KMMS Consulting

Revenue Cycle Management for Solo and Group Practices

Navigate your revenue cycle with confidence

How much does will this treatment cost my patient?
Will insurance cover this for my patients?
Why did this claim get denied?
I do this all the time – is there a way I can get reimbursed for it?

The financial world within healthcare is murky and confusing for patients and providers alike. Guidelines around billing code requirements are constantly changing and insurance companies have their own rules about what and how much they will reimburse. Practices are frequently left cautiously undercoding and receiving surprise denials.

That’s where we come in.

We support practices with all their revenue cycle needs. Common needs such as credentialing a newly hired provider with the payers you work with to complex needs like understanding how a recent CMS rule change impacts your practice are all within our scope.

Discovery with KMMS

Most of our clients see their bottom line and know that there is opportunity to improve but don’t know where to start. We do a thorough discovery with each client prior to initiating a consulting relationship to create clarity around where opportunities exist and an estimated ROI. Typically this involves reviewing a sample of submitted claims and identifying examples of suboptimal coding and preventable denials.

Already know what you need? We can execute on various revenue cycle tasks.

Common services we offer

Code Compliance
Denials Management
AR Management
Coding
Credentialing
Contracting
Third Payor Negotiations
Auditing
New Service Exploration

Working with KMMS

Small changes with high yields

We work with your existing staff, EMR, and other resources to improve efficiency while reducing friction. Most clients find that they can increase their revenue while doing similar amount of work.

Our goal is to implement solutions that you can sustain without outside help, keeping more of your new revenue in your practice.

Clean claims make providers and patients happy

Avoid claims bouncing back and forth with insurance providers. Get it right the first time and get paid promptly for your care.

Similarly, patients don’t want to receive a surprise bill 6 months after their appointment. Understand expected patient responsibility and collect an accurate payment at the time of service.

Get started today

hello@kmmsconsulting.com