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Empowering your practice for business success

Meet your new billing team.

Clarity RCM was founded on a mission to empower private medical practices for business success. Specializing in medical billing and revenue cycle management for dermatology practices nationwide, we combine end-to-end ownership of the practice revenue cycle with an unparalleled commitment to client service.

We pride ourselves in going above and beyond. We’re more than an outsourced biller. We’re your partner, working alongside you to solve problems, improve your billing workflow and lay a foundation for future growth.

Services

MEDICAL BILLING Icon

MEDICAL BILLING

Full service revenue cycle management for private practices and healthcare organizations of all sizes.

MEDICAL CODING Icon

MEDICAL CODING

Comprehensive coding services including coding quality audits, coding-related denials and coding compliance audits.

CREDENTIALING Icon

CREDENTIALING

Provider credentialing services, including enrollment with commercial insurances and Medicare.

Why We’re Different

TEAM

Our team is our greatest strength. The hiring bar at Clarity RCM is extremely high. We have high standards, we know what’s at stake and we take pride in our work. With our team, your practice will have the benefit of a highly qualified billing team at a fraction of the cost that insourcing would entail.

PAYMENT POSTING We post payments daily, ensuring that you have real-time clarity into your revenue cycle and can focus your attention PAYMENT POSTING We post payments daily, ensuring that you have real-time clarity into your revenue cycle and can focus your attention PAYMENT POSTING We post payments daily, ensuring that you have real-time clarity into your revenue cycle and can focus your attention PAYMENT POSTING We post payments daily, ensuring that you have real-time clarity into your revenue cycle and can focus your attention PAYMENT POSTING We post payments daily, ensuring that you have real-time clarity into your revenue cycle and can focus your attention PAYMENT POSTING We post payments daily, ensuring that you have real-time clarity into your revenue cycle and can focus your attention

SERVICE

The breadth of our services, quality of our work and the speed with which we operate will surprise you in a good way. Simply put, comparing us with traditional billing services would not be an apples to apples comparison. Don’t take our word for it! You can ask our current clients. We’ll happily provide references.

DETAIL

Problem solving is in our DNA. We don’t just pay attention to the details, we obsess over them. Our goal is to develop airtight protocols and billing workflows to not only get you paid as quickly and efficiently as possible, but to also set your practice up for future growth and challenges that lie ahead. Is your current accounts receivable in bad shape? No sweat: we’re really good at diving in, identifying underlying issues and creating a go-forward plan. Contact us to see how we can help.

Frequently Asked Questions

HOW MUCH DO YOU CHARGE?

Our fees are typically based on a fixed percentage of collections from claims that are billed to insurance. The actual percentage depends on two factors:

1.  Practice Size and Volume
2.  Scope of Services

Generally speaking, size and volume will bring the percentage down while additional services will bring the percentage up. Regardless of your size or billing needs, our rates are highly competitive and we’re confident that we bring tremendous value to the table. Feel free to reach out and we’d be happy to give you a detailed proposal.

WHAT IS YOUR AVERAGE TURNAROUND TIME?

We pride ourselves on speed and consistency. Our “promised” turnaround times are as follows:

Billing 24-48 hours
Payment Posting 24-48 hours
Rejections 24-48 hours
Denials 72 hours from posted date
AR Followup 72 hours

Truth of the matter is that we’re faster than that.

WHAT IS YOUR AVERAGE % OF GROSS CHARGES OVER 90 DAYS?

Any claims that are pending for over 30 days will be handled by our AR specialists, who are well-versed in getting to the bottom of a claim and resolving any barriers that stand in the way of payment. For our current clients, 90+ AR as a percentage of gross charges ranges between 5 and 10 percent. Actual AR performance is dependent on carrier mix, billing workflow and a variety of other factors.

WHAT ABOUT PATIENTS WHO ARE COMING IN FOR ELECTIVE PROCEDURES (LIKE COSMETICS)? OR CASH MEDICAL PATIENTS WITH NO INSURANCE WHO PAY CASH?

Fees collected from cash pay and elective services are 100% yours, as they should be. We’re an honest and hardworking team and we don’t charge fees for work we don’t perform.

DO YOU HAVE YOUR OWN PM SYSTEM OR CAN YOU WORK WITH OTHER PM SYSTEMS?

We do not have our own PM system, nor do we mandate our clients to use any one in particular. While we will make suggestions if we feel something can improve, our philosophy is to adjust to the practice’s workflow. We have experience with most major PM and EMR systems. If a client has a system we are unfamiliar with, we have demonstrated that we can learn it and get up to speed on it relatively quickly.

WHAT EMR'S AND PRATICE MANAGEMENT SYSTEMS DO YOU HAVE EXPERIENCE WITH?

Truth be told, the list is too long to count. In dermatology, we are well-versed with Modernizing Medicine, EZDerm, DrChrono and Nextech among others.

We’ve worked with systems of all shapes and sizes and we have experience with most of the major practice management systems prevalent in each specialty.

HOW EXPERIENCED IS YOUR TEAM?

Each of our team members comes with significant experience, ranging from 3 to 15 years, working for other larger billing companies. Our coders are certified by the AAPC on a broad range of specialties.

DO YOU PROVIDE CLIENTS REPORTING ON A REGULAR BASIS?

Absolutely! That’s our job. We not only provide clients with monthly reports covering billing performance and accounts receivable, we also provide clients with ad hoc reports upon request. Our goal at Clarity RCM is to empower you with the information you need to run your business.

WHAT SPECIALTIES DO YOU HAVE EXPERIENCE WITH?

Most of our clients specialize in dermatology. In addition to dermatology, we’re well-versed in a number of specialties, including but not limited to:

  • Cardiology
  • Chiropractics
  • Emergency Medicine
  • Family Medicine
  • Gastroenterology
  • Internal Medicine
  • Occupational Therapy
  • Orthopedic Surgery
  • Pain Management
  • Pediatrics
  • Physical Therapy
  • Plastic Surgery
  • Podiatry
  • Psychiatry
  • Rheumatology
  • Urgent Care
  • Wound Care

Let’s Get Started