Revenue Cycle Management
As a full-range revenue cycle management (RCM) partner, our expertise in physician billing, laboratories, Durable Medical Equipment (DME), and Ambulatory Surgery Centers (ASCs) addresses the most complex sectors of healthcare finance. What makes EMB a reliable provider of RCM services is our exceptionally strong team of healthcare industry experts who have confronted virtually every RCM problem and devised innovative solutions to solve them. Our custom approach is much more effective than the typical one-size-fits-all solution. We have created solutions for many organizations, large and small, each with their own particular complexities.
Overwhelmed by A/R or Staffing Gaps?
Stop losing revenue to administrative delays. We step in immediately to provide the support and interim coverage your team needs, using real-time analysis to fix bottlenecks and ensure you're paid exactly what you're owed.
Seamless Support, Smarter Analysis, Faster Reimbursement.
We provide the expert support and interim coverage you need to stabilize your revenue cycle today, with deep-dive analysis to optimize your results for tomorrow.
Immediate Integration, Lasting Impact
We don’t just fill gaps—we strengthen your entire financial foundation. Our team rapidly deploys to provide seamless interim coverage and hands-on support, followed by rigorous data analysis that uncovers every opportunity to improve your bottom line.
Our end-to-end solutions includes
- RCM Restructuring
- Billing and Collections
- Denials and A/R Management and Appeals processing
- Patient A/R Follow Up
- Facility and Professional Coding
- Payment Posting and 835/837 Reconciliation
- Consulting
- Credentialing
Specialized Medical Billing Solutions for Every Practice
In the complex landscape of U.S. healthcare, "one size fits all" billing leads to denied claims and lost revenue. Our billing experts specialize in the unique coding nuances, modifier requirements, and payer policies specific to your field.
Primary Care & Internal Medicine
Maximize your reimbursements for high-volume E/M visits. We specialize in:
- Family Practice & Pediatrics: Streamlining wellness exams and immunizations.
- Internal Medicine: Expert management of chronic care coordination and complex diagnostic coding.
Surgical & Facility-Based Specialties
Surgical billing requires a deep understanding of global periods and co-surgery modifiers.
- General & Orthopedic Surgery: Accurate tracking of pre-operative and post-operative care bundles.
- Anesthesiology: Precision billing for time-based units and base values.
- Emergency Medicine: High-velocity coding designed to capture acuity levels accurately.
High-Complexity Medical Sub-Specialties
We navigate the intricate "bundling" rules and prior authorization requirements for specialized care:
- Cardiology & GI: Expert handling of interventional procedures and diagnostic testing.
- Oncology: Specialized revenue cycle management for infusion services and high-cost pharmaceuticals.
- Dermatology: Efficient processing of pathology, biopsies, and cosmetic vs. medical claims.
- Mental & Behavioral Health: Managing the unique recurring session limits and telehealth regulations.
Diagnostic & Ancillary Services
We ensure the "professional component" of your work is never overlooked.
- Radiology & Pathology: Expert use of Modifiers 26 and TC to ensure split-billing accuracy between the physician and the facility.
- Pain Management: Capturing revenue for interventional injections and physical therapy integrations.
