FIRM Revenue Cycle Management Services, Inc. is an attorney and clinician driven company that utilizes highly trained clinical and financial experts; InterQual, Milliman (MCG); and contract, case and statutory law; to assist hospitals and health systems to recover denied, unpaid and under-paid medical insurance claims.

FIRM also specializes in assisting hospitals and health systems increase cash on hand by reducing bad debt and charity care write-offs. Acting as advocates for both the patient and the hospital, we assist self-pay and indigent patient populations enroll in and qualify for, county, state, and federal reimbursement programs. FIRM is a California Certified Enrollment Entity and provides services for hospitals from coast to coast.

FIRM provides Billing Follow-up; Unpaid, Underpaid, and Denied Claim Resolution Services; High Value Claim Service, Out-of-State Medicaid Billing, Medicaid Eligibility, Third Party Liability and Lien Services, Workers Compensation Services, Pre and Post Payment Defense Audits, and Zero Balance Reviews for healthcare organizations that want to keep more of what they bill.

Our process allows you to assign single, high value accounts, or batch assignments of multiple accounts. We work with you to develop a program that works  for your business office and your budget. As a client, you will receive the benefit of  FIRM’s combined management experience, totaling over 75 years, in developing cost effective accounts receivable solutions for hospitals and health systems.

Our attorney and clinician driven service,  combined with the latest billing and editing technology  available, ensures a higher level of results.

Health Care

Insurance

Medical Devices

FIRM Revenue Cycle Management Services, Inc.

Nancy Momcilovic

Jenna Denny

Shirley Barton

Greg Watwood

Tina Anderegg-Gorecke

Mary Hirsch

The Healthcare Claims Management team at FIRM Revenue Cycle Management Services, Inc. focuses on resolving denied, unpaid, and underpaid medical insurance claims through specialized expertise in auditing, appeals, and regulatory strategies. Comprised of professionals such as Nurse Auditors and Denials Management Specialists, the team advocates for healthcare providers by leveraging clinical knowledge and legal frameworks to maximize reimbursement and minimize financial losses, ensuring that hospitals maintain healthy cash flow while supporting patient access to necessary programs.

Healthcare Claims Management

Healthcare Claims Management

About

Team members