• 12 Day Average Reimbursement

    Average reimbursement of 12 days for our clients. Access to revenue quickly!

  • Certified Full Cycle Revenue

    Certified full cycle revenue management specialists. Every penny is pursued.

  • 100% Billed Cases In 24 Hours

    100% of cases are billed within 24 hours of receiving the operative or consult note.

  • 10 Years Of Experience

    Over 10 years of medical billing experience. Clinic, facility or anesthesia, we do it all!

  • Easy Pricing, No Hidden Costs

    A flat 5.99% for our everything package. No upcharges, no extras, no hidden fees.

Submit your information to get instant pricing!

 

Nadora Healthcare differentiates ourselves by following up on denials, appeals and removing the burden of you having to employ someone full time to do that in house. We pursue every dollar and don’t let insurance companies get away with keeping money that is contractually owed to you. Fill out the form below to learn more about how we can help your practice achieve greater revenue cycle success.

Increase cash flow with our RCM process

Our system focuses on proper authorization, timely filing, verifying reception of the claim by the carrier, correcting pseudo denials, and guaranteeing payment in full according to your contractual agreements.

Proper Authorization

We procure written authorization of the exact procedure codes to ensure payment in full from the carrier.

Electronic Submission

Daily submission of claims electronically, verifying reception by the carrier & tracking the processing date.

Claim Verification

Pseudo denials are corrected immediately with a billing specialist following up to verify acceptance.

Revenue Growth

Nadora Healthcare RCM averages commercial reimbursement of less than 12 business days. Growing your revenue.

In Depth Breakdown Of RCM Services

Carriers are designed to not pay you, our RCM services ensure you get paid in full as quickly as possible.

Nadora Healthcare RCM offers full cycle revenue management from claim submission to reimbursement and recovery of aging A/R.

  • Daily electronic claim submission.
    • HCFA/CMS-1500, UB-04.
  • Medical coding clearinghouse scrubbing to ensure clean claim submission.
    • Coding expertise: CPT, ICD-10, HCPCS
  • Verification of claim reception by carrier.
  • Verification of claim processing by carrier.
  • Claim re-submission and/or correction.
  • Federal, private, commercial and specialty insurance billing.
    • Including self-funded plans.
  • Weekly claim status reporting.
  • Patient statements.
    • gMass/RVM/statement + manual phone outreach
  • Claim denial appeal.
  • Dedicated billing specialist on-demand.
  • Professional Fees – surgeon, anesthesia, surgical assistant, physicians assistant, neuromonitoring.
  • Facility Fees – facility, implants, overnight stay.
  • Setting – Outpatient, Inpatient, Extended Recovery Care Center, Clinic.
  • Clinic Services – office visits, in-office procedures, DME, imaging, physical therapy/

An area where most healthcare providers lose reimbursement is on their aging A/R. Carriers anticipate high volume claim submissions will lead to claims slipping through the cracks. We pursue aging A/R to ensure you are compensated for services rendered.

  • Independent Practitioners
  • Small & Large Physician Groups
  • Medical Clinics
  • Ambulatory Surgical Centers

At Nadora Healthcare RCM, we don’t rely on technology to drive reimbursement. Carriers are not designed to be efficient, technology does not increase reimbursement. Our billing specialists submit claims and work them like traditional accounts receivable should be worked. Ensuring the maximum reimbursement rate for our clients.

What Else Does Nadora Healthcare RCM Offer?

Revenue Management

Accounts Receivable Once Claim Is Accepted
$ 149
99
Monthly
  • + 4.99% Of Collected Charges
  • Claim Status Tracking
  • Corrections & Resubmissions
  • Timely Denial Management
  • Weekly Claim Reporting

Full Service RCM

End-to-End RCM + Aging A/R Recovery
$ 199
99
Monthly
  • + 5.99% Of Collected Charges
  • Pre-Authorizations
  • Verification of Benefits
  • Coding Submission & Scrubbing
  • Digital Claim Submission
  • Claim Status Tracking
  • Corrections & Resubmissions
  • Appeals & Escalations
  • Timely & Aged Denial Management
  • Aged A/R Recovery
  • Weekly Claim Reporting
  • Patient Statements & Collections
Popular

Aging A/R Recovery

Denial Management & Recovery Of Aged Claims
$ 299
99
Monthly
  • + 19.99% Of Collected Charges
  • Aged Denial Management
  • Monthly Claim Reporting

Frequently Asked Questions

Are There Any Additional Charges?

No, there are no hidden charges. $199.99 per month plus % of collected charges. That’s it!

What EHR Software Do You Integrate With?

We integrate with all major EHR software platforms. There are two ways that we typically see our services utilized.

  1. VPN – We connect to your network and run billing through your systems.
  2. Data Transfer – We pull data from your EHR on a daily schedule to process through our billing systems.

Some common systems we see are AdvancedMD, athenahealth, CareTracker, PracticeFusion, Epic, NextGen and WebPT.

How Long Is The Contract?

We require a minimum of one-year with Nadora Healthcare RCM. It is an extremely time intensive business and we are here to succeed. We do offer a 90-day written exit clause with all of our agreements should you decide to utilize another billing service.

How Often Do You Bill Claims?

We bill electronically within 24-hours of the claim being ready for submission. The procedure or encounter must be complete and the notes & supporting documentation must be complete. Once those items are completed, we bill it within the same-day.

What Type Of Reporting Is Available?

We share the same data we look at, with you. You’ll see what claims we’re working, where they are in the system or out to the carrier, and which ones have been paid. We have the best and most clear reporting system available on the market.

What's Your Average Collection Time?

In 2022, our average delay between claim submission and reimbursement was 12 days. That’s the best we’ve seen in the industry.

How Do You Make Insurance Carriers Pay?

We offer pre-authorization & verification of benefits. We require a written copy of the proper authorization; including all procedure codes. We provide this service because it greatly increases reimbursement the first time. We have developed a process to swat down pseudo-denials and ensure timely reimbursement.

What Does Our Organization Need To Do?

We’ll train you on what we need to do our job well. We need great data in your EHR, copies of insurance cards, timely clinical documentation and moving cases to a ready-to-be-billed status once the encounter is complete.

We will have our team continually researching the status of reimbursement so you don’t have to spend time forwarding EOB’s or ERA’s and can focus on running your practice.

Do You Take Credit Card Payments?

Yes! Our system charges 2.9%, but if you have a better contract with your credit card processor, we will run it through your gateway.

Do You Take Virtual Credit Card Payments?

No! This is the easiest low-hanging fruit for us to help you on. Every virtual credit card that you are reimbursed with has the option to request a check or direct deposit. We contact these processors and require a check or direct deposit reimbursement be made. 2.9% adds up over the course of a year and you deserve every penny you can get. We don’t let gateways take what they are not owed!

How Do We Pay You?

At the end of each month, we’ll send you an invoice for charges collected. On the first Monday of each money, Nadora Healthcare RCM will initiate an automated payment from your operating account for $199.99 + your contracted % of collected charges. Simple, easy & transparent!

Why Should I Outsource My Billing?

Most practitioners do not have the staff or time to properly manage their revenue cycle. The staff delegated to managing reimbursement are also performing multiple job functions. Allowing Nadora Healthcare RCM to perform your revenue cycle full time increase reimbursement and provides you peace of mind knowing it’s being performed by experts at medical billing.

Trusted by physicians and ambulatory surgical centers billing for cases across the country.

“Nothing is more important than billing. We can’t run a successful practice and treat patients without revenue coming in the door. Standing up Nadora Healthcare RCM was the best decision we ever made as an organization and it has enabled us to provide the same success in revenue operations to other practitioners and healthcare providers.”

Scott Dhupar, MD

Improve Revenue Cycle Management With Nadora Healthcare RCM

Gain access to a dedicated RCM specialist focused on improving your practice financial situation. Onboarding takes less than two weeks. Request a revenue analysis below to get started!

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