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Burrunan Healthcare

Services

Remittance Processing

  • The team ensures accurate and timely posting of payments, streamlining the reconciliation process and optimizing cash flow management.
  • By meticulously reconciling payments with billed claims, the team identifies discrepancies, resolves issues, and minimizes errors, leading to improved financial accuracy.
  • Proactive handling of denials and rejections by the team results in swift resolution, reduced write-offs, and enhanced revenue realization for the organization.
  • Through comprehensive reporting and analysis, the team provides valuable insights into payment trends, identifying areas for improvement and optimizing revenue streams.

Accounts Receivable

  •  The AR team plays a pivotal role in optimizing the revenue cycle by ensuring accurate and timely billing, reducing denials, and accelerating reimbursements.
  • Their expertise in claims management minimizes claim rejections and facilitates swift resolution of any billing discrepancies, thereby enhancing overall revenue flow.
  • Their meticulous attention to compliance and regulations ensures that all billing activities align with industry standards, mitigating risks and maintaining ethical billing practices.
  • Continual performance analysis and reporting by the AR team provide valuable insights for identifying revenue trends, addressing inefficiencies, and enhancing the financial health of the organization.

Denial Management

  •  The team’s efforts in preventing and addressing claim denials significantly reduce denial rates, ensuring that revenue is not lost due to avoidable errors.
  •  By promptly identifying and resolving denial issues, the team accelerates the reimbursement process, reducing the time and resources spent on follow-ups.
  •  Through detailed root cause analysis, the team identifies systemic issues that lead to denials, enabling the organization to implement corrective actions and prevent future denials.

Provider Enrollment & Credentialing Services

  • The team ensures the accurate collection and entry of patient demographic information, reducing billing errors and mitigating potential claim denials.
  • By verifying insurance details during registration, the team helps prevent coverage-related issues, ensuring that services rendered are appropriately covered.
  • Their focus on compliance ensures that patient information is handled in accordance with regulatory requirements, safeguarding patient privacy and upholding ethical data management practices.

Eligibility Verification & Benefits Checks

  • The team’s meticulous verification processes ensure that patient eligibility is confirmed before services are rendered, reducing the risk of claim denials and rejections.
  • Thorough benefits checks and eligibility verifications significantly reduce billing errors, leading to cleaner claims, faster reimbursements, and improved revenue realization.
  • Accurate benefits verification leads to optimized reimbursements, as the team ensures that services rendered are covered under the patient’s plan, reducing financial risk for the practice.
  • The team’s adherence to regulatory requirements and insurance policies ensures ethical billing practices, reducing the likelihood of compliance-related issues and penalties

Prior Authorization Services

  • The team expedites the prior authorization process, ensuring that patients receive timely approvals for necessary medical procedures and treatments.
  • By managing the authorization process, the team alleviates administrative burdens for healthcare providers, allowing them to focus on delivering quality care to patients.
  • Their efforts lead to a more streamlined revenue cycle by minimizing delays and denials associated with lack of prior authorizations, ultimately improving financial performance.

Patient Registration/ Patient Demographics

  • The team ensures the accurate collection and entry of patient demographic information, reducing billing errors and mitigating potential claim denials.
  • By verifying insurance details during registration, the team helps prevent coverage-related issues, ensuring that services rendered are appropriately covered.
  • Their focus on compliance ensures that patient information is handled in accordance with regulatory requirements, safeguarding patient privacy and upholding ethical data management practices.

Charge Entry

  • The team ensures the precise entry of medical procedures and services provided, reducing billing errors and ensuring accurate claims submission.
  • Their meticulous approach to charge entry enhances revenue capture by ensuring that all billable services are appropriately documented and submitted for reimbursement.
  • By swiftly entering charges, the team facilitates prompt claims submission, accelerating the reimbursement process and minimizing revenue cycle delays.

Medical Coding

  • The team ensures precise coding of diagnoses and procedures, supporting accurate claims and reducing the risk of coding-related denials.
  • Their expertise in assigning specific codes optimizes revenue capture by accurately reflecting the complexity and specificity of medical services provided.
  • Through adherence to coding guidelines and regulations, the team mitigates compliance risks, ensuring ethical coding practices and minimizing audit exposure.
  • Accurate coding directly contributes to claims accuracy, reducing rework and resubmissions while expediting the reimbursement process.