{"id":22571,"date":"2021-07-08T14:53:41","date_gmt":"2021-07-08T18:53:41","guid":{"rendered":"http:\/\/www.carecloud.com\/continuum\/?p=22571"},"modified":"2025-07-01T13:24:40","modified_gmt":"2025-07-01T13:24:40","slug":"eight-ancillary-services-you-didnt-know-you-needed","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/eight-ancillary-services-you-didnt-know-you-needed\/","title":{"rendered":"8 RCM Services You Didn\u2019t Know You Needed"},"content":{"rendered":"<p><span data-contrast=\"auto\">Electronic health record (EHR) software and revenue cycle management (RCM) services are perhaps the most valuable technology any given healthcare practice can utilize. These tools modernize practices, create a more seamless and enjoyable experience for both the provider and patient, and work to maximize revenue and boost cashflow. EHR software has the power to enhance productivity and profitability,\u00a0as well as provide better patient outcomes.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">But\u2026(you knew there was a\u00a0but) these solutions are only\u00a0one\u00a0piece of a much larger puzzle that makes up healthcare technology.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In fact, there is a litany of underappreciated supplemental front and back-office services that can help take your practice to the next level. Services like credentialing, benefits verification, patient call center, worker compensation, out-of-network billing, prior authorization, the release of information,\u00a0and contract\/payor negotiations.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">While these tasks are important, establishing in-house support is &#8211; oftentimes &#8211; too costly and burdensome. That doesn\u2019t mean, however, that enhancing these tasks is out of reach. Here is a look at how ancillary services, provided by industry-leading healthcare IT companies, can help you take your practice to the next level.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">Credentialing<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Credentialing is the practice of ensuring that physicians\u00a0<\/span><a href=\"https:\/\/www.carecloud.com\/continuum\/what-is-medical-credentialing\/\"><span data-contrast=\"none\">have all of the necessary training and experience<\/span><\/a><span data-contrast=\"auto\">\u00a0to safely, efficiently,\u00a0and effectively practice medicine. This very necessary and required process can be exceptionally time-consuming,\u00a0which is why it so easily falls through the cracks. Before you know it, your provider&#8217;s credentials have expired. Credentialing\u00a0<\/span><a href=\"https:\/\/www.carecloud.com\/rcm\/\"><span data-contrast=\"none\">solutions<\/span><\/a><span data-contrast=\"auto\">\u00a0are designed to help your physicians maintain their credentials with both\u00a0government and commercial payers, including Council For Affordable Quality Care (CAQH) quarterly re-attestations.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">By outsourcing yours or your provider&#8217;s credentialing, you ensure that the credentialing process continues unabated. Offloading the stress and burden of maintaining provider credentials can help you focus on more important growth initiatives such as scaling your operations, reducing managerial burdens,\u00a0or maintaining and attracting new patients.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">Prior Authorization<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Like many administrative tasks in healthcare, obtaining prior authorization is critical. That being said, the administrative process surrounding prior authorization can be costly\u00a0and\u00a0frustrating,\u00a0and can easily bloat administrative workflows. A common misconception made by front-office staff is that prior authorization is cut and dry. If you know your patient\u2019s insurance policy, coverage for treatment should be relatively easy to obtain from the payer. Right?\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The short answer is, not always. Inadequate understanding, or restricted time allowance within your billing department, could result in increased denials that could have been avoided at the prior authorization level. That is why some healthcare IT service providers offer full\u00a0<\/span><a href=\"https:\/\/www2.carecloud.com\/schedule-demo\"><span data-contrast=\"none\">prior authorization support<\/span><\/a><span data-contrast=\"auto\">\u00a0to help you obtain the prior approval, the first time around.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">Benefits Verification<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Checking a patient\u2019s eligibility is one of the first steps involved in the medical billing process and is often one of the first hurdles of the patient\/provider engagement. To avoid pitfalls and enhance the patient experience, service providers like\u00a0CareCloud\u00a0work to ease the administrative burden, reduce mistakes and denials, and overall improve the\u00a0<\/span><a href=\"https:\/\/www.carecloud.com\/breeze\/\"><span data-contrast=\"none\">patient experience<\/span><\/a><span data-contrast=\"auto\">. When patients are treated quickly and effectively, with full cost transparency, those patients are more likely to be high-rating, returning patients.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Investing in a service provider who provides complete benefits verification\u00a0not only reduces administrative headaches, but also leads to<\/span><a href=\"https:\/\/www.basicfinancecare.com\/what-are-the-benefits-of-outsourcing-insurance-verification-services.html\"><span data-contrast=\"auto\">\u00a0<\/span><\/a><a href=\"https:\/\/www.basicfinancecare.com\/what-are-the-benefits-of-outsourcing-insurance-verification-services.html\"><span data-contrast=\"none\">enhanced patient satisfaction<\/span><\/a><span data-contrast=\"auto\">\u00a0when eligibility checks are quick and seamless. If you\u2019re looking to invest in a service\u00a0provider who offers benefits verification solutions, make sure that provider also provides full phone, fax, and email support,\u00a0so you\u2019re always able to get the coverage answers you need, before point of service.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><b><span data-contrast=\"auto\">Patient Call Center<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Similarly, partnering with a service provider that provides your practice with an inbound patient call center will take some of the burden off your administrative team, especially when it comes to complicated billing inquiries patients may have. This also keeps overhead costs low and gives you more staffing flexibility needed to grow your practice.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Even better, patient call centers can also take payment from patients on your behalf,\u00a0which means less time\u00a0wasted by\u00a0your staff\u00a0chasing down unpaid patient bills.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Patient call centers provide practices,\u00a0like yours,\u00a0with dedicated experts whose only job is to field billing inquiries, take payment,\u00a0and mediate defaulted accounts. This can give your organization room to grow, eliminate internal inefficiencies, and boost satisfaction for both patients and staff.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">Worker\u2019s Compensation<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Workers\u2019 compensation collections can<\/span><a href=\"https:\/\/www.carecloud.com\/continuum\/improving-workers-compensation-collections\/\"><span data-contrast=\"auto\">\u00a0<\/span><\/a><a href=\"https:\/\/www.carecloud.com\/continuum\/improving-workers-compensation-collections\/\"><span data-contrast=\"none\">be incredibly difficult to manage<\/span><\/a><span data-contrast=\"auto\">\u00a0for providers\u00a0due to the special terminologies, unique collection forms, and many legal obstacles. Workers\u2019\u00a0comp is extremely specialized and does not follow a single set of rules, as every U.S. state has its own laws and regulations. That can cause a lot of headaches for any billing department.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">While it is very difficult to manage, there aren\u2019t that many cases of workers\u2019\u00a0comp, as it only accounts for up to\u00a0<\/span><a href=\"https:\/\/www.beckershospitalreview.com\/hr\/9-reasons-you-really-want-to-outsource-worker-s-comp-management.html\"><span data-contrast=\"none\">5% of a hospital\u2019s accounts receivable<\/span><\/a><span data-contrast=\"auto\">, so healthcare providers rarely allocate additional funds to hire a workers\u2019\u00a0comp expert. Instead, rely on service providers to assist workers\u2019\u00a0comp submissions through specific payers.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">Out-of-network billing<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Out-of-network billing can provide a big revenue stream for your practice because they allow you to bill as much \u2013 or as little \u2013 considering you are not bound by the terms and conditions of a payer contract. However, not having on-hand expertise can delay payments.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">With a service provider like\u00a0CareCloud, everything from sending claims and posting payments,\u00a0to negotiating the payment from the payer and working with the payer,\u00a0to paying\u00a0the negotiated amount, is handled externally. This frees up even more time and money for you to allocate toward\u00a0bettering patient outcomes. When it comes to out-of-network billing, utilizing a team of experts who can help you maximize your revenues\u00a0is a no-brainer.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">Release of information<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Hospitals and health systems are already facing an uphill battle when it comes to managing\u00a0<\/span><a href=\"https:\/\/www.carecloud.com\/release-of-information\/\"><span data-contrast=\"none\">release-of-information<\/span><\/a><span data-contrast=\"auto\">\u00a0(ROI), including keeping up with the rising number of record requests from attorneys, auditors, and payers,\u00a0in order to comply with state and federal regulations. Now, this highly complex and regulated process is becoming too burdensome for many healthcare organizations to manage on their own.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Shifting complicated ROI tasks to a team of experts will not only help free up valuable resources, but also keep your team free of legal pitfalls.\u00a0CareCloud\u2019s\u00a0<\/span><a href=\"https:\/\/www.carecloud.com\/release-of-information\/\"><span data-contrast=\"none\">Archivus\u00a0<\/span><\/a><span data-contrast=\"auto\">works to simplify\u00a0the ROI workflow by removing the administrative burden from your shoulders.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">Payer Contract Negotiations<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Of all the things your practice has to do, negotiating payer contracts could be the most tedious and arduous part of running a healthcare practice. A large part of the success or failure of your clinic could depend on the partnerships \u2013 or lack thereof \u2013\u00a0 you have with payers.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Here is the simple truth-\u00a0there\u00a0is\u00a0often more room for negotiations than payers let on.\u00a0Don\u2019t worry if you weren\u2019t aware of this-<\/span><a href=\"https:\/\/www.carecloud.com\/continuum\/know-your-leverage-in-payer-negotiations\/\"><span data-contrast=\"auto\">\u00a0<\/span><\/a><a href=\"https:\/\/www.carecloud.com\/continuum\/know-your-leverage-in-payer-negotiations\/\"><span data-contrast=\"none\">many physicians are in the same boat.<\/span><\/a><span data-contrast=\"auto\">\u00a0When you partner with a company like\u00a0CareCloud, the stress of managing payer relationships and negotiating contracts can be completely avoided. Providers like\u00a0CareCloud\u00a0will review existing payer contracts, make recommendations for fees and reimbursement, and keep track of the negotiation progress from start to finish.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3><b><span data-contrast=\"auto\">If it\u00a0ain&#8217;t\u00a0broke,\u00a0don&#8217;t\u00a0fix it.\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Getting the proper RCM support, even at the micro-level, is critical to optimizing your growing practice. But beware of\u00a0<\/span><span data-contrast=\"auto\">healthcare technology providers who use supplemental services &#8212; like the ones mentioned above &#8212; as leverage to get you to switch your EHR solution. If you\u2019re happy with your EHR solution, you should be able to keep it.\u00a0CareCloud\u00a0works with your software system &#8212; not against it. That is why it is important to find a reputable,\u00a0<\/span><a href=\"https:\/\/carecloud.com\/\"><span data-contrast=\"none\">competent healthcare technology provider<\/span><\/a><span data-contrast=\"auto\">\u00a0that will not force a time-consuming EHR transition on you when what you really need are supplemental RCM services that will help you maximize your revenues and grow your business.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">Summary<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">While an EHR solution is one of the largest IT investments your organization will make, it should not overshadow areas where subtle solutions and workflow adaptations can help streamline your administrative processes. Take advantage of dedicated industry experts who are trained to handle the burdensome, time-sucking tasks that are costing your organization money.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">And remember, your healthcare IT partner should provide solutions that are flexible, scalable,\u00a0and work with your workflow, not against it. At the end of the day, you should be empowered to choose the investments that are most needed by your organization.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Electronic health record (EHR) software and revenue cycle management (RCM) services are perhaps the most valuable technology any given healthcare practice can utilize. These tools modernize practices, create a more seamless and enjoyable experience for both the provider and patient, and work to maximize revenue and boost cashflow. EHR software has the power to enhance [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":32242,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[412,69],"tags":[422,423,424,425,426,427,398,428,429,430],"class_list":["post-22571","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical","category-show","tag-ancillary-services","tag-benefits-verification","tag-credentialing","tag-out-of-network-billing","tag-patient-call-center","tag-payer-contract-negotiations","tag-prior-authorization","tag-release-of-information","tag-supplemental-services","tag-workers-comp"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>8 RCM Services You Didn\u2019t Know You Needed - Continuum<\/title>\n<meta name=\"description\" content=\"Here is a look at how ancillary services, provided by industry-leading healthcare IT companies, can help you take your practice to the next level.\u00a0\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carecloud.com\/continuum\/eight-ancillary-services-you-didnt-know-you-needed\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"8 RCM Services You Didn\u2019t Know You Needed - 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