Services of Accounts Receivables Management includes, the Denial Management, Insurance Follow-up, Prompt Appeals, and Forecasting
Denial Management
Denial Management is a Process to track the denial reason codes, fixing common denials by correcting the Coding or front end insurance process which ever is relevant. Adopting this trend reduces the future denials.A well trained team,closely analyses the payment pattern of the payers and alter when there is a deviation. Through frequent upgrading and re-engineering of the process internally ensures us to stay ahead of the denial Process.
Insurance Follow-up
Majority of the Medical Billing company cash flow falls through the crack for lack of follow-up on the outstanding claims with the payer’s. A Dedicated follow up team analyzes the non paid and down coded payments to follow up with the insurance companies. Continuous monitoring of the AR days and every claim should assured for a follow-up right from the 35 days. Maximum effort is to be taken to resolve and reprocess the claims by thorough co-ordinating with the insurance companies.
Prompt Appeals
Claims that are denied and require appeals, are appealed through standard appeal letters and supporting Medical Records, justify medical necessity and other relevant documents are submitted on time for processing.
Forecasting
Account Receivable Management in the Medical Billing companies helps the healthcare providers and Hospitals to understand the accounting process, cash flow and accurate targets and Budgeting of the Receivables.
Denial Management is a Process to track the denial reason codes, fixing common denials by correcting the Coding or front end insurance process which ever is relevant. Adopting this trend reduces the future denials.A well trained team,closely analyses the payment pattern of the payers and alter when there is a deviation. Through frequent upgrading and re-engineering of the process internally ensures us to stay ahead of the denial Process.
Majority of the Medical Billing company cash flow falls through the crack for lack of follow-up on the outstanding claims with the payer’s. A Dedicated follow up team analyzes the non paid and down coded payments to follow up with the insurance companies. Continuous monitoring of the AR days and every claim should assured for a follow-up right from the 35 days. Maximum effort is to be taken to resolve and reprocess the claims by thorough co-ordinating with the insurance companies.
Claims that are denied and require appeals, are appealed through standard appeal letters and supporting Medical Records, justify medical necessity and other relevant documents are submitted on time for processing.
Account Receivable Management in the Medical Billing companies helps the healthcare providers and Hospitals to understand the accounting process, cash flow and accurate targets and Budgeting of the Receivables.
