Billing And Corrections
Our physician revenue cycle managementin medical billing include charge entry with patient demographic data, pre-billing edits, hard copy claims filings, electronic claims generation, charge master review and following up with patients for co-pays. As one of the trusted revenue cycle management companies, our outsourcing services are the highest order because it involves re-verifying insurance eligibility, billing to the highest level of specification, reviewing claim information multiple times, revisiting coding through multi-level quality check, and keeping ourselves updated on the changing rules of different third-party payers. We ensure all this within stipulated turnaround time.
Medical Coding
As one of the long-standing revenue cycle management companies in the market, we have an experienced coding team with profound expertise in handling all data entry, ICD-10, and procedural and DRG coding. They specialize in a range of specialties, including radiology, emergency department, anesthesiology, surgery, and more. We bank on standard references like HAAD Coding Manual, HAAD Adjudication rules to deliver highest level of medical coding services. Additionally, we carry out healthcare revenue cycle management audits regularly to ensure our experts are always up to date with codes and are aware of latest compliance requirements.
Claim Processing
Our revenue cycle management steps involve collecting patient demographic information, identifying CPT and ICD codes, scanning for billing and coding errors, generating an EOB, evaluating claims for accuracy, and processing denied claims for resubmission. The hallmark of our RCM outsourcing services includes accurate documentation, multi-level review for errors, regular follow ups with insurance companies and periodic reports on the status of each claim. Our methodical approach helps you reduce medical claims processing times by 30% and increase clean claim rate up to 95%.
Denial Management And Appeals
We manage your entire denial management, from analysis of root causes of denials to following up with payers to rebilling with any necessary appeals correspondence. We bank on analytics to analyze denial trends and develop strategies to nip them in the bud. We help you get complete control over hospital revenue cycle management services by bucketing denials on the basis of top denial categories, hardest hit department, and listing out payers denying claims thereby helping you address the root cause and source of denials effectively.
Insurance Verification
Our experts will help you with medical insurance verification of primary and secondary coverage, out-of-network benefits, and co-insurance and deductible information. They also evaluate prior authorization requirements to ensure the submission of clean claims. Our agents are very particular about obtaining pre-authorization number, referral from PCP, updated patient demographics, patient follow-ups, and keep patients updated of co-pays, co-insurance, deductibles, health insurance caps, plan exclusions etc. our revenue cycle management solutions guarantee 99% accuracy in insurance eligibility verification.
Payment Posting
Our payment posting services ensure that data from both ERAs and EOBs match payments made, denials and non-covered services are reported, process write-offs and adjustments are noted, and issues with collecting co-payments and deductibles are identified. As a best practice we depend on electronic remittance with payers. We also help you identify zero payments, partial pays, and low pays to help you understand if they are a result of an incorrect payment or a denial. Our RCM in medical billing services ensures accurate claims submission to secondary payers and reduced denial resolution time.
