RCM Customer Onboarding for Success

At AguileraRCM, we offer personalized customer service. Your dedicated account manager will get to know you and your business, and they're always available to answer your questions. Our skilled revenue cycle managers schedule weekly update meetings to address issues before they affect your cash flow.

All AguileraRCM customers must partake in an hour-long training session. This session comprehensively covers compliance aspects, workflow, a general overview of billing codes and processes, and strategies and timelines for credentialing and contracting. Additionally, we ensure that reimbursement timelines will be set to address any cash flow concerns that may arise in your healthcare business.

You don't need to ask for progress reports; we provide regular time-scheduled reports. Timely data is crucial to understanding your healthcare business's financial well-being. AguileraRCM generates easy-to-read daily dashboards that show daily billing and payment posting details. We send reports on outstanding AR, exception lists, and expected payment projections weekly. Our customers have 24/7 access to the billing software and stock reports for an accurate billing status picture.

Review the medical billing, coding, credentialing, contracting, and enrollment processes during RCM Customer Onboarding the AguileraRCM way.

• Licensing

It is common knowledge that businesses must have state licenses to conduct their operations. In particular, medical practices need permits from the State Medical Board. Our team of credentialing experts at AguileraRCM deals with state medical boards daily, skillfully navigating through the constantly changing policies. Moreover, we also assist laboratories in obtaining out-of-state licenses to accept samples from patients. It is worth noting that this requirement is only applicable in five states.

• NPI Enumeration

According to the Health Insurance Portability and Accountability Act, every healthcare provider in the US must have a National Provider Identification Number (NPI). Our specialty is in Type 1 and Type 2 NPI enumeration, and we have successfully enumerated hundreds of medical practices, laboratories, and individual physicians.

• Payer Mix Identification

It is crucial to identify the appropriate payer mix for your healthcare business. AguileraRCM's medical billing team, equipped with the correct certifications, ensures the allocation of the best payer mix based on practice location and specialty. The following are significant payers that any practice or lab should get credentialed or contracted with:

1. Medicare
2. Medicaid
3. COVID-19 HRSA Portal
4. BCBS – Blue Cross. Blue Shield
5. Aetna
6. Cigna
7. Humana
8. United Healthcare

• Medicare Enrollment

Obtaining your Medicare Provider Transaction Access Number (PTAN) is essential for credentialing and contracting. Without it, you're missing out on a vast Medicare and Medicare Advantage beneficiaries market. Don't waste any more time. Let AguileraRCM expedite the Medicare approval process using the PECOS system and the 1135 Waiver during this pandemic. Act now and take advantage of this opportunity.

• Medicaid Enrollment 

The target patient population is Medicaid patients, whose healthcare expenses are paid for by Medicaid due to their low-income status. This can provide a significant revenue stream for practices located in low-income neighborhoods. Additionally, AguileraRCM assists with state Medicaid applications electronically and on paper, allowing for swift enrollment.

• Commercial Payer Contracting

We work with major commercial carriers and regional plans to ensure the best possible reimbursement rates for our customers. Our longstanding relationships with network representatives also make us a valuable asset for rate re-negotiations and credentialing efforts.

• Choosing the suitable EMR and PM

The AguileraRCM team is experienced in working with various electronic medical records (EMR) and practice management (PM) systems. We understand the nuances of each software and how best to tailor it to each specialty and practice size. Our partnerships with multiple EMR and PM vendors enable us to offer discounted pricing for your business. Additionally, we provide training and ongoing support for your EMR and PM systems.

• Electronic Data Interchange (EDI) Setup

We establish direct liaisons with major payers and clearinghouses to expedite electronic claims submission and receive payment information electronically, reducing paper usage and management.

• Coding & Billing Strategy and Implementation

Our coding team at AguileraRCM engages in dialogue to understand lab services and develop compliant coding & billing strategies for maximum revenue. We stay up-to-date with insurance guidelines to advise clients.

Discover the effective customer onboarding process of AguileraRCM and unlock the key to sustainable growth for your healthcare business. Get in touch with us now and optimize your operations with confidence.

Discover the effective customer onboarding process of AguileraRCM and unlock the key to sustainable growth for your healthcare business. Get in touch with us now and optimize your operations with confidence.