Revenue cycle management (RCM) is a financial process used by healthcare providers to track patient records, manage claims processes, generate revenue, and manage reimbursements.
Our clients enjoy custom strategies that are tailored to the unique revenue flow challenges of each practice or lab. Plus, we’re so committed to helping our clients save money that we always offer the option to work with a client’s existing software! Our dedicated team is ready to help you create a revenue growth action plan with automated, optimized processes.
We provide the world class best services to Client, process of submitting and keeping tracks of claims with health insurance companies to receive payment for services rendered.
We provide consulting for self-credentialing or full-service credentialing services to guide your agency through the process of becoming an in-network participating provider with national and state health insurance funders.
Our commitment to value-driven care makes for a hassle-free experience right from pre-registration. Key information such as insurance coverage, payer limits and co-pay options are analyzed before the patient arrives for the visit.
We navigate insurance eligibility to verify benefits and submit authorization requests to health insurance funders, professionally interfacing with insurance coordinators and providing support and consultation to your agency.
Ineffective eligibility and benefits verification and/or prior authorization processes can result in increased claim denials, delayed payments, additional effort on rework, and delays in patient access to care, decreased patient satisfaction, and non-payment of claims.
Error-free patient demographic entry is required to facilitate quick processing of the insurance claims by the insurance company.
Our commitment is to streamline our customer’s coding tasks to grant them and their patient’s peace of mind.
Before the claims are transmitted to the carriers, we run them through multiple checks to ensure 100% accuracy.
Our electronic optimization processes help you receive payer responses quicker. You’ll save time, get paid faster from insurance companies, and avoid disruptions to your cash flow.
As part of our quality assurance process, we submit all claims to an internal Clearing House. This extra step ensures that all claims are as clean as possible and that you get paid the first time.
We screen the remittance advices at every item level and match them with the respective billing guidelines. This approach helps spot the underpaid and initiate action to get paid with additional reimbursement.
The collections process requires a careful eye. We keeps you informed in advance of all past-due collections and will help you realize any lost revenue.
We uses a systematic, hands-on approach to ensure that appropriate action is taken for each denied claim, adhering to a strict systematic quality-control. This guarantees optimal results and streamlined collections.
Your needs are unique. That’s why we take a solutioning approach centered first on understanding those needs and the specific results you seek to achieve, then applying The best practices model for achieving those results.
Dial up the right fit and achieve an unprecedented level of control and visibility in managing your revenue cycle. Boost your financial success by implementing unique performance improvement solutions
Much change is afoot in managing revenue cycle for hospitals, physician billing companies, and physician practices alike. Reap predictable results with improved process performance, quality, and turnaround time. Accelerate your goal achievement by…
1) Reducing collection costs
2) Raising net collections
3) Reducing effort and error
Achieving a competitive advantage in a crowded RCM space requires far more than labor arbitrage offered by so many offshore partners. Leverage the MedHealth best practices engine across some or all of RCM disciplines…from scheduling to collections, to accelerate cash flow while freeing up resources so you can help your clients create better patient experiences while growing your own business.
We navigate insurance eligibility to verify benefits and submit authorization requests to health insurance funders, professionally interfacing with insurance coordinators and providing support and consultation to your agency.
Ineffective eligibility and benefits verification and/or prior authorization processes can result in increased claim denials, delayed payments, additional effort on rework, delays in patient access to care, decreased patient satisfaction, and non-payment of claims.
MedHealth brings you a team of experts to help you accelerate your client’s accounts receivable cycle. We confirm the patient’s eligibility and obtain necessary prior authorization before the patient visits the physician’s office.
we do the below verification processes:
MedHealth eligibility and benefits verification and prior authorization services offer :
