Our healthcare professionals can help you with any and all new practice startup paperwork and requirements, insurance plan enrollments, fee schedule development, contractual negotiations and practice software advice and setup administration just to name a few.
Most practice software systems will allow you to electronically verify your patient's insurance coverage however there seems to be no shortage of claims filed without a confirmation of coverage. Our remote team streamlines the verification process and serves as a backup to guarantee your patient's eligibility for all treatment.
BILLING & CODING
Our remote financial team is trained to read and interpret your clinical notes and operative reports so that the most appropriate and payable CPT and ICD-10 codes are identified and posted for charges relating to treatment. All charges are processed and posted within
24 hours of the patient visit .
ERAS | PAYMENT POSTING
Our team can post all of your practice ERA/EOB payments and handle the accounting processes for adjustments and refunds made to the insurance carrier or patient. We can also process and mail your patient statements each month.
CLAIMS & AR FOLLOW UP
Your virtual claims analyst will code, post, and follow all claims until they're processed correctly and payment has made to you. We utilize a unique tickler system to ensure that each and every claim is followed up on a set weekly schedule until the claim is resolved.
We're more than happy to assist your practice and its providers with the CAQH Database, facility, and/or insurance plan enrollment. We specialize in MEDICARE and MEDICAID enrollment and we guarantee approval for participation within 30 days of the application date.
*Revenue cycle outsourcing market is growing...
The revenue cycle outsourcing market is expected to grow at a CAGR of 11.9 through 2023, rising from $11.7 billion in 2017 to a whopping $23 billion by the end of the period, according to the Market Reports. The market is slated to grow as providers see revenue cycle outsourcing as a “reasonable solution” for rising costs and administrative burdens, the market research company stated. Outsourcing full revenue cycle management can also help healthcare organizations improve KPIs, the report said.
Revenue Cycle Management is the lifeblood of any medical practice.
Effective patient registration, insurance and benefit verification, charge capture and claims processing are essential to maintaining practice viability.