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Concierge Level Revenue Cycle Management Solutions

Gemcaps is an end to end Revenue Cycle Management company that enables healthcare providers and medical billing companies to succeed in an increasingly complex healthcare system.

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HIPAA Compliance

As an organization we take pride in our achievements in regards to data security, healthcare compliance, zero violations, a fully compliant workspace, paper free infrastructure & technology focused risk identifiers

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State-of-the-art Infrastructure

We have invested in the newest technology to scale and to support your growth. Very few of our competitors can boast this level of technology and investment to ensure 99.9% uptime. We understand how important it is to get your claims billed quickly and consistently and for your cash flow to be uninterrupted because of technology.

What Makes Us Different?

Management

US based client management team

Quality

Six sigma-based quality methodology

Partnership

Innovative technology partnership

Team

Ahima certified coding team

Services We Provide

Medical Coding

Professional and facility coding
All of our coders are Life Science graduates
98% accuracy rate
Our quality assurance audits and processes ensure we maintain strict coding standards
Compliance is never

AR Follow-up

Eligibility Verification
Utilization Review
Underpayment Review
Aged Claim Follow-up
Denial / Correspondence
Credit Balance & Refunds
Appeals – Print & Mail
Patient statements and follow up

Medical Billing

Pre appointment
Insurance Benefits
Authorization Requests
Patient Demo Entry
Charge Corrections/Entry
ERA / Manual Payment Posting
Zero Pay Posting
Monthly Balancing
Bank Statement Reconciliation
Clearinghouse / Payer Rejections

Practise Analytics

Six Sigma Process flow
Complete practice performance analytics
Comparison of Industry best Practices
Monthly and annual trending of key performance metrics
Problem areas affecting revenue by visit / patient
Service comparison and suggestions
Customizable reporting for your practice

Patient Pay Services

Six Sigma Process flow
Complete practice performance analytics
Comparison of Industry best Practices
Monthly and annual trending of key performance metrics
Problem areas affecting revenue by visit / patient
Service comparison and suggestions
Customizable reporting for your practice

Audit

Review Payments and allowable from payors to ensure adherence to the contract
Identify and report payment cycle delays
MIPS and MACRA reporting of penalties and incentives
Coding performance audits

Our Ideology

With over 30 years of combined industry experience, Gemcaps leans on high quality service and communication as its keys to success. We pride ourselves in becoming a partner to improve your business rather than a vendor. Leveraging our technology and industry partnerships is part of what separates us from our competitors.

Our Approach

Our Posts

We don’t want to be your vendor,
we want to be your partner.

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Book Your Meeting Now

Gemcaps Healthcare Services is a premier revenue cycle management (RCM) company with 100+ years of combined RCM leadership experience. We don’t want to be your vendor, we want to be your partner.

Send us a message to set up a time to connect about your practice’s needs

+1 276 601 3747

Job Seeker

Give your career a boost by joining Gemcaps. We are really interested in speaking with people who are excited, creative and driven. With a bunch of great colleagues and a talent-friendly company culture, you will find your time at Gemcaps filled with moments that truly make it a great place to work!

Get In Touch With Us

Gemcaps Healthcare is a unique healthcare business process Management Company, because we believe our clients deserve RCM services at the concierge level.

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What Our Clients Say About Us

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Dorothy Palmer

Randy Tran