Expert Billing

The key to a financially successful organization is meticulous oversight of revenue cycling. Our team’s extensive industry experience allows us to utilize the tools available to us in order to improve cash flow regardless of volume. We reduce aged AR by diligently investigating current processes and create efficient workflows. Our process is to expedite the payment process and eliminate denials by submitting correct, complete, and clean claims during initial billing. The tools we have developed allow us to scrutinize the claims process in a timely manner to avoid aging denials. Each client will have real-time access to view this process daily. We always strive to keep our clients informed of our progress. Key components of our process are as follows:

• Our experts track claims status and categorize follow-up reports to identify denial trends for each payer.

• Rejected claims can result in lost revenue if the follow-up process is not efficient. 

• Creating an effective follow-up process will increase collection rates and decrease future denials.

• We review credit balances, refunds, and open balance accounts to ensure compliance standards have been met, payments have been applied correctly, and adjustments have been accounted for 

• Our experts will negotiate and pilot complex insurance rejections. 

• Our team will recover denied claims, identify trends, increase revenue, and traverse complex issues with a high level of proficiency.

 This process is an important aspect of RCM to utilize to avoid skewed data. We provide detailed reporting that many systems are not equipped to create at this time. Our goal is to collaborate with your in-house staff to improve collections and enhance financial performance to elevate the focus on treatment.