Streamline Your Medical Billing & Revenue Cycle
Expert RCM services including credentialing, accounts receivable management, and revenue cycle optimization for healthcare providers across the USA.
RCM Services
Complete medical billing solutions including credentialing, accounts receivable management, and revenue cycle optimization. We handle all aspects of your billing process so you can focus on patient care.
Complete medical billing and claims processing
Provider credentialing and enrollment services
Accounts receivable management and follow-up
Denial management and appeals processing
Real-time eligibility verification
Comprehensive revenue cycle reporting
Risk adjustment coding and documentation
Quality reporting HEDIS compliance
Coding and scribe services
RCM Services
Comprehensive RCM services including credentialing, accounts receivable management, and revenue cycle optimization for healthcare providers across all specialties.
Provider Credentialing
Complete provider enrollment and credentialing services for all major payers.
Medical Billing
Comprehensive medical billing and coding services for all specialties.
Accounts Receivable
Professional accounts receivable management and patient billing.
Claims Processing
Efficient claims submission and tracking with real-time status updates.
Denial Management
Expert denial management and appeals processing to maximize collections.
Revenue Cycle
End-to-end revenue cycle management and optimization services.
Risk Adjustment Coding
Specialized risk adjustment coding to maximize reimbursement and ensure compliance.
Quality Reporting HEDIS
Comprehensive HEDIS quality reporting and performance measurement services.
Coding and Scribe
Professional medical coding and clinical scribe services for accurate documentation.
States We Serve
Elite Medical Billing Solutions proudly serves healthcare providers across multiple states, providing comprehensive RCM services, credentialing, and revenue cycle management.
New York
NYHealthcare Providers
5+
New Jersey
NJ (HQ)Healthcare Providers
10+
Illinois
ILHealthcare Providers
5+
California
CAHealthcare Providers
5+
Texas
TXHealthcare Providers
5+
Florida
FLHealthcare Providers
5+
Pennsylvania
PAHealthcare Providers
5+
Ohio
OHHealthcare Providers
5+
Georgia
GAHealthcare Providers
5+
North Carolina
NCHealthcare Providers
5+
Michigan
MIHealthcare Providers
5+
Virginia
VAHealthcare Providers
5+
Our Coverage
Risk Adjustment Coding
Maximize your revenue potential with our comprehensive risk adjustment coding services. We ensure accurate HCC, RAPS, and EDPS coding to optimize your Medicare Advantage reimbursements.
Our Process
Data Collection
Gather comprehensive patient data from medical records, claims, and encounters
Code Analysis
Analyze and validate ICD-10 codes for risk adjustment accuracy
Risk Calculation
Calculate patient risk scores using CMS-approved methodologies
Validation & Submission
Validate codes and submit to CMS for proper reimbursement
Risk Adjustment Codes
HCC (Hierarchical Condition Categories)
Diabetes with Acute Complications
Diabetes without Acute Complications
Congestive Heart Failure
Major Depressive, Bipolar, and Paranoid Disorders
Breast, Prostate, and Other Cancers
Lung and Upper Digestive Cancers
Colorectal, Bladder, and Other Cancers
Ischemic or Unspecified Stroke
RAPS (Risk Adjustment Processing System)
Chronic Kidney Disease
Chronic Obstructive Pulmonary Disease
Atrial Fibrillation
Alzheimer's Disease
Rheumatoid Arthritis
EDPS (Encounter Data Processing System)
Acute Myocardial Infarction
Stroke
Hip Fracture
Pneumonia
Sepsis
Ready to Optimize Your Risk Adjustment?
Let our certified coders help you maximize your Medicare Advantage reimbursements through accurate risk adjustment coding.
Learn & Resources
Access our comprehensive library of guides, tutorials, and resources to help you optimize your medical billing processes and revenue cycle management.
Medical Billing Setup Guide
Complete guide to setting up your RCM services
Credentialing Process
Step-by-step provider credentialing and enrollment guide
HIPAA Compliance Checklist
Ensure your billing practices meet all compliance requirements
Accounts Receivable Management
Best practices for managing patient billing and collections
Claims Processing Guide
Maximize your claims submission and denial management
Revenue Cycle Optimization
Advanced strategies for improving your revenue cycle
Billing Video Tutorials
Medical Billing Setup Video
Place your billing tutorial video here
Revenue Cycle Management Video
Place your revenue cycle video here
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Contact Us
Ready to optimize your medical billing and revenue cycle? Get in touch with our team to learn how Elite Medical Billing Solutions can help your practice maximize collections.
Get in Touch
Phone
+1 (630) 381-6570
Mon-Fri 8AM-6PM CST
info@elitepmss.com
We'll respond within 24 hours
Address
70-25 Hiawatha Trail Franklin Lakes NJ 07417
Serving nationwide
Our Coverage
Send us a Message
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