The success or failure of the revenue cycle management process begins at the front desk – from the moment the patient contacts your office. We access online verification portals and call the insurance companies to get the required information. We are using advance eligibility tools which help us to reduce eligibility denials.
We create charges through superbills, eSuperbils and quickbills. We also submit charges to insurance via electronically or paper submission with high quality. We deals with professional charge and institutional charge creation
We submit claims to insurance via electronic and paper claim submission. Before a claim submission, we do scrub claim and filter out error claims and then send for electronic reporting to file claims to insurance. We submit claims to insurance through different clearing house such as Emdeon, Capario and Navicure.
We post payments immediately into the respective patient accounts. We post payments via EOB(explanation of benefits) and ERA (electronic remittance advice). Payments will go directly into your accounts but we will post into your Practice Management system.
We Experienced in Medical Billing Denials. Denials Management acts as an advocate for your family, helping you pursue the reimbursement necessary to cover your treatment costs from the insurance company. We quickly and easily determine the causes of denials, mitigate the risk of future denials, and get paid faster.
We are providing patient inbound/outbound services. We are highly taking care of your patient's question and solving at high priority. Patients can call us and we will provide them their statements
Reporting We provide Daily, Weekly, Monthly and yearly reports to our clients so that they can analys their practice.
We offer the following Credentialing Services:
Credentialing & contracting with Commercial Payers
Provider Enrollment Services with Medicare & Medicaid.
All type of Demographic Updates i.e.
DBA (Doing Business As) Name
Legal Name
Adding or Removing Location
Updating Pay To and/or billing address
Changing TIN or NPI numbers
Specialty related updates
provider's DOB, email ID and other information.
In addition to this we also deal in creating & maintaining CAQH & UHC online Portals in terms of provider attestations.
Contracting:
This is the second phase of the credentialing process, if a provider is credentialed, they must be contracted with the Network Products offered by the insurances;