RIO CONSULTING CORP.
Our Services
An efficient, well-run physician practice is one where the doctors and staff are better able to help their patients, and where the patients themselves are happier and better served! Rio Consulting Corp. offers a full range of physician management software that streamlines many of your most important operations and provides custom reporting.
Generate statements, process payments, file claims, send appointment reminders -- these are just a few of the tasks handled by our physician practice management software for practices in New York, New Jersey and Connecticut. You can also confirm patient eligibility instantly for almost all commercial insurance companies. And we offer a pre-collection service for past due accounts that aren’t quite ready for full collections.
Tired of the hassle of dealing with physician credentialing? Our practice management system helps you automate even this tedious task, with our online physician credentialing service.
To learn more about the many ways our physician practice management software can help physicians in NY, NJ or CT, take a look at our service options below. Then contact us with any questions you may have, or simply click the “Become a Client” button at the bottom of this screen. We’re here to make it easier for you to run your practice and offer your patients the best possible service!
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.
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.
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.
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...
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.
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.
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.