Our Accounts Receivable Experts aim is to improve the client’s cash flow by reducing days in Accounts Receivable and improving profitability, by increasing collections ratio. Our process mechanism helps in identifying category / payer combinations and works on resolving the mix that results in the best collections first.
Using this approach, our experts are able to quickly achieve results and also apply early feedback across the entire category. Our timely Accounts Receivable Follow-up accelerates revenue cycles, improves cash flow, reduces receivables, and increases collection rates.
Our follow-up protocols and procedures have been designed and time tested to assure that each and every account is followed-up on in a timely and professional manner. No more untimely filings, questionable adjustments or unnecessary waiting.
It is essential to follow-up and document unpaid claims prior to the 60 or 90 days timely filing limits assigned by many managed care contracts. Our experts run reports on accounts 30 to 60 days past due and call insurance companies to check claim status, re-file, or gather additional information. Our goal is to keep the average age of Accounts Receivable at 45 days or less.
Our experts are extremely familiar with the current State and Federal Insurance regulations and strive to obtain high rates of return from their Follow-up efforts. Effective Accounts receivable begins with proper coding. The claims are checked for proper order and placement of CPT codes and modifiers. Consistent, thorough, detailed follow-up is performed by our Medical Billing Offshore Accounts Receivable Experts. Their involvement with the insurance carriers has enabled our specialists to develop contacts and rapport that help speed the payment process. All the claims are tracked until they are paid. Every payment is checked against the carrier’s fee schedule. Our Accounts Receivable Experts are proficient in the appeals process.
At Medical Billing Offshore, it is all about prompt reimbursement. Our skilled coding and billing, effective insurance processing and follow-up, timely collection, attentive patient and client service, and sophisticated data management contribute to shortened revenue cycles and improved revenues. Our experienced analyst proactively research claims when payers fail to adjudicate claim within the specified time frame.
Reimbursement Analysis – We regularly evaluates reimbursement to ensure that payers comply with contractual agreements or other expectations, including appropriate and correct payment, timely payment, etc.
Additional payment is often received on appeals for:
☛ Downcoding
☛ Nonpayment of E & M (evaluation and management) codes
☛ Assistant surgeons
☛ Secondary procedures considered incidental to the primary procedure
☛ Incorrect allowances as compared to the published fee schedule
☛ Process denials and file appeals to have denials overturned, when documentation supports the procedure