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.