RKB Advantage

Promoting Patient-Conscious and Provider-Centric
Solutions

RKB’s solutions are designed to make accounts receivables management simpler and more profitable for physicians’ practices. Experience increased and accelerated cash flow through fewer claim rejections, denials, and write-offs. In addition, because our solutions make a billing manager’s job so much easier, RKB reduces cost and employee turnover by increasing productivity and employee satisfaction.

RKB is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. RKB enables you to better integrate and automate key business and administrative functions of its payer and provider customers throughout the patient encounter.

Through the use of our comprehensive suite of solutions, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes.

Clearinghouse

Medical Claims Clearinghouses is the most important solution to any medical office or billing service. Without a Medical Claims Clearinghouse your business is working strictly on paper claim submission and waiting 30-45 days for payments. With a Medical Claims Clearinghouse your doctors will usually see payment from the health insurance carriers within 7-10 days. This has a huge impact on billing, collections, patient statements and A/R reports that you simply cannot ignore.

Here are some of the basic perks for using a Medical Claims Clearinghouse:

Faster return on Insurance Payments
Faster return on Patient Statement Payments
Eliminate Phone calls to check Patient Eligibility
Second set of eyes to confirm medical claim is coded correctly
Cleaner claim submission
Electronic Explanation of Benefits
Submit Secondary claims electronically

Denial Management

Every medical practice experiences claim denials. Better performing practices have denial rates below 5%; other practices are seeing claims being denied 10%, 20% or in the extreme 30% of the time. Each of us looks continuously for an idea and an opportunity to improve our financial performance. One of the best ways to evaluate your performance is to know why claims are being denied. With that information you can determine what your practice needs to do differently to reduce the denials and increase the percentage of time that you get paid correctly the first time!

Why is this important?
For those of us who have been involved with physician professional billing for over 20 years, we saw our medical claims go out the door to the payers…..and we received our payments.

Patient Cost Estimator

The Patient Cost Estimator is an interactive tool to estimate the average cost of various services provided in hospitals. This tool provides information nationally, by jurisdiction and by patient age group. The cost
estimates represent the estimated average cost of services provided to the average patient. They include the costs incurred by the hospital in providing services but exclude physician fees, since physicians are normally paid directly by the jurisdiction and not by the hospital.

The Cost of Care Estimator:
New technology that will inform patients and health care professionals of the total cost to be charged for medical services based on the individual’s specific health plan.

The Estimator’s real-time cost estimates detail portions of the bill to be paid by the health plan and by the covered individuals’ sources of liability whether that is out-of-pocket costs due to co-insurance or co-pays, or
their flexible spending accounts, health reimbursement arrangements and health savings accounts.

POS Payments

Online bill payment allows your practice to collect faster payment while providing patients with greater convenience. Allowing your patients the freedom to pay their bills by credit card from your web site is critical to providing an array of flexible payment tools to your patients. This is especially important as patients are increasingly responsible for a larger and larger portions of their bills as patients move to higher deductible insurance coverage.

Patients may pay one time bills online using a credit card or debit card or may be enrolled in payment plans resulting in multiple charges to their credit card over time to cover payment of a larger bill.