Revenue Cycle Management

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REVENUE CYCLE MANAGEMENT

Inefficiencies in your revenue cycle, such as denials, delayed Accounts Receivable, and eligibility issues, can lead to substantial revenue losses. Our expert medical billing team thoroughly assesses your practice to identify and address these gaps. We generate a detailed report and systematically work to close these gaps, ensuring faster cash flow, increased revenue, and reduced A/R days over time. Our goal is to deliver a streamlined, error-free revenue cycle.

Our dedicated team is focused on maximizing recoveries from payers for amounts due under contract. We pride ourselves on our commitment to compliance and exceptional customer service, achieving a 99% client retention rate. Our advanced systems enhance practice performance, accelerate payments, and minimize unnecessary administrative tasks. By automating revenue collection, we reduce the workload on your team, allowing you to collect more efficiently from both patients and insurance companies. This enables practitioners to focus more on patient care and less on billing issues.

To ensure timely reimbursements, our skilled medical billing professionals address all your coding and billing challenges. Our Accounts Receivable team reviews partial payments or denials, corrects errors, and resubmits claims to payers. We stay current with the latest technology and industry trends, and our long-standing clients frequently refer us to their peers. Trust us to manage your billing needs with professionalism and expertise, so you can concentrate on providing excellent patient care.

HOW WE WORK

1. ELIGIBILITY CHECK

We verify each patient’s insurance coverage to help you expedite your process, reduce account receivable days, and avoid denials.

2. CHARGE ENTRY

Receive prompt reimbursement since our comprehensive and error-free charge input process ensures first-time accepted claim submission.

3. CLAIM SCRUBBING

Our top-of-the-line claim scrubbing guarantees that claims are submitted error-free and cleanly, resulting in faster reimbursement and fewer denials.

4. ELECTRONIC SUBMISSIONS

Corrections and re-submissions for any claims that are held are handled systematically and in a timely way in order to identify and fix the issue as soon as possible.

5. PAYMENT POSTING

We post ERAs and EOBs on time as our professional team verifies each claim for appropriate payment, while our A/R team follows up on any disputed or rejected claims.

6. FOLLOW-UP & APPEALS SUBMISSION

In the event of a denial, our A/R specialists will act quickly and effectively to secure prompt reimbursements, keeping you informed of appeals and reprocessing.

7. PATIENT STATEMENTS

We provide concise, easy-to-read, intelligible patient statements that are more likely to be paid on time.

8. ENCRYPTION AND SECURITY

HIPAA regulations apply to our email accounts, data servers, and faxes. We ensure that no patient data is leaked when processing any information.

9. REPORTS

We provide data reports in an easy-to-read format on a weekly and monthly basis, giving you comprehensive insights into your payments and charges.

SOFTWARE FLEXIBLE SOLUTION

We have experience in using almost every EHR and Practice Management platform so you don’t need transition to a new system to work with us.

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