Your Partner for Flawless Revenue Cycle Management Services.

Independent practitioner, busy providing quality care? We can ensure your professional liability insurance, license updates, EHR fees, dues and subscriptions, credit cards, and so much more are paid on time with our ACCOUNTS PAYABLE services. Need a steady cash-flow? Through our ACCOUNTS RECEIVABLE process we handle third-party payment processing for all business types.

During our entrance conference we provide a 23- point audit protocol checklist that we use when reviewing charts. We look for all applicable data including patient profiles, consents, addendums, prescriptions/orders, referrals, evaluations, treatment plans, signatures, dates of services, etc. We also check to see if documentation is organized and sequenced based on industry standards. To ensure a comprehensive review we choose a fair percentage of services delivered. During the exit conference we let you know your scores, make recommendations, and allow you the opportunity to respond.

Did you know that if your receive $500k or more from Medicaid in a consecutive 12 month period you must have a corporate compliance plan? We develop written policies and procedures for corporate compliance. Our first order of business is training your designated corporate compliance officer. Our policies include identifying risk areas and non-compliance, Code of Conduct, Code of Ethics, Anti-Harassment, Conflicts of Interest, Fraud -Waste -Abuse, Whistleblower, Solicitation, and Unlawful Discrimination. We recommend training and educating staff on an annual basis.

Project management, scheduling demos, and comparing prices among various EHR’s are some of our fortes. Doctors will never miss sending a prescription again! We record electronic-prescriptions, and prescription- refills. Have you ever received a call informing you that the individual need authorization for the medication ordered? Our medication prior-authorization services will help. We serve as a liaison between the pharmacy and the clinician.

We complete MEDICAID, MEDICARE, and THIRD PARTY INSURANCE applications. Already in Medicare but wish to reassign benefits to another entity? We can do that. OPRA to billing provider conversions. NPI, PECOS and I&An updates. Apply for ETIN’s, complete EDI Enrollments. HMO, PPO, EPO, POS, indemnity and traditional plan types can all pay different for the same service. We ensure payments are made according to contract. We negotiate contracts to the highest rates. Tired of waiting on paper checks, we can enroll you so that you will be paid via EFT. Need to check demographics, insurance, or authorizations and have been waiting on the phone too long? We can set you up with online access to many insurance carriers.

Does your IPSIDD group provide more than one specialty? If you answered yes, you are required to have oversight of a medical director. We help develop responsibilities of a medical director. We provide updates on IPSIDD policies and procedures. Forgot to provide two references, or your brief statements or insufficient? We ensure your IPSIDD application package is complete. We provide treatment coordination to ensure there is no duplication in services. We will be the liaison between you or your organization and the MSC. We will follow up with the MSC to ensure your services are added to the individual’s ISP. We obtain required signatures.

Someone called out unexpectedly? Call us in as little as three-to-four hours in advance and we will provide on-site administrative support. Need administrative support for a day, a week, a month, etc.? Our administrative support staff will organize your files, purge your records, and capture your missing or incomplete documentation. The administrative support staff can also make appointments, take messages, screen telephone calls, obtain signatures, and send faxes and emails. You name it we do it.

Skipping one step in a revenue cycle can cause a claim to pend or deny. GBRCM’s revenue cycle management process covers all basis. REGISTER PATIENT>VERIFY INSURANCE>OBTAIN PRE-AUTHORIZATION>CAPTURE CHARGE>CODE ENCOUNTER>ENTER CHARGE>SUBMIT CLAIM>POST PAYMENT>MANAGE DENIALS> UPDATE RECEIVABLE> and GENERATE REPORT. 360 degrees take you back to where you started from. Try GB’s 180 degree revenue cycle and your business will never be the same.

EPACES, Corporate Compliance, Reconciliation, Documentation (Evaluations, Progress Notes), Completing Forms, Developing Treatment Plans, G-CODE Functional Limitation Reporting, Organizational Management, Leadership, Motivation, Mandated Reporting, Characteristics of ID/DD, Code of Conduct, Electronic Health Records, Electronic Prescriptions, Discipline Specific Trainings and so much more.

GBRCM, LLC OFFERS A FULL ARRAY OF SERVICES. Services are available for all practice sizes, specialties, locations, and types including individual, groups, and facilities. .Current clients include internists, IPSIDD groups, LCSW’s, nurse practitioners, physical therapists, occupational therapists, speech-language pathologists, podiatrists, and psychiatrists. References available upon request. Did you know a treatment plan is not valid unless approved by an MD/NPP? Need an MD/NP to assess your individuals, review the records/treatment plans, and certify treatment plans....we can arrange that. We have a great referral source for your accounting, IT, and attorney needs.