Complete Listing of Revenue Cycle Management Services

​

• Charge Entry – You provide demographic and charge information for each visit and we will do entry daily.

• ​

• Verification of Coding – CPT and ICD-10 coding will be audited prior to claim submission.

•  

• Electronic Claims Submission – Faster processing time and quicker payment of claims.  Software will perform verification of claim to ensure accuracy.  Corrections made immediately to avoid denial.

•  

• Payment Posting – Payments are closely reviewed to ensure appropriate payments are received.  Immediate follow-up provided on partial payments and/or any denials.

•  

• Accounts Receivable Management –All outstanding AR balances are reviewed at least monthly and follow up done to ensure prompt payment.

•  

• Patient Statements – Statements sent for any self-pay or any coinsurance, copayments or deductibles owed.

•  

• Patient Inquiries – Friendly and knowledgeable staff available to answer any questions regarding billing/charges.

•  

• Monthly Reporting – Monthly meetings offered to discuss reports provided.  Examples of reports provided: AR by Payer, Transaction Journal, Collections Journal, Adjustments and Payer Mix Analysis

•  

• Monthly Statistics – Statistics are vital in understanding your practice/group outcomes.  Examples of statistics provided: Days in AR, Collection Rate, Staff Productivity, Payer Mix, Procedure Code Analysis and Denial Rate

•  

• Insurance Credentialing – Credentialing services can be provided for an extra fee per provider credentialed.

•  

• Payer Enrollment – Enrollment services can be provided for an extra fee per insurance company.

•