Utsav P.

Experienced RCM Specialist with 5+ Years in E&M, Behavioural Health, Pain Management, Physical Therapy, and Chiropractic Practices and many more... With over five years of specialized experience in Revenue Cycle Management (RCM), I offer comprehensive expertise in managing and optimizing billing processes for healthcare providers. Key Areas of Expertise: Medical Coding & Billing: Proficient in assigning accurate CPT and ICD codes based on detailed medical notes, ensuring compliance with the latest CMS guidelines and Medicare standards. Billing Audits & Compliance: Expertise in conducting thorough billing audits to ensure claims are accurate, timely, and compliant with HIPAA, LMRP, LCD, and CCI edits. Claims Management & Denials: Skilled in identifying coding issues, handling claim rejections and denials, and providing guidance to AR teams to resolve discrepancies effectively. Reporting & Documentation: Preparation of weekly and monthly billing and production reports, ensuring transparency and timely delivery to providers for enhanced decision-making. Core Competencies: CPT, ICD Mapping, and Fees Schedule LMRP & LCD Compliance Billing Frequency & HIPAA Compliance Claim Audit & Denial Resolution E&M, Behavioral Health, Pain Management, Physical Therapy, Chiropractic Practices Proven Software Proficiency: EclinicalWorks, Dr. Chrono, Officeally (Practice Mate & EHR), Kareo, MD Office, IMS, Medisoft, Chirotouch, eMD, Elation health, Nextgen Why Choose Me? I bring a results-driven approach to RCM services, leveraging my deep understanding of the industry and software proficiency to streamline your billing processes, enhance revenue cycle efficiency, and reduce errors. My focus is on delivering accurate, timely results that meet both regulatory requirements and provider needs. Whether you're looking to optimize your practice’s billing workflow, resolve coding issues, or ensure compliance with Medicare, I provide the expertise you need to drive success.