RCM with MRG Health

Revenue Cycle Management

Smart Care 360 has a full revenue cycle management component that fully tracks patient revenue. Receive expert support to navigate the complexities of medical billing reimbursement and maximize profitability.
Revenue Cycle Management is the process used by healthcare systems in the United States to track their patient revenue from their initial appointment or encounter with the healthcare system to their final payment of balance. The cycle can be defined as “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue.” It is a cycle that describes and explains the life cycle of a patient (and subsequent revenue and payments) through a typical healthcare encounter from admission (registration) to final payment (or adjustment off of accounts receivables).

Verification

Coding & Compliance

Billing

Claim Submission

Collections & Appeals

Payment Posting

Billing & Coding Audits

Our independent, outside coding audits demonstrate that reasonable steps have been taken to ensure compliance.

Credentialing

Credentialing is the process of obtaining and reviewing documentation to determine participation status in a health plan. The documentation may include, but not be limited to, the applicant’s education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Generally, the terms credentialing and recredentialing include the review of the information and documentation collected, as well as verification that the information is accurate and complete.

Reliable, consistent bookkeeping and compliance

Decision-ready financial reports

Proven controls to help reduce fraud

Integrated technology and support from industry specialists

Stay ahead of your Health

Smart Care 360’s mobile app allows you to stream vitals utilizing FDA approved bluetooth devices. User your mobile device to access health care services remotely and manage your health care.

Patient-Centered Care Management

Patient first, patient centered care is our priority. We have certain staff to patient ratios so that patients receive the time and care they need each month to improve their health & wellness and prevent chronic episodes or hospital admissions.
kit1-MRG Health

Built-in Patient Education & Gamification Compliance Tools

Delivering Happy HealthCARE!

Streamlined Billing and Collections

RCM simplifies your billing process by handling claims submission, payment posting, and patient invoicing. This leads to fewer errors, faster reimbursements, and reduced administrative burden on your staff.

Maximize Revenue, Minimize Delays

With efficient RCM, your practice reduces claim denials and improves cash flow. Every step—from insurance verification to follow-up—is optimized to boost profitability without sacrificing patient care.

Compliance and Accuracy

Our RCM service ensures that all billing practices follow the latest healthcare regulations and payer policies. This reduces risk and ensures your claims are clean, compliant, and processed quickly.

Benefits
For Practices
For Patients

What is Revenue Cycle Management?

Revenue Cycle Management (RCM) is the process of managing the financial aspects of a healthcare practice, from patient intake through billing and reimbursement. It ensures that your practice maximizes revenue, reduces administrative costs, and maintains financial stability.

Maximize Your Revenue Potential

By streamlining billing, coding, and collections, RCM helps your practice avoid costly errors and denials, ensuring that you get paid fully for the services you provide. Optimized processes result in quicker payments and a healthier cash flow.

Efficient Claim Management

RCM helps reduce claim rejections by ensuring accurate and timely claim submissions. Our experts handle everything from insurance verification to appeals, allowing your practice to maintain consistent, on-time payments from payers.

Improved Operational Efficiency

With RCM, your staff can focus on what matters most—providing excellent patient care. By outsourcing or automating administrative tasks like coding, billing, and follow-up, your team can work more efficiently and avoid burnout.

Real-Time Financial Insights

Stay informed with up-to-the-minute reports and financial analytics. RCM gives you detailed insights into your practice’s financial health, allowing you to identify areas for improvement and make informed decisions to boost your bottom line.

Reduce Risk of Compliance Issues

Staying compliant with healthcare regulations is essential. RCM ensures that your billing practices follow the latest codes and payer rules, minimizing the risk of audits and penalties and keeping your practice running smoothly.

Interested in learning more about what patients are eligible to participate and how RCM is
relevant to your practice?

Smart Care 360-MRG Health

New Technologies That Deliver.

MRG Health provides a complete solution that helps improve patient outcomes while increasing practice revenue and cost.

LUCAS KRAUSE
PhD MSC
 IT Infrastructure & Architecture 
Lucas is a 20+ year experience enterprise Cloud Solutions Architect who has worked with fortune 100 companies and is competent in the following: Enterprise API Gateways – AWS | Azure | Salesforce | Mulesoft | Apigee | IBM Cloud | Anypoint | Cloud Data Warehouse – Snowflake | DBT | Cloudara | Airflow | Kubernetes | AWS | Looker | Prometheus | Full-Stack / Cloud Native – C# / Java / React / Angular / Golang / Python – Cloud DBs – Dynamo / Mysql / Postgres / MSSql / Oracle / Netezza
RENE HINOJOSA
MBA
Compliance & Regulatory 
Experienced Director of Strategic Development with a demonstrated history of spearheading initiatives throughout the healthcare system. Skilled in Physician Relations, Software Documentation, Healthcare Management, Healthcare, and Public Speaking. Strong program and project management professional with years of a proven track record that showcases a creative and proficient skill-set in problem solving.
TY UMOH
MD MBA
Investor Relations & Finance 
Ty has a bachelor’s degree in Accounting & Finance from the University of Houston and a Master’s degree in Economics and Corporate Finance from Rice University. Previously, Ty worked as a senior consultant at FTI Consulting, Inc., advising various stakeholders of troubled and distressed companies across a wide range of industries, including financial services, hospitality, gaming, commercial real estate, energy & oil field services, construction, infrastructure, and municipal-related assets. Additionally, my prior experience includes roles at BNY Mellon and Ocean Park Advisors, LLC’s Investment Bank where I was involved in equity and debt capital raising transactions as well as M&A assignments, liquidity forecasting and assessments, business plan due diligence, development of waterfall and recovery analyses, stakeholder negotiations, plan of reorganization development, M&A/transaction advisory including purchase and sale negotiations and seller due diligence support, board/shareholder representation, developing executive compensation/bonus plans, and ad-hoc strategic and operational assessments.
JAVI MALCOLM
MD 
Strategic Development
Dr Malcom’s Medical Professional qualities are based on 10+ yrs. of participation and exposure to numerous resources as an ER Medical Business Co-Founder, IT Market Leader, Mentor, Red Cross Humanitarian Participant, Graduate of Masters Studies, Graduate of Medical Doctorate (M.D.), Hospital Administrator, and member of the Physician Executive Team. My unique background and combination of these attributes & skills have created a unique innovative space that helps reinforce my ability to grasp the different areas of healthcare that positively impact the hospital ecosystem and be a valuable member of the C-Suite team, as DHR Health’s Chief Medical Information Officer, Physician Executive Leadership Committee, and the Cerner Advisory Committee.
Dr. Jill Taylor
DO Pharmacologist
Chief Clinical Officer​

It is important to learn about the doctor with whom you trust your health. A combination of formal education, training, and experience form Dr. Taylor’s credentials, which uniquely qualify her to provide you with the best approach to achieving your optimum health

Here are a few highlights:

  • Specializing in Family Practice. Fully licensed in Texas
  • Graduated New York Institute of Technology, New York College of Osteopathic Medicine 1989
  • Worked in Medical, Drug, and Disease Research for three years as a Pharmacologist
  • Worked in academic medical research for three years
  • Holds patents in Disease Research
  • Has publications in several Medical Journals
  • Speaks Medical Spanish
NARIO CANTU
Pharmacist
Senior Executive Director
Dispensing, assessing and monitoring medications, in patients requiring pharmaceutical therapy. Providing and assessing point of care testing. Providing excellent service and customer satisfaction. Drug information and education. hospital readmission prevention consultant, transition care provider, medication reconciliation provider, pharmacogenomic testing, point of care testing. Medication Therapy Management, medication adherence and legislative advocate as it pertains to pharmacy and patient care.
SABRINA RUNBECK
MPH, MHS, PA-C
Director People & Clinical Outcomes 

Physician Assistant turned Entrepreneur with Bachelor in Neuroscience, Masters in Public Health and Health Sciences, After working 80 hours a week as a cardiothoracic surgery physician associate, my workload took a toll on my personal and professional life. That was when I realized my life needed to change. I ended up taking a deep dive into performance sciences and positive intelligence. As a result, I cut down my clinical hours by 30% and increased my income by 50%.

Reggie Abraham
PhD, MHA, MBA
Managing Director  
UTHealth-MRG Health

Experienced Healthcare Executive with a demonstrated history of working in a hospital setting and various other health care facilities. Skilled in Healthcare Operations, EHR & PM Systems, Budgeting, HR Management, Strategic Planning, and Revenue Cycle Management, . Strong business development professional with a Doctorate in Management and Organizational Leadership, Master’s in Healthcare Administration, Master’s in Business Administration. Exceptional track record of establishing strong leadership teams and developing effective operational efficiencies in healthcare operations. Establish and maintain good working relationships with physicians, staff, vendors, government agencies, managed care companies, and clients.

KYLE CHRISTOPHER
Vascular General, Cardiac, OB Sonography
Founder/CEO - Strategic Development  
Assists Physicians and Healthcare Executives in Leveraging Virtual Care Management Technologies, NEW Billable CPT Codes, and Value Based Care Models to Improve Clinical Outcomes and Create NEW Revenue streams. Kyle holds a Bachelors of Science in Business Administration with a minor in marketing, and a Degree in Vascular, General, Cardiac, and Obstetrical Sonography. His philanthropy work focuses on veteran affairs, single mothers, first responders, and mentoring terminally ill and at-risk youth through organizations such as Beauty for Freedom, Ferrari Kid, Southwest Keys Program, ICON Talks, and Living Beyond A Dream.