24/7 Medical Billing Services is here to help you save maximum revenue and get reimbursements for all the rendered services. Our end to end RCM services consist of the following:
We help in maintaining a smooth patient influx and operate the clinic in an efficient manner. We fix appointments on time in an organized manner and reduce patient waiting time significantly.
Medical Eligibility Verification
We help you determine the exact amount a patient owes in the form of Copays/Coinsurance/Deductibles. This also helps reveal the patient’s payment history.
- Patient eligibility for coverage
- Amount insured for particular diseases and medical services
Traditional & Latest Coding
Our certified coders (CPC, COC, CIC, CPC-P, CPM, CPMA, CPCO, CPC-H, etc.) take care of specific specialties and ICD-10 coding. They assist in documenting appropriate CPT and ICD codes and Modifiers.
We also educate the practice about procedures that can be billed together along with a particular treatment or accompanying medical services. While doing so, we adhere to the coding guidelines.
Demographics / Entry
Our billing experts take care of the demographics and charge entry. They help the medical practice track claims to understand when and where the claims go and keep them informed about the filing of claims within 24 – 48 hours.
Our quality team monitors every process of the RCM cycle. Quality reports and analytics are shared internally with the team on a daily basis and with the client during the review meeting.
- Well-trained staff for providing updates to clients
- Multiple levels of cross-checking process
Electronic Claims Submission / Rejections / Resolutions
We maintain a 99% clean claim standard. The trends and analysis are shared with the Coding and Claims entry teams along with the client as per the client’s convenience during the review meeting.
The payments received through ERA/EOB are posted on the system within 24 – 48 hours and reports are reconciled on a daily basis. Denials are captured and moved to the denial analysis team.
- Two levels of quality audit to ensure the process is at par with international standards
- Trained staff that understands patient responsibility too, such as secondary balance, etc.
Denial Analysis & Resolutions
Claim denials are analyzed carefully and the root cause is defined for each problem. It is then escalated to the concerned teams to make sure the denials are fixed and ensure they don’t recur in the future. Denial analysis is shared with the client once a week.
- Deal with denials within 72 hours of receipt
- Detect the trend and track the percentage of denials daily
- Meticulous system to avoid disruption in revenue inflow
Accounts Receivable Follow-up
We run behind every dollar on the table. When we took over new projects, we collected millions of untapped dollars. We check with insurance companies for outstanding claims over 30 days through AR calling. The trend and details of the report are shared with the practice once a week/month.
We send a monthly report with a detailed financial summary, procedure productivity, collections reports (with the adjustments). We provide details of insurance-wise financials, rejections, denials, and AR reports along with the practice performance report.
Cater to the special requirements of clients and generate customized reports
Monthly Patient Statements
We help you streamline your collections process by sending monthly statements to patients. We appraise the patients on time and regularly help them organize the payable amount.
We also handle patient calls and take payments over the phone
24/7 Support with Dedicated Account Managers
It’s good to be in touch. Our Account Managers are available 24/7 all year round to cater to your needs and concerns. Allow us to help you while you continue spreading cheer and care.