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40 Services For Your Practice
METACARE offers an extensive array of services to medical practices, ensuring all aspects of revenue cycle management, practice optimization, and patient engagement are covered. As the only practice support company endorsed by The Massachusetts Medical Society, and The IPA Association of America, Metacare is committed to upholding its standard of excellence.
Real Practices, Real Results
METACARE practices rank in the top 1% of their specialty
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Claims Management
Claims Submission
Efficiently submit medical claims to insurance companies, ensuring faster reimbursement and reducing the administrative burden on your practice.
Claims Follow-Up
Diligently monitor the status of submitted claims and proactively follow up with insurance companies to resolve unpaid or denied claims, increasing your practice's cash flow.
Denial Management
Diligently analyze and appeal denied claims, recovering revenue that might otherwise be lost and ensuring maximum reimbursement for services rendered.
Remittance Advice Analysis
Thoroughly analyze insurance remittance advice to reconcile payments accurately and identify discrepancies, preventing revenue leakage.
Payment Posting
Accurately post payments received from insurance companies and patients to patient accounts, maintaining precise financial records and reducing administrative workload.
Accounts Receivable Management
Effectively track and manage outstanding payments, improving your practice’s financial health and reducing days in accounts receivable.
Payment Technology
Provide cutting-edge payment technologies such as online bill pay, text-to-pay, and pay-over-time options, enhancing convenience for patients and increasing collection rates.
Fee Schedule Analysis
Analyze and optimize fee schedules and payer contracts to ensure you receive the highest possible reimbursement rates.
Coding and Billing
AI Risk-Adjusted Coding
Utilize advanced AI technology complemented with expert human coders to identify and code HCCs to the highest specificity, optimizing risk adjustment scores and maximizing reimbursements compliantly.
ICD and CPT Coding Optimization
Certified professional coders assign accurate medical codes, reducing claim denials and ensuring compliance with regulations.
Charge Capture
Accurately record all medical services provided to patients, ensuring no revenue is lost due to missed charges.
Billing Platform Setup
Assist with the setup of billing software, ensuring your practice operates efficiently from day one.
Clearinghouse Setup
Establish new clearinghouse connections to streamline claims processing, reducing delays and improving cash flow.
Patient Statements
Generate clear and accurate bills or invoices for patients, improving transparency and reducing patient inquiries about their financial responsibilities.
Credentialing and Compliance
Credentialing
Manage all aspects of provider credentialing and recredentialing, ensuring your practice meets payer requirements and maintains compliance.
Compliance and Regulatory Support
Ensure adherence to the latest billing and coding regulations, protecting your practice from legal risks and penalties.
Training on Best Practices
Provide comprehensive training for your staff on revenue cycle best practices and regulatory updates, enhancing overall practice efficiency and compliance.
Custom Analytics and Reporting
Generate detailed financial reports and analyze revenue trends, providing actionable insights to improve your practice’s financial performance and identify growth opportunities.
Insurance and Eligibility
Insurance Eligibility Verification
Verify patient insurance coverage, eligibility, and benefits before services are rendered, reducing claim denials and ensuring accurate billing.
Prior Authorizations
Handle prior authorizations efficiently, minimizing delays in patient care and ensuring timely reimbursements.
Retro Authorizations
Manage retro authorizations effectively, recovering revenue for services provided before authorization was obtained.
Patient Engagement and Communication
Patient Communications Platform
Implement an advanced patient communications system featuring VOIP, call analytics, PC integration, unlimited texting, and more, improving patient engagement and satisfaction.
Appointment Scheduling
Optimize the appointment scheduling process to increase efficiency and provider productivity, reducing wait times and enhancing patient experience.
Appointment Reminders
Implement an effective appointment reminder system to reduce no-shows, increasing practice revenue and improving patient adherence to care plans.
Reduce Missed Calls
Ensure live humans answer phone calls, providing a friendly and professional experience to patients, enhancing patient satisfaction and retention.
After Hours Answering Service
Provide after-hours answering services to ensure patient inquiries are addressed promptly, demonstrating your practice’s commitment to patient care.
Technology and EMR Support
EMR Optimization
Optimize your Electronic Medical Records (EMR) system for better efficiency and performance, reducing administrative burden and improving patient care.
Password Recovery
Support practices in recovering payer portal login credentials, ensuring seamless access to essential systems and minimizing disruptions to operations.
Marketing and Brand Enhancement
Marketing
Offer comprehensive marketing assistance to enhance your practice's brand and visibility, attracting new patients and increasing revenue.
Website and SEO
Develop and optimize your website to rank higher on search engines, driving more traffic and potential patients to your practice.
Brand Enhancement
Achieve multiple 5-star Google reviews to boost your online reputation, establishing your practice as a trusted provider in the community.
Practice Management Support
Scribing
Enable healthcare providers to complete progress notes efficiently, capturing all relevant diagnosis codes and reducing administrative workload.
Dedicated Support
Provide a dedicated account manager who is reachable directly during business hours, offering personalized and responsive support.
Document Management
Efficiently sort, file, and manage faxes and other documents, reducing administrative burden and ensuring easy access to important information.
New Service Launch
Provide support in launching new services, ensuring a smooth and successful rollout.
Practice Consulting
Offer expert consulting services to improve overall practice management and operations, driving efficiency and growth.
Partnerships and Quality Measures
Payer Partnership Optimization
Support in selecting and negotiating with payers, Accountable Care Organizations (ACOs), Independent Practice Associations (IPAs), and other contracting entities, maximizing your practice’s income.
Tax ID (TIN) Splitting
Setup a clean billing TIN used for billing ACO patients, ensuring that billing does not get interfered with ineligible claims, affecting cost benchmarks.
Quality Measures
Work with ACOs to ensure providers meet quality measure targets and achieve shared savings, enhancing care quality and financial performance.
Data Requests
Handle and manage data requests from ACOs, ensuring compliance and timely responses.
Clients may opt for a comprehensive package or select individual services tailored to specific needs
Hear What Practices Are Saying:
Switching to METACARE was the best decision for our practice. Their efficient claims management and advanced coding services have drastically reduced our denial rates and increased our revenue. We now focus more on patient care and less on administrative hassles!
Robert S., MDInternal Medicine 
METACARE’s patient engagement platform transformed our practice. The appointment reminders and after-hours answering service have significantly improved patient satisfaction and reduced no-shows. Their support is unparalleled and truly makes a difference.
Michael Z., DOPediatrician 
Thanks to METACARE’s comprehensive billing and credentialing services, our practice has seen a 20% increase in collections. Their team is professional, responsive, and dedicated to ensuring our success. We couldn’t be happier with their services!
Chelsea S., MDFamily Medicine 
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