Medical Revenue Cycle
M3 Financial Services, Inc. (M3) represents over 15+ years of experience and proven results in the receivables management space. Established in 2002, we are exemplary in our customer service approach toward resolving delinquency issues.
We understand revenue cycle services from eligibility verification to pre-certification/authorization, provider enrollment, coding, UB04/1500/2360 billing, Denial Management and Appeals.
SPARC™ - Self Pay Advocary Receivables Collection is M3's customized SELF PAY EARLY OUT program which is an extension of the business office. It is a unique revenue enhancement program that simultaneously combines customer relations, obtains valuable feedback from patients, increases the patient’s perception of quality of care received at the facility while progressively reducing the self pay receivable. The outstanding receivable is not discussed until the patient expresses satisfaction with their visit, creating an environment of cooperation and mutual desire for resolution of problems.
Paramount to the success of this program is the daily bi-directional updates of the hospital system and M3FS system with payments, adjustments, notes, status. M3 developed a proprietary technology for this seamless update between systems.
INSURANCE FOLLOW-UP AND CLAIMS RESOLUTION
M3 is staffed with coding, billing and denial management expertise in all insurances (Medicare, Medicaid, Commercial, Managed Care) including Work Comp and Personal Injury. We identify denial trends, work down all aging, categories and balances as required by our clients.
COLLECTION AGENCY SERVICES
Licensed and bonded, we deploy a unique non-adversarial approach to recover the most money attainable to your organization. Our friendly approach has resulted in more net back to our client. We have never lost a toe-to-toe race with another agency. With an excellent staff trained to read a itemized bill, UB04, 1500, we educate our patients so that they know what they are responsible for if it is the co-pay, deductible, co-insurance, ABN, non-covered charge.
OUR SOFTWARE SOLUTIONS
M3 has completely customized our account management and tracking system, Caesar. With intelligence to analyze and score accounts, track denials, process eligibility and claims status, this system automates many functions for our staff. Our technology advantage includes account tracking, accurate status and notes, electronic payment posting, our dialer software and VOIP telephony technology. We have a proprietary bi-directional technology to sync referrals, payments, adjustments, status, notes with hospital systems.