Eligibility verification has become a very prime and important part of the whole billing. We verify eligibility with the insurance precisely before claims submission.
Our insurance verification process allows us to attain maximum clean claims.
- Immediate closure of paid claims
- Timely and accurate posting of payments
- Daily process of claims
- 24 hours turnaround time
- Insurance ageing analysis
- Patient Collections
Physician credentialing is a process of enrolment and attestation that a physician is part of a payer network and is authorised to provide the services to the patients enrolled with the payer.
WHY PHYSICIAN CREDENTIALING SERVICES?
Physician/Group credentialing is the absolute necessity for better performance of the practice. Without a proper enrolment, insurance payments can be delayed or denied.
We offer physician credentialing services helping provider achieve better revenue.
- Initial credentialing
- Change from one practice to another
- Adding new physicians to existing group/practice
- Enrolling with a new payer/plan
REVENUE CYCLE MANAGEMENT [RCM]
One of the main areas in the billing process that directly impacts the revenue is Accounts receivable management.
Our A R management team is structured to provide complete solution to cash inflow. It is a part of medical billing service aimed to increase revenue.
Our aim is to accelerate cash flow and reducing the A R days by submitting clean claims, proper analysis of denied claims and regular follow up with the insurance companies and patients for outstanding claims and dues.
Physicians/Practice should emphasise on collection of patient due since there is more financial responsibility from insured patients.
Patients are currently responsible for 35% of provider's revenue and that number is expected to increase exponentially in the future due to the rise in high deductible health plans.
With patient payments becoming ever more important to practice profitability, explaining health plans and collecting from patients from inside the practice is essential. Practice employees need to work closely with billing service to be sure that they have all the information needed to help patients understand their health plan obligation.
Our after hours answering services for physicians and providers is operated by a highly trained group of receptionists who will provide your callers and clients with a personalised timely and professional experience.