post these in to our database. Each EOB will be audited for correct payment and/or benefits.

Data Entry

We obtain information from the provider and/or practice and enter this information into our database.

Appeals

Integral to increasing clients revenues, we spend much time and effort pursuing cases where a payment or denial has been made incorrectly, we challenge the insurance companies to receive the maximum reimbursement.

Pre-Collection Service

We provide a pre-collection service on those accounts that aren't quite ready for full collection. The pre-collection service offers an effective and more cost-effective way to notify customers of how serious their past due account bill is - while still providing respective leniency and professionalism.

Clearing House

We use MD-Online — the leading Internet-based medical claims clearinghouse that helps physician practices increase profitability through improved claims reimbursement and staff productivity.

File Claims

Depending upon the insurance carrier most claims are filed electronically and only a few will go on paper.

Reports

Done on a monthly basis. Because each provider and/or practice is different, we customize our reports as needed.

Physician Credentialing Service

Under your brand name we provide your physician clients with complete credentialing services and can credential them with all the insurance carriers and networks of their choice. Carriers include Medicare, Medicaid, Blue Cross Blue Shield, Commercial carriers, DMERC carriers, Workman's Compensation carriers, etc.

Coding

Our team of certified medical billing coders are proficient in ICD-9-CM, CPT, and HCPCS codes and standards, insurance and governmental regulatory requirements, and payer-specific coding requirements. Using the most advanced and sophisticated technology helps us to deliver timely services while freeing your healthcare clients from recruiting and training coding staff.

Eligibility

Confirm patient eligibility for almost all commercial insurers instantaneously! Our comprehensive practice management system provides instant online checks for insurance eligibility across key government and commercial insurance payers. This feature eliminates the need for paper transactions and repeated calls to insurers to coordinate insurance checks. Practices using this feature are no longer concerned about lost revenue due to delays or errors in eligibility verification.

Appointment Reminders

Reduce your no-shows by up to 25% and free up your staff’s time. Our automated appointment reminder call service allows physicians, etc. who need to contact their patients the ability to schedule and automatically call their patients with a personalized human voice message. With our service you can dramatically reduce no show problems or last minute cancellations.

About Us

About Us

Rio Consulting Corp is the one company that can help with so many aspects of running your physician practice.

Serving private practices in New York, New Jersey and Pennsylvania, we offer medical billing and collections services that help you run your practice more efficiently, improve your accounts receivable and better serve your patients.

Our software and services cover many of the more difficult or time-consuming aspects of running a practice. Our medical billing and collections services for New Jersey, New York and Connecticut help you ensure that your billing is more accurate -- and that you get more of a response from patients with past due balances.

We also offer practice management software that automates many everyday tasks, making it easier to enter and access patient data, get instant confirmation of patient eligibility with all the major commercial insurers, generate custom reports, e-prescribe medications and refills, and much more.

Do you spend a lot of time and bother on credentialing? We can help with that too, with our online physician credentialing service. You enter the data for the physicians in your practice once, and we handle it from there on out.

Reduce your billing costs, get paid faster and eliminate payer denials -- those are just a few of the many benefits of choosing Rio Consulting Corp. for your medical billing and collections in NY, NJ and CT. Give us a call today to learn more, or click the “Become a Client” button to get started!

FAQ

FAQ

Why outsource your billing?

Outsourcing your billing to a professional medical billing company will save you money, time, a lot of efforts and will boost your cash flow.

Is there a contract?

No, we never sign any contracts to lock you in for years.

How is the information transferred from your practice to RIO?

RIO utilizes any method convenient for your practice. For example: mail or courier service, fax, email or web based programs.

When is billing submitted?

Billing can be submitted daily, weekly, or monthly.

Is there an initial set up cost?

No, we do not charge any setup fees.

What is the turnaround time on claims?

All claims are submitted daily and 97% of them are paid within 35 Days.

What is the cost for our services?

Fees can be as low as 3% depending on your practice.

Can RIO facilitate out of state contracts?

Yes, RIO can provide Medical Billing service nationwide.

Can RIO furnish references?

Yes, we have a lot of references that we can provide.