RCPMS FAQs
Q: Are you HIPAA Compliant?
A: RCPMS stays HIPAA compliant through continued education, internal and external audits. To ensure protecting the privacy of our patient’s personal health records by we ask for identification when a patient or patient’s parent or guardian comes to pick up copies of medical records. This guarantees only the person who the records were intended for will receive them.
Q: What Billing Software does RCPMS use?
A: RCPMS currently uses the Epic Enterprise suite of applications including:
- Prelude Registration
- Cadence Scheduling
- Resolute Professional Billing
- Epicare Ambulatory EMR
Q: I’ve seen medical billing software for sale. Can’t I do my own billing?
A: Medical billing is very cumbersome. Health plan rules vary by insurance plans and patient benefit plans. Software companies have spent millions of dollars creating billing systems that can manage the insurance needs, coding needs of both CPT and ICD.9, as well as the benefits needs. Most of the more sophisticated billing practice management systems are very costly because most are integrated with front end applications, such as scheduling, registration, and electronic medical records systems.
Q: Do you provide support for physician coding?
A: Yes, we have certified coders on staff within Patient Financial Services as well as a wealth of years of experienced billers who understand both CPT and ICD.9 coding. As coding questions arise, the central billing office responds to our physician coding needs. We also subscribe to resource doing books and other educational materials as resources.
Q: What level of support will RCPMS give me?
A: We take great pride in providing high quality, professional services. Direct support services that are offered include:
- Management oversight of all aspects of office operations
- Assistance in office organization, including schedule development to increase patient access and maximize provider time, staff recruitment and selection, ongoing training and development for employees, and group pricing for medical/office supplies.
- Access to a robust electronic medical record system (EPIC) which enhances the ability to collect and report both financial and healthcare data.
- A telephone advice and triage center staffed with Registered Nurses to assist parents.
- A Welcome Center to assist patients in scheduling their first appointment and registering prior to their appointment.
Q: What kind of reports will I get?
A: Finance/PFS
- Revenue Cycle Management
- Trial Balance
- A/R Charges
- Zero Balance- Detail
- Aging
- Patient Charges by Benefit Plan
- Patient Charges by Location
- Non-Provider Audit for Billing Charges
- Audit for Visits Not Billed Yet
A: Practice Management Reports
- Daily Visit
- Weekly Visit
- Phone Triage Encounters
- Allergy Review
- Medication Review
- Problem List Review
- Encounter Status
- Open Encounters
- Pending Inbox Review
- Provider Productivity
- Appointment Status
- Open Orders
- Walk-in Count
- Abstraction Audit
- Flu Shot Counts by location
- Flu Shots – Detail
- Blood Draw Counts
- Procedures by Provider
- Patients with no PCP
- E&M With Crosstab
- Clinic Support Detail
- Audit report for visits missing Check-in time
Q: Do you provide credentialing services and are those onsite?
A: Credentialing services can be provided centrally with on-site support as needed
Q: How do I learn more?
A: Simple, contact RCPMS at Contact Us