Medical Billing Companies & Consultants in Santa Monica, CA

SimpleRCM is a medical billing and revenue cycle management company based in Santa Monica, California. It works with healthcare practices throughout Los Angeles and the wider Southern California region. The firm presents itself as an outsourced billing department. Instead of selling software for practices to run themselves, it gives clinics a dedicated team that handles their claims and collections work.

That makes it a fit for practices that want to move billing tasks out of the front office so staff can spend more time on patients.

Who They Serve

The company focuses on medical practices in the Los Angeles area. It pays particular attention to clinics on the Westside and in the coastal communities around Santa Monica. Its service pages are written for local providers rather than large hospital systems. Practices that want a regional billing partner, rather than a national outsourcing vendor, may find this geographic focus useful.

Services Offered

SimpleRCM covers most stages of the revenue cycle, from before a patient visit to the final payment. Its published services include:

• Checking patient insurance eligibility and benefits before visits
• Getting prior authorizations from payers
• Entering charges for services provided
• Scrubbing claims to catch errors before submission
• Working denied claims and resubmitting them
• Following up on outstanding accounts receivable
• Regular reporting on billing performance

Together these services are meant to raise collections, shorten the time between a visit and payment, and cut down on routine billing work for in-house staff. The company also highlights its first-pass claim acceptance rate. It reports that about 98 percent of the claims it submits are accepted the first time.

How They Work With Clients

One of SimpleRCM's selling points is its flexible terms. The company says practices are not locked into long-term contracts, which matters to practices that have been tied to multi-year billing agreements in the past. New clients can start with a free consultation, and the company also offers a free revenue dashboard. The dashboard gives practice owners a view of their billing performance before and during the engagement, so they can check results instead of relying on occasional summaries.

Credentials and Background

SimpleRCM lists several industry affiliations under its credentials and compliance information. These include the Medical Revenue Management Association of America and the Electronic Healthcare Network Accreditation Commission. The company also says its staff hold professional billing certifications. It operates from Santa Monica and keeps weekday business hours. For buyers comparing billing vendors in Los Angeles, SimpleRCM's main differences are its focus on Southern California, its managed, full-service model, its contract-free terms and its emphasis on reporting.