At Smart RCM Solutions, we provide end-to-end medical billing and revenue cycle management services designed to maximize collections, reduce denials, and simplify the financial operations of healthcare practices across the United States.

Whether you’re a solo provider, specialty clinic, or multi-physician group, our team offers tailored solutions that help you focus on patient care while we take care of your revenue.

Explore the wide range of services we offer below:

Services We Offer

RCM Services

Charge Entry Services

Payment Posting Services

Eligibility Verification Services​

Patient Billing Services

Account Receivable Services

📌 Medical Billing Services

We handle the full billing lifecycle—from claim creation to reimbursement—ensuring clean submissions and faster payments.

Includes:

  • ICD-10, CPT, and HCPCS coding
  • Charge entry and claim submission
  • Denial management and appeals
  • Payment posting and adjustments
  • Accounts receivable (AR) follow-up
  • Monthly performance reporting

📌 Eligibility & Benefits Verification

We verify patient insurance coverage before service, helping you avoid costly claim rejections and delays.

We check for:

  • Active insurance coverage
  • Copays, deductibles, and coinsurance
  • Prior authorization requirements
  • Referral needs

📌 Prior Authorization Services

We take over the time-consuming task of dealing with payers to get necessary approvals for procedures and treatments.

Our process includes:

  • Request submission
  • Payer follow-up
  • Documentation handling
  • Approval confirmation

📌 Denial Management

We go beyond re-submissions—we fix the root cause and prevent future revenue leakage.

You’ll benefit from:

  • Root cause analysis
  • Real-time denial resolution
  • Comprehensive appeal management
  • Denial trend reporting

📌 Credentialing & Enrollment

Whether you’re opening a new practice or adding new providers, we handle your entire credentialing process.

Services include:

  • NPI and CAQH setup
  • Enrollment with Medicare, Medicaid, and commercial payers
  • Re-credentialing and tracking
  • Payer follow-up

📌 Specialty-Specific Billing

We offer customized billing services for over 30+ specialties including:

  • Cardiology
  • Dermatology
  • Mental Health
  • Pediatrics
  • Pain Management
  • ENT
  • Gastroenterology
  • Physical Therapy

👉 Explore All Specialties

📌 Telehealth Billing

We ensure your virtual visits are billed accurately and reimbursed promptly under the latest CMS and commercial payer guidelines.

Includes:

  • Real-time CPT code assignment
  • Modifier use (e.g., -95, -GT)
  • Place of service accuracy
  • Compliance with telehealth policies

📌 Reporting & Analytics

Gain insight into your financial performance with transparent, actionable reporting.

We deliver:

  • Monthly revenue summaries
  • AR aging analysis
  • Denial rate trends
  • Payer behavior reports
  • CPT utilization stats

🎯 Why Choose Smart RCM Solutions?

✔ 100% HIPAA-Compliant
✔ U.S. payer expertise
✔ Specialty-specific coders
✔ Transparent communication
✔ Quick claim turnaround
✔ Personalized client support

📞 Let's Take the Stress Out of Billing

When you partner with Smart RCM Solutions, you’re choosing a team that understands the intricacies of medical billing and is committed to helping your practice succeed financially.

📞 Call Us Today: +1-725-245-5971
📧 Email: [email protected]