Efficient medical billing process optimize returns and shorten the revenue cycle process. Revenue Cycle Management is more than the billing of claims. The medical billing process begins at patient registration and the accurate collection of patient data.
Having specific policies and procedures for patient registration, insurance and benefit verification, charge capture, and claims processing is an essential step for maintaining practice viability in medical Billing.
Investigate and incorporate automated and software-aided insurance eligibility verification into current practice/clinic workflows. The tracking of patient visits is essential for charge reconciliation (e.g., no shows)
Claims are created during the charge entry process. Appropriate coding helps in proper reimbursement. Medical billing is also critical for demographic assessments and studies of disease prevalence, treatment outcomes and accountability-based reimbursement systems (e.g., HEIDIS, MACRA)
Electronic claims submission vs manual claims submission. Reduce the amount of time and resources devote to manual administrative functions. Pre-audit claim fields are automatic for potential errors prior to submission.
Payment posting refer to view on insurance payment in EOB, insurance checks from ERAs and payment from patient. A Payment posting process can help you identify opportunities to increase revenue by reviewing the daily trends in our trackers.
Effective payment posting lead to billing process more efficient in terms of EOB and ERA Posting, Handling denial’s writes off and adjustment & Patient Responsibility
Dezoito helps the healthcare provider to receive account receivables without delay by timely follow up. Tracking account receivables with insurance companies through portal, phone number and Fax. Addressing AR receivable’s respect to the aging bucket to avoid revenue leakages. Dedicated staffs review the not paid account on time claims in the early stage itself.
Denial management aims to resolve problems leading to medical claim denials and migrate the risk of future denials. Ensuring providers get paid timely manner.
Dezoito denial management provides:
- We look over individual reasons for every claim denial.
- Finding focal points to resolve the denial issue.
- Correcting claims and submitting to the insurance for reconsideration.
- Filing appeals where required re-examination the claims to process towards payment.
Tracking Clearinghouse: Finding front end rejections and resolving the issue in timely manner to avoid timely filing denials.
Tracking status: Following up with insurance companies to track general claim status of the front end crossed claims.
Resolving denial issues: Identifying denied claims reason (For example coding denial, eligibility- based denial and contract denial etc).
Resubmitting the claims: Making required changes in claim form and submitting a corrected claim to the insurance on initiating follow up.
Follow up on claims: Effectively tracking the status of the resubmitted the claims through website or call.
Patient Collection
Medical debt collections occurs when an overdue medical bill is sent to a debt collection department.
Dezoito will ease the process by following steps:
- Generating clear documentation
- Collecting debt on next appointment
- Well qualified staff handles the patient calling regarding statement
- Prompting late payment via secured Email