Comprehensive  Claims Management Services

Welcome to Riverdale Claims Management, where excellence meets innovation in the realm of comprehensive claims management services for the healthcare industry. Our commitment extends beyond mere administration – we are your strategic partner, dedicated to understanding and meeting the specific needs of healthcare professionals and facilities.

With a focus on precision, efficiency, and financial security, our suite of services is designed to simplify the way you navigate the complexities of claims, compliance, and financial management.

Claims Management Excellence

At Riverdale Claims Management, we understand that claims management is more than just a process; it’s a critical aspect of safeguarding the interests of healthcare providers. Our specialized claims management services go beyond the ordinary, aiming to produce significant savings by eliminating duplication and unnecessary expenses. We take pride in being the catalyst for a seamless and cost-effective claims process, providing you with the peace of mind to focus on delivering exceptional healthcare.

Claims excellence at Riverdale Claims Management
Compliance approval stamp

Compliance

Mastery in Medicare Secondary Payer Compliance

Navigating the intricate landscape of Medicare Secondary Payer (MSP) compliance is a daunting task, but with Riverdale Claims Management, it becomes a streamlined and efficient process. Our industry-best MSP mandatory reporting service is crafted to meet your reporting obligations with precision. From capturing essential data to querying claimant Medicare eligibility, we handle it all, allowing you to prioritize your practice while we ensure compliance and efficiency.

Guiding You Through the National Practitioners Data Bank (NPDB)

The maze of the National Practitioner Data Bank (NPDB) is navigated seamlessly with Riverdale Claims Management. As your guiding hand, we assist in the registration process, account setup, and data gathering to fulfill your federal reporting requirements. Born out of the Health Care Quality Improvement Act of 1986, NPDB is a crucial information clearinghouse, and we ensure that your professional competence and conduct are presented accurately and comprehensively.

Unraveling State-Specific Reporting Requirements

Beyond federal mandates, state-specific reporting adds complexity to the compliance landscape. Riverdale Claims Management’s skilled professionals maintain an up-to-date database of state-specific reporting mandates. Collaborating with you, we navigate these intricate requirements, ensuring compliance with both federal and state regulations. Your peace of mind is our commitment.

Escrow Services: A Secure Financial Framework

Financial security is paramount, especially in the healthcare industry. Riverdale Claims Management offers specialized escrow services that transcend the ordinary. Our meticulous approach includes the establishment and maintenance of commercial bank accounts, adhering to industry-standard accounting practices. Each account is tailored to incorporate your specific escrow management needs, providing transparency and financial security.

Secure financial framework

Legal Bill Review: Strategic Cost Control

Strategic cost control begins with a meticulous legal bill review process at Riverdale Claims Management. We initiate this process by reviewing existing Legal Billing Guidelines, followed by collaborative meetings with clients to tailor guidelines to your unique needs. The result is a reduction in billing inaccuracies and enhanced cost control, allowing you to allocate resources effectively.

Escrow Services: A Secure Financial Framework

Clients retain the right to audit, and at Riverdale Claims Management, we welcome it. Our audits confirm compliance with Claims Management Guidelines and assess the reasonableness of billed hours. This commitment to transparency and accountability ensures that our services align with your expectations and industry standards.

Contact Riverdale Claims Management

Ready to experience the difference that professional claims management can make? Contact Riverdale Claims Management today and let us be your partner in ensuring a resilient defense and peace of mind.

 

(801) 997.0850

1250 Linda Street, Rocky River, Ohio 44116