Personalized services that fit your unique RCM needs.
- Claims Submission: Submitting medical claims electronically or through paper to insurance companies for reimbursement.
- Claims Follow-Up: Monitoring the status of submitted claims and following up with insurance companies on unpaid or denied claims.
- Remittance Advice Analysis: Analyzing insurance remittance advice to reconcile payments and identify discrepancies.
- Denial Management: Analyzing and appealing denied claims to maximize reimbursement.
- ICD and CPT Coding Optimization: Assigning appropriate medical codes (CPT, ICD-10, HCC, HCPCS) to describe diagnoses and procedures for billing accuracy.
- Credentialing: Managing provider credentialing and recredentialing.
- Precharting: Collecting and organizing patient information before their appointment, enabling healthcare providers to prepare for the visit efficiently and capture all relevant diagnosis codes.
- Charge Capture: Accurately recording medical services provided to patients for billing purposes.
- Custom Analytics and Reporting: Generating financial reports and analyzing revenue trends to identify areas for improvement.
- Insurance Eligibility Verification: Verifying patient insurance coverage, eligibility, and benefits to determine payment responsibility.
- Payment Posting: Posting payments received from insurance companies and patients to patient accounts.
- Patient Statements: Generating bills or invoices to patients for their portion of the medical expenses.
- Accounts Receivable Management: Tracking and managing outstanding payments from insurance companies and patients.
- Compliance and Regulatory Support: Ensuring adherence to billing and coding regulations, including HIPAA and other industry guidelines.
- Payment Technology: Providing practices with new technologies for online bill pay, text-to-pay, and pay-over-time.
- Fee Schedule Analysis: Evaluating fee schedules and payer contracts to optimize reimbursement rates and revenue capture.
- Dedicated Support: Each practice has an account manager who can be reached directly during business hours.
- Billing Platform Setup: Support practices with billing software and clearinghouse setup.
- Password Recovery: Support practices in recovering their payer portal login credentials, Payspan, NGS Connex, PECOS, and other provider portals.
- Training on Best Practices: Conducting staff training and education on revenue cycle best practices and regulatory updates.
20 High Value Services All Included
