If your practice is like most across the healthcare industry, denials, rejections and slow reimbursement can cripple your bottom line. When you revenue is constrained, so is your ability to execute critical functions and strategic initiatives. As a result, it is ever more important for you to keep your revenue cycle moving, and in an extremely effective way.
The days of paper encounter forms are quickly fading away. With todays technology, data is moving faster than ever – and this includes your charges. We interface with over 200 Electronic Medical Records systems – you sign off on a note, and the charges are electronically sent to us. This lowers your service date to billed date for and average of 4 days to less than 24 hours.
Determining a patient’s eligibility prior to visit dramatically reduces your potential for losses. Automatically reviewing eligibility days prior to visit, gives you the opportunity to reschedule that visit and allow other patients to be treated earlier. This minimizes your risk, and keeps your practice efficient.
Our rules engine allows us to create custom rules based on your carriers expectations. Before your claims are sent to the carrier, they are reviewed by an internal rules engine that ensures your claims meet the criteria for a clean claim. CCI Edits, specific carrier CPT Rules, patient demographic scrubbing and many more measures are reviewed, preventing any errors with the claims before the hit the payer.
Accounts Receivable management has become exceptionally complicated. We have comprehensive procedures in place to minimize reimbursement issues and accelerate your revenue stream. We don’t just call on claims after 30, 60 or 90 days – we create a workflow structure individually based on your insurance contracts. If there’s a problem, we’re going to let you know about it. We analyze claim denials, and communicate with your office to lower your denial risk.
Every practice runs into issues with payers. Whether it be authorizations, coding edits, payer specific rules – it happens. We provide critical feedback on your payers preventing concurrent issues. You want to get paid correctly the first time the claim is submitted, not months down the road after multiple claims have been denied.