RCM

We do outsourced medical billing for you, no matter what software you use.

Our medical billing service is tailored for each organization. Some of you may need a full spectrum solution while others would need help with just one aspect, like AR. Whatever your needs, we’ve got you.

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Why choose blueBriX for revenue cycle management services?

Because we’re great at it, and we’ve been doing it for two decades. The blueBriX platform itself is built on the success of our outsourced medical billing services. With our extensive experience, we’ve merged professional billing services with technological innovation to offer you tools that no other billing organization can, giving you an edge over the competition.

 

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Faster
reimbursements

Streamline your claim submissions and get paid faster.

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End-to-End
collection management

We handle everything from pre-authorization to patient billing.

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Full
transparency

Track your revenue cycle with real-time reports and dashboards.

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Custom
solutions

Scalable workflows tailored to meet your unique requirements.

Get a free revenue cycle assessment

Are you performing to your full potential? Get in touch for a free revenue cycle assessment (RCA). We enable large and small practices to work smarter.

Comprehensive services to boost your revenue

blueBriX provides comprehensive healthcare revenue cycle management services that simplify your billing and collections processes.

  • Provider Credentialing
  • Group Credentialing
  • Insurance Credentialing
  • Provider Enrollment Assistance
  • Primary Source Verification
  • Provider Profile Maintenance
  • ICD-10-CM, ICD-10-PCS , CPT, HCPCS coding
  • HCC Coding
  • Risk Adjustment HCC coding
  • Coding Audits
  • ER and Inpatient Coding
  • Patient information Collection
  • Contacting the Insurance Provider
  • Verification of Benefits
  • Obtaining Prior Authorization
  • Checking Authorization validation period
  • Documentation and Record Keeping
  • Updating the Medical Billing system
  • Patient Account Creation
  • Demographic Detail Entry
  • Quality Check and Audit
  • Medical Claim Data Entry
  • Medical Claim Data Validation
  • Clearing house Rejection verficaiton
  • Submission of Scrubbed and Clean Medical Claim to Insurance Payer
  • Manula EOBs posting to Patient Account
  • ERA’s Posting
  • Analysis of EOBs for Under-Payment or Over-Payment
  • Indexing of EOBs to Patient Account
  • Reconciliation to Match Payment Posting to Actual Deposits
  • Denial tracking and analysis
  • Appeal preparation and submission
  • Follow-up and escalation with payers
  • Root cause analysis and process improvement
  • Data analytics and reporting

  • Provider Credentialing
  • Group Credentialing
  • Insurance Credentialing
  • Provider Enrollment Assistance
  • Primary Source Verification
  • Provider Profile Maintenance

  • ICD-10-CM, ICD-10-PCS , CPT, HCPCS coding
  • HCC Coding
  • Risk Adjustment HCC coding
  • Coding Audits
  • ER and Inpatient Coding

  • Patient information Collection
  • Contacting the Insurance Provider
  • Verification of Benefits

  • Obtaining Prior Authorization
  • Checking Authorization validation period
  • Documentation and Record Keeping
  • Updating the Medical Billing system

  • Patient Account Creation
  • Demographic Detail Entry
  • Quality Check and Audit

  • Medical Claim Data Entry
  • Medical Claim Data Validation
  • Clearing house Rejection verficaiton
  • Submission of Scrubbed and Clean Medical Claim to Insurance Payer

  • Manula EOBs posting to Patient Account
  • ERA’s Posting
  • Analysis of EOBs for Under-Payment or Over-Payment
  • Indexing of EOBs to Patient Account
  • Reconciliation to Match Payment Posting to Actual Deposits

  • Denial tracking and analysis
  • Appeal preparation and submission
  • Follow-up and escalation with payers
  • Root cause analysis and process improvement
  • Data analytics and reporting

Are you performing to your full potential?
Get assessed!

We offer free revenue cycle assessments (RCAs) for large and small practices to work smarter.

See the impact of blueBriX on your revenue cycle management

Our clients see real improvements in their financial performance after partnering with blueBriX. Here are some key stats that highlight the value we bring:

0%

Costs reduced

0%

Reduce in AR

0%

Clean claim rate

0%

Client satisfaction

0+

EHR Software

0+

Medical specialties

Let’s get Started and achieve these results for your practice

Real results from practices like
yours

Testimonial Quote

blueBriX is not just a billing service provider to us. Not only do I have full confidence in their ability to manage our revenue cycle, but I also have full assurance that they truly care about the success of our clinic. The relationship my staff and I have with the blueBriX team resembles one unified organization with one mission rather than one company that just outsources a service to another

Dr. Krishna R. Urval

Allergist-Immunologist, Ohio Valley Asthma & Allergy Institute

Simple, seamless, and stress-free

Working with BlueBriX is easy! Here’s how we make your RCM journey effortless

Free initial consultation

We begin with a complimentary consultation to assess your needs and offer an unbiased third-party evaluation of your practice’s medical billing.

Custom-tailored solutions

We design a personalized RCM solution that perfectly aligns with the unique requirements of your practice.

Seamless implementation

Our team integrates our solution with your existing systems, ensuring minimal disruption to your workflow.

Continuous support

Enjoy real-time data access, dedicated support, and expert insights to keep your revenue cycle consistently optimized.

Unlock better results with insightful reporting

At blueBriX, we leverage a cutting-edge reporting structure to ensure your revenue cycle operates at peak performance.

Payment forecast reports

Identify future revenue trends and costs while aiding in strategic planning. Analyze and present estimates of past, current, and projected financial conditions.

E&M level

frequency

This report helps identify the levels reported by each provider, improving cash flow by addressing discrepancies between down coding and upcoding.

Outstanding
AR aging

Monitor the time claims remain unpaid, enabling timely interventions.

Collection 

report

Document and reconcile payments received from insurance companies and patients, ensuring accuracy in financial records.

Physician target 
report

Gain insights into patient populations for individual providers, identify receptive physicians, and help CEOs/CFOs improve physician outcomes.

Automated claim transition

Streamline the entire billing process, from coding to submission, with automation.

Check out our RCM service reports and dashboards enabling informed decision making.

We offer free revenue cycle assessments (RCAs) for large and small practices to work smarter.

Bricks of blueBriX

Platform

blueBriX

Technology first Modular and extendable building blocks of prebuilt healthcare modules

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blueEHR

Integrated EHR system

Integrated EHR solutions to streamline differentiated workflows and treatment plans

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blueConsole

No code app builder

Single window to manage your applications, integrations and access to the marketplace

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Reach out, let’s talk

Enhancing patient outcomes with personalized, value-based care solutions.