Revenue Cycle Backend

Payment Posting: The payment posting process serves as a barometer of your revenue cycle’s effectiveness, offering insights into reimbursement trends and enabling analytics. Accurate payment posting provides clarity on your revenue cycle’s status, underscoring the importance of selecting a highly efficient team for payment processing.

Accounts Receivable (AR) Follow-up: We assist healthcare providers in reducing accounts receivable (A/R) days through timely follow-up services. This ensures a clear understanding of the reasons for delays in accounts receivable and enables prompt follow-up with insurance companies and patients.

Denials and Appeals Management: Denial management is distinct from rejection management. Rejected claims are those that haven’t reached the payer’s adjudication system due to errors, requiring correction and resubmission. Denied claims, however, are claims that a payer has adjudicated and refused payment for.

Credit Balance Resolution: A significant risk in the healthcare revenue cycle is credit balance – excess funds received compared to the charges for medical services rendered. Causes may include over-payments from payers or excessive payments from deductibles and co-pays. It’s imperative for healthcare providers to refund such amounts to the appropriate party – payer or patient.

Underpayment Recovery: Our underpayment recovery services navigate the complexities of healthcare billing to ensure full payment for your services. We identify and rectify payment shortfalls, transforming missed earnings into tangible financial gains for your practice. Our suite of underpayment recovery services is tailored to enhance your revenue.

Patient Statements and Follow-up: We offer comprehensive patient statement services, generating statements every 15 days for quicker payments. Additionally, we address patient inquiries regarding our services through a dedicated customer service line, ensuring efficient communication and resolution.