RCM Solutions for NEMT
Enhancing Financial Efficiency inNon-Emergency Medical Transport
Non-Emergency Medical Transport (NEMT) services are vital for patients who require transportation to and from medical appointments but do not need emergency care. Managing the financial aspects of NEMT services involves unique challenges, from coordinating with insurance providers to ensuring timely reimbursements. At One Hive, we offer specialized Revenue Cycle Management (RCM) solutions tailored to the needs of NEMT providers, helping you streamline operations and maximize revenue.
key RCM Services
For NEMT Providers
Accurate Billing and Coding
NEMT billing requires precise coding to ensure that services are correctly categorized and reimbursed. Our RCM services include expert billing and coding support, reducing errors and ensuring that you receive accurate payments for the services you provide.
Insurance Verification and Coordination
Before providing transport services, verifying a patient’s insurance coverage is crucial. We offer automated insurance verification solutions that streamline the process, ensuring that all trips are pre-approved and covered by the appropriate payers.
Claims Management and Follow-Up
Timely submission and follow-up on claims are essential for maintaining cash flow in NEMT services. Our RCM solutions include comprehensive claims management, from initial submission to tracking and follow-up, reducing the risk of denied claims and speeding up reimbursement times.
Compliance with Regulations
NEMT providers must adhere to a complex set of regulations, including state and federal transportation laws. Our team ensures that your services comply with all relevant regulations, minimizing the risk of audits and penalties.
Patient Billing and Collections
We offer patient-friendly billing solutions that make it easier for clients to understand their bills and make payments. Our systems are designed to improve transparency and ensure that your NEMT services are accessible and affordable for patients
Data-Driven Insights
Our RCM services provide detailed reporting and analytics, giving you insights into your financial performance, trip volumes, and reimbursement rates. These insights help you optimize your operations and make informed decisions to improve profitability.
Revenue Optimization
Optimize Your NEMT Services with One Hive
Non-Emergency Medical Transport is essential for ensuring that patients receive the care they need. Partner with us to enhance your Revenue Cycle Management, so you can focus on delivering reliable and compassionate transport services to your clients.
Case Studies
Popular Use Cases
Medical Coding
(5.8K +)
Cardiology Case Study
Client: A large cardiology practice struggling with claim denials for complex cardiac procedures.
- Challenge: The practice was facing a high denial rate for procedures like cardiac catheterizations and echocardiograms due to coding errors and insufficient documentation.
- Solution: We implemented a tailored RCM solution focused on accurate coding (CPT and ICD-10) and pre-authorization workflows. Our team provided specialized training to ensure cardiologists and staff understood the importance of detailed documentation for these high-value procedures.
- Result: Denial rates dropped by 30%, and overall collections increased by 20% within six months.
Medical Billing
(5.8K +)
Oncology Case Study
Client: A multi-location oncology clinic experiencing slow reimbursements from payers.
- Challenge: The clinic’s complex chemotherapy billing, along with frequent coding errors, resulted in delayed payments and denials.
- Solution: We optimized their billing processes, ensuring accurate coding for drug administration, therapies, and supportive care. We also developed a system for monitoring claims and tracking prior authorizations to minimize delays.
- Result: Claims processing times were reduced by 40%, and their accounts receivable over 90 days decreased by 25%.
Transcription
(5.8K +)
Orthopedics Case Study
Client: An orthopedic group facing issues with high patient balances post-surgery.
- Challenge: Many patients were unaware of their out-of-pocket costs, leading to a high volume of unpaid bills after surgeries.
- Solution: We created a patient financial engagement plan that provided upfront cost estimates based on insurance benefits and out-of-pocket requirements. Our RCM team also implemented automated payment plans for patients.
- Result: The practice saw a 35% increase in patient collections and a 20% reduction in the time it took to receive payments from patients.
Medical Coding
(5.8K +)
Pediatrics Case Study
Client: A pediatric practice with a high rate of claim rejections due to coding inconsistencies.
- Challenge: The practice struggled with frequent rejections on well-child visits and immunizations, which affected their revenue stream.
- Solution: We worked with the pediatricians to ensure proper coding for preventive care and vaccinations, while also enhancing their billing software to identify errors before submission.
- Result: The claim rejection rate dropped by 45%, and the practice experienced a 15% increase in monthly revenue.
Medical Billing
(5.8K +)
Behavioral Health Case Study
Client: A behavioral health clinic dealing with denied mental health service claims.
- Challenge: The clinic faced constant challenges from payers regarding the medical necessity of services, which led to claim denials.
- Solution: Our team provided detailed training on the necessary documentation to establish medical necessity. We also revamped their claim appeals process and set up follow-up procedures for denied claims.
- Result: The clinic reduced their denial rate by 50% and increased collections by 18%.
Testimonial
What Our Clients Say
Our doctors’ testimonials showcase how OneHive’s RCM solutions have streamlined billing, improved cash flow, and enhanced patient care. Their feedback underscores our commitment to efficiency and exceptional support.
4.9 Rated
Partnering with OneHive Billing Solutions has been a game-changer for my practice. Their team handles everything from billing to denial management with incredible efficiency, allowing me to focus solely on my patients. My revenue has never been this consistent!
Dr. Sarah Mitchell
@Family Medicine
5.0 Rated
What sets OneHive Billing Solutions apart is their personalized approach and commitment to excellence. From the moment we signed on, they’ve been proactive in resolving billing issues, improving cash flow, and keeping us compliant. They’re a fantastic partner!
Dr. Angela Lee
@Dermatologist
4.9 Rated
I used to spend hours dealing with billing errors and insurance claims. Since we started working with OneHive Billing Solutions, I’ve seen a 30% improvement in collections, and my claims are getting paid faster than ever. Their expertise is unmatched.
Dr. James Carter
@Cardiologist
4.8 Rated
I’ve worked with other RCM companies in the past, but none have matched the level of service and results we’ve experienced with OneHive Billing Solutions. Their attention to detail and quick follow-up on denied claims have been essential in growing my practice’s revenue.
Dr. Michael Brown
@Neurologist
5.0 Rated
Before OneHive Billing Solutions, we struggled with delayed payments and high denial rates. Their streamlined process has transformed our revenue cycle, and I no longer worry about unpaid claims. They truly understand the needs of physicians.
Dr. William Harris
@Orthopedic Surgeon
4.9 Rated
The team at OneHive Billing Solutions is highly professional and knowledgeable. They’ve significantly reduced our claim rejection rates, and their reporting tools provide valuable insights into our financial health. I highly recommend their services to any medical practice!
Dr. Emily Rodriguez
@Pediatrician