Our Services
At Eastern Shore RCM Solutions, we help clinics and physicians take control of their revenue cycle. From coding to compliance to collections and reporting, our goal is to simplify billing so you can focus on patient care.
Revenue Cycle Management (RCM) - Full Service
Includes:
Scheduling
Insurance verification
Charge entry & coding verification
Claims submission & tracking
Payment posting
Denial management
Patient statements
Insurance Credentialing Services
Includes:
Initial enrollment and revalidation
CAQH profile maintenance
Payer follow-ups
Updates for group and individual NPI
Denial & A/R Clean-up Projects
Includes:
A/R review and reporting
Targeted claim resubmissions
Appeals and documentation support
Aging reports and resolution plan
Lab Billing Services
Includes:
Revenue Cycle Management & Billing
End-to-end billing management (from charge capture → claim submission → reimbursement)
Molecular, toxicology, and PCR coding expertise
Prior authorization support
Payer credentialing and enrollment (Medicare, Medicaid, Commercial)
Real-time eligibility and benefits verification
Denials management and appeals
Compliance & Optimization
CLIA billing compliance guidance
Medicare LCD/NCD policy adherence
Documentation & coding audits (prevent recoupments & fines)
Test menu & CPT code optimization for maximum reimbursement
Consulting & Training
Staff education (lab managers, billing teams, providers)
Best practices for test ordering, documentation, and medical necessity
Workflow assessments to increase collection efficiency
