Medical Billing Companies & Consultants in Cheyenne, WY

Overview

iRCM Healthcare is a revenue cycle management company that lists an office on Central Avenue in Cheyenne, Wyoming. It serves healthcare providers in many disciplines and specialties, and it takes on the administrative and financial work that stands between delivering care and receiving payment.

The company says its goal is to improve cash flow and profitability for practices while reducing the expense of hiring and training their own billing personnel. It also states that it has more than twenty years in the industry, which it says helps it find and fix cash flow problems sooner.

The firm does not present one rigid package. It describes a workflow that can be tailored to each client, so a practice may outsource the entire revenue cycle or choose only the areas where it needs support. Its offerings include:

• Billing and coding for medical claims
• Posting of payments
• Handling of denied claims
• Accounts receivable follow-up
• Business and healthcare consulting
• Healthcare IT services

Claims, coding and collections

On the coding side, iRCM uses coders with several years of hands-on experience. They follow LMRP policies, CCI edits and other coding guidance so that submissions are accurate and compliant. The billing service is intended to raise revenue and shorten the number of days payers take to reimburse.

If a claim is denied, the denial team works through a systematic process of correction and resubmission, which the company says is completed within a few hours. Its accounts receivable staff are trained to recognize claims that need attention, approach the insurers involved and pursue amounts that remain unpaid or only partly paid.

The aims are a better collection ratio and fewer days outstanding.

Technology, consulting and staffing

Beyond billing, iRCM supplies a set of IT solutions covering electronic medical records, practice management, eligibility checking and general software work. It says it has experience with most of the popular EMR and practice management systems, which may appeal to providers who prefer to keep their current software. The company also arranges medical staffing for various roles at hospitals and provider groups. Its consulting offers strategic guidance on both short-term and long-term revenue cycle matters.

People, infrastructure and fees

The company reports that its team includes individuals holding CPC and CPB credentials from the AAPC, who deal with complicated coding and billing questions. Staff specialize in particular tasks, such as claim and denial analysis or insurance follow-up. An experienced quality assurance group is in place, and every process associate completes initial training before being assigned work.

iRCM describes its infrastructure as redundant, with modern servers and desktops, duplicated local and web networks, and security set up in line with HIPAA standards. It advertises round-the-clock availability and a free trial for new prospects. On fees, the firm says it earns income only when its clients are paid, and it offers several pricing options so a practice can select the one that suits it best.

The Office Assistant LLC is a medical billing and coding company located in Cheyenne, Wyoming. The firm has been in business since 1996 and was organized as a limited liability company in November of that year, giving it nearly three decades of history in the state. Business directories list Amy L. Hayes as owner and main point of contact, which suggests buyers will deal directly with the person running the company.

Who They Serve

The firm works with healthcare providers based in Wyoming and lists its service area as Wyoming and the surrounding states. Third-party company profiles describe its main clients as medical practitioners and healthcare facilities that want to hand off billing and coding work to an outside team.

One niche stands out: the company says it specializes in billing and coding for health care education, which makes it a likely fit for organizations whose claims fall outside the usual pattern of a standard physician office.

Core Services

Based on the listings we were able to verify, the company focuses on two closely related functions:

• Professional medical billing: preparing and submitting claims for provider services
• Outpatient medical coding: assigning codes to outpatient encounters
• Billing and coding for health care education programs
• Outsourced billing support for practices and facilities in Wyoming and neighboring states

The firm does not appear to sell billing software or other products of its own. It operates as a service bureau that takes on administrative revenue work for its clients.

Size and Background

The Office Assistant is a small business. Its LinkedIn page places it in the 2-10 employee range, and other profiles list it at under 25 staff.

For buyers, a firm this size usually means a short chain of communication and a direct line to ownership, although very large health systems may want to confirm that it can handle their claim volume. The company has a long record at the same Cheyenne address, and its Better Business Bureau file has been open since 2014.

It is not BBB accredited, which is common among small local firms and is not a sign of any problem.

Considerations for Buyers

This firm may suit Wyoming providers who want a regional partner with local roots, long tenure and specific experience with education-related healthcare billing.

Because its own website could not be reviewed for this profile, buyers should ask the company directly about the specialties it supports, the payers it bills, its reporting practices, how it handles denials and follow-up, and how it onboards new clients.

That will show how well its workflow matches the needs of their practice or organization before they sign an agreement.