We Are Experts in Comprehensive Medical Billing & RCM Services
Macrise Tech Solutions (MTS) specializes in delivering end-to-end Revenue Cycle Management (RCM) and medical billing solutions, customized to meet the distinct requirements of healthcare practices of all sizes.
With over a decade of industry experience, we have developed a highly effective system that optimizes each phase of the revenue cycle, including claim scrubbing, claim submission, timely reimbursements, and continuous financial oversight. Our team ensures accuracy, compliance, and efficiency, helping providers navigate complex billing processes with confidence.
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Our Mission
We are dedicated to empowering healthcare providers by streamlining financial workflows, reducing administrative burdens, and unlocking new opportunities for growth. By offering tailored solutions, we maximize net collections, minimize outstanding payments, and provide a solid financial foundation for long-term success. Our commitment to innovation enables medical practices to focus on delivering superior patient care while we handle the complexities of revenue management.
Our Vision
Our vision is to transform healthcare practices into high-performing entities that prioritize both patient care and financial sustainability. Through value-based billing strategies, seamless payment processes, and patient-friendly financial solutions, we enhance revenue cycles and improve cash flow. By leveraging cutting-edge technology and industry expertise, we ensure medical providers can operate with efficiency, compliance, and profitability.
As a trusted partner in Revenue Cycle Management (RCM), we work closely with healthcare providers across various specialties to streamline operations, maintain consistency, and achieve financial excellence.
Medical Billing Services
We provide a comprehensive suite of services to optimize billing accuracy, reduce claim rejections, and enhance practice revenue.
Insurance Verification & Prior Authorization
Verifying patient insurance coverage before services are rendered is essential for avoiding claim denials. Our team performs real-time insurance verification, eligibility checks, and prior authorizations to ensure a smooth billing process. We work proactively to obtain necessary approvals, allowing healthcare providers to focus on patient care rather than administrative tasks.
Accounts Receivable Management
Managing accounts receivable (AR) is crucial for maintaining financial stability. Our AR specialists track unpaid claims, follow up on outstanding balances, and implement strategies to reduce AR days. By reducing the AR cycle to 20-30 days, we help practices improve cash flow and minimize revenue leakage.
Denial Management
Claim denials can significantly impact your revenue if not addressed properly. Our denial management team identifies the root causes of denials, corrects errors, and ensures timely resubmissions. With a structured approach, we help reduce denials by up to 35%, ensuring that your practice receives timely payments for services rendered.
Patient Billing and Collections
Effective patient billing and collection processes improve cash flow while maintaining positive patient relationships. We provide clear, itemized billing statements, multiple payment options, and responsive support to ensure patient satisfaction. Our strategies encourage timely payments while offering a compassionate and professional approach to collections.
Provider Credentialing and Contracting
Credentialing and contracting with insurance payers is a time-consuming process that requires accuracy and compliance. Our team handles credentialing paperwork, enrollment applications, and contract negotiations, ensuring that providers meet payer requirements and gain quick approval. By streamlining the credentialing process, we help healthcare providers join insurance networks faster and maintain active participation.
Data Analysis & Reports
Informed decision-making is key to a successful medical practice. We provide detailed financial reports, performance analytics, and compliance audits to give you full visibility into your practice’s revenue cycle. Our data-driven insights help identify revenue trends, detect billing inefficiencies, and improve overall financial performance.
Medical Billing and Coding
Medical billing and coding require precision to ensure clean claim submissions and avoid revenue loss. Our team of certified coders and billing specialists follows the latest ICD-10, CPT, and HCPCS coding standards to minimize errors and expedite reimbursements. Additionally, we efficiently handle paper claims when electronic submissions are not accepted, ensuring a smooth revenue cycle for your practice.
What Sets Us Apart? Our transparent processes, innovative technology, and personalized approach help medical practices optimize revenue and improve financial outcomes. By partnering with us, providers experience fewer claim denials, increased collections, and operational efficiency.
- 99% clean claim submission rate
- 7+ years of industry experience
- 2-5 days turnaround time
- 20-30 days in AR
- 35% reduction in denials
- 8-12% decrease in AR within the first two months
- 15-45% increase in collections
- 97% client retention rate
- 12,000+ medical claims processed monthly
At Macrise Tech Solutions (MTS), we believe in building long-term partnerships that drive financial success. Our team of experts is committed to delivering exceptional service, ensuring accuracy, and continuously improving revenue cycle performance.
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Talk to us today. From medical billing to IT services, we’ve got the tools and the team you need.