A medical billing company manages the process of submitting and following up on claims with health insurance companies to ensure healthcare providers receive payment for their services. This includes coding, claim submission, denial management, and payment posting.
Atlantis RCM brings proven experience across multiple specialties, with robust HIPAA-compliant workflows tailored to individual practices. Our dedicated, trained team has helped clients boost profitability while eliminating the burdens of managing in-house billing operations.
Outsourcing helps reduce administrative workload, minimizes billing errors, improves claim turnaround time, and ensures better compliance, leading to increased revenue and fewer payment delays.
Yes, we follow all HIPAA guidelines and use secure systems to protect patient data.
We offer billing services for a wide range of specialties including family medicine, cardiology, orthopedics, internal medicine, mental health, and more.
We investigate the reason for denial, correct any issues, and resubmit claims promptly. We also provide reports and recommendations to prevent recurring issues.
Revenue Cycle Management (RCM)
Revenue Cycle Management is the process of managing patient revenue from initial appointment scheduling to final payment. It includes billing, coding, claims, and collections to ensure full and timely reimbursement.
Effective RCM reduces denials, improves cash flow, and minimizes revenue leakage, helping your practice maintain financial stability.
The RCM cycle includes patient registration, insurance verification, coding, billing, claims submission, payment posting, and denial follow-up.
Yes, we offer flexible solutions. You can choose full-cycle RCM or specific components like billing, coding, or claims management.
Medical Billing
We handle patient billing, insurance claims, payment posting, denial management, and patient follow-up for unpaid balances.
Yes, we support various specialties including primary care, cardiology, orthopedics, mental health, and more.
Our team uses certified coders, claim scrubbing tools, and regular audits to ensure clean claim submission.
Claims are typically submitted within 24-48 hours of receiving all required documentation.
Medical Coding
Yes, all our coders are AAPC- or AHIMA-certified and trained in ICD-10, CPT, and HCPCS Level II.
We provide diagnosis coding, procedure coding, code auditing, and specialty-specific coding support.
We follow best practices and perform internal quality checks to ensure coding accuracy and compliance.
Yes, we provide coding services tailored to the requirements of different specialties, including complex cases.
Medical Credentialing
Credentialing is the process of verifying a provider’s qualifications with payers to ensure eligibility for reimbursement.
Typically, it takes 90-120 days depending on the payer and how quickly documents are submitted.
Yes, we handle re-credentialing, CAQH profile updates, and insurance renewals to keep your credentials current.
Absolutely. We handle multi-state credentialing and enrollment across various commercial and government payers.
Prior Authorization
Prior authorization is a payer-required process to approve certain services or medications before they're provided.
High-cost services like MRIs, surgeries, and specialty medications often need prior approval from the payer.
We expedite urgent requests by contacting payers directly and closely monitoring the turnaround time.
Yes, we handle submission, payer communication, and real-time follow-up until authorization is obtained.
Practice Management
We offer scheduling support, EHR integration, billing oversight, reporting, and staff training.
We optimize workflows, reduce admin tasks, and improve patient engagement, leading to better financial and clinical outcomes.
Yes, we tailor our solutions based on whether you're a solo practitioner, group practice, or multi-specialty clinic.
Absolutely. We generate detailed reports on KPIs, claims, denials, and productivity to guide decisions.
Patient Help Desk
We handle appointment reminders, insurance queries, billing questions, and payment support on your behalf.
We offer extended and weekend hours to ensure support for your patients beyond standard office times.
Yes, all patient calls are handled by trained support staff — no bots or generic call centers.
Yes, we represent your practice professionally, using your name and tone to deliver a consistent patient experience.
Claims Management
We handle claim preparation, submission, status tracking, corrections, resubmissions, and appeal handling.
We use scrubbing tools and expert review to ensure clean, error-free claims before submission.
Yes, every claim is monitored from submission to final payment with follow-ups at each step.
Denied claims are reviewed, corrected, and resubmitted promptly with documentation and appeals if necessary.
Denial Management
Common reasons include incorrect coding, missing documentation, eligibility issues, and authorization errors.
We investigate the root cause, correct the error, appeal if needed, and implement preventative measures.
We typically begin working on denied claims within 24-48 hours of the denial notification.
Yes, we provide monthly reports identifying patterns and offer recommendations to reduce future denials.
AR Management
It involves tracking, collecting, and resolving unpaid claims and patient balances to maintain healthy cash flow.
We use age analysis and payer data to focus on high-value and time-sensitive accounts first.
Yes, we specialize in recovering aged receivables and reducing bad debt.
Absolutely. With regular follow-ups and payer coordination, we help shorten the payment cycle.
Medical Billing Audit
It's a review of your billing records, claims, and processes to ensure accuracy, compliance, and revenue integrity.
At least once a year, or after major changes like software updates or compliance rules.
We review coding accuracy, documentation, compliance with payer rules, and reimbursement patterns.
Yes, we deliver a detailed report with actionable suggestions to fix errors and improve revenue.
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