Revenue Cycle Managementaudit servicesAmbulance billing servicesMedical Billing and Coding Staffing services
Revenue Cycle Management
Physician practices, Hospitals, Health systems and Academic medical centers are under pressure to improve the quality of care while simultaneously facing declining reimbursement, increased risk and margin pressure. Improving efficiency in the areas of medical billing, coding and accounts receivable management are critical to improve the cash flows, revenues and profitability.
Medical Billing and Coding is a complex process and has a direct effect on the bottom line and financial performance. For most Healthcare providers RCM includes everything from Pre-registering a patient all way through the final zero balance invoicing for a visit. There are three broad level of activity within Revenue Cycle Management:
The first level includes patient access, pre-registration, entitlement, and eligibility verification as well as self-pay, which includes co-pays.
The second level represents an intersection between information technology and administrative RCM. More specifically, this includes coding, manipulation of electronic medical and health records (EMR / EHR) and electronic submission of the claim
The third level consists of account collections, receivables management, and early-out account transfers.
At New England Revenue Cycle Solution, Inc., our Certified coders and billers will Code for the services right at the first instance and submit the claims on time to the Payers, follow-up to greatly improve your cash flow and total income.
Medical Coding: Our certified coders have extensive experience and knowledge of intricacies of proper procedure codes and modifiers. Identifying incremental reimbursement opportunities can deliver an immediate return without a significant amount of time or cost. We will work closely with you and your office staff to ensure all your services are captured and coded right the first time.
Medical Billing: Our experienced Billers goal in to submit the bills to the payers within 48 hours of the date of service. They will verify insurance eligibility, confirm the correct insurance company, and ensure that all the necessary documentations are submitted along with the charts right at the first time to the Payers so that the bills get paid on time.
Electronic Claim submission: Most of the Payers including CMS require electronic submission of claims. We will submit all your claims electronically and we have wide range of experience with most of the practice management software. We will work with your existing practice management to minimize the data entry errors
Payment Postings: Our experienced accounting professionals will receive all the EOB’s and checks electronically through our secure FTP site and make necessary charge entries. In addition, our Accounting professionals will analyze all the denials and work with your office staff for re-submission of all the claims.
Account Receivable Management: We will follow-up with all your Payers for any delay in processing your claims. In addition, we will research and appeal all denied claims, send you a list for unpaid Co-pays to your office to follow-up with your patients for collection of the Co-pays. We will also provide customized periodic reports on accounts receivables, collections, and overdue payments.
If your practice or your organization is struggling to maintain its revenue cycle operations, our end-to-end revenue cycle management and medical billing services can provide as much – or as little – help as you need.