We Provide You With A Complete Billing Solution
Freeing Resources And Reducing Billing Administration
Our Purpose
We are dedicated to solving problems.
Swift Medical Solutions handles all aspects of hospital medical billing, increasing revenue while eliminating the need to house, manage and pay a billing department.
RCM
Revenue Cycle Management
- Billing and Invoicing
- Claims Processing and Management
- Payment Posting and Follow-up
- Denials Management
- Financial Reporting
- Patient Registration Optimization
- Insurance Verification
- Revenue Optimization
- Compliance Monitoring
- Streamlining Workflow
Comprehensive Review
Billing Audits
- Comprehensive Invoice Review
- Coding Accuracy Assessment
- Claim Documentation Verification
- Charge Capture Evaluation
- Compliance with Billing Regulations
- Identification of Coding Errors
- Revenue Leak Detection
- Documentation Adequacy Check
- Billing Process Efficiency Analysis
- Recommendations for Improvement
instant claims without delays
Credentialing and Contracting
Provider Credentialing
- Verification of Professional Credentials
- Enrollment with Payers and Health Plans
- Maintaining Updated Provider Information
Contract Negotiation and Management
- Negotiating Fee Schedules and Terms
- Reviewing and Drafting Contracts
- Ensuring Compliance with Regulatory Requirements
Network Participation
- Facilitating Provider Enrollment in Networks
- Managing Network Participation Agreements
- Liaising with Payers on Network Issues
Credentialing Updates
- Timely Renewal of Provider Credentials
- Updating Information with Payers
- Monitoring Changes in Credentialing Requirements
Provider Relationship Management
- Addressing Provider Inquiries and Concerns
- Facilitating Communication with Payers
- Enhancing Positive Provider Relations
Organized and Efficient Posting
Enrollments
Application Submission:
- Initiate the enrollment process by submitting an application to the relevant payer or accreditation body.
Documentation Review:
- Provide necessary documents, including credentials, licenses, and certifications for thorough review.
Credentialing Process:
- Undergo a credentialing process to assess the qualifications and compliance of healthcare providers or suppliers.
Accreditation (if applicable):
- Obtain accreditation from recognized organizations, especially in areas like Durable Medical Equipment (DME) or specialized services.
Provider Agreements:
- Enter into agreements with payers outlining terms, conditions, and reimbursement rates for services rendered.
Verification of Information:
- Ensure accurate and up-to-date information is provided and verified during the enrollment process.
Ongoing Compliance Monitoring:
- Commit to ongoing compliance with regulatory requirements and quality standards to maintain enrollment status.
Network Participation:
- Gain approval to participate in healthcare networks, allowing access to a broader patient population.
Timely Renewals:
- Adhere to renewal timelines to prevent lapses in enrollment and maintain uninterrupted service provision.
Communication with Payers:
- Establish effective communication channels with payers to address inquiries, updates, and changes in the enrollment status.