A bloated accounts receivable is often a symptom of a greater hidden revenue cycle management issue. Excessive denials, incorrect insurance and delays in posting and resolving correspondence can all lead to unacceptably high accounts receivables.
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Our ability to dive into the unrecognized hidden network of revenue cycle underperformance will assist you in treating your organization’s financial disease and not just address the symptoms.
Denial Management
- Root cause analysis of denials
- Insurance follow up review including workflow analysis and tickler file utilization
- Use of standardized insurance codes and actions
- Review of write-off policies
Account Resolution
- Insurance follow up review including workflow analysis and tickler file utilization
- Underpayment identification and processes
- Review of write off policies
Patient Pay
- Review of self-pay payment policies
- Outbound call protocols and standards
- Bad debt approval process
Payment Posting
- Review payment posting procedures
- Determine write off policies and underpayment alarms
- Review electronic functionality
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Outsourcing specific accounts receivable responsibilities can help you leverage your resources and extract the most value from your people, your processes and your expenditures. With our deep understanding of patient needs and AR expertise, we can provide fast, accurate and dependable service.
Our Outsourced Medical Revenue Solutions allow you to take advantage of these benefits of outsourcing:
- Eliminates the investment in fixed infrastructure
- Avoids incurring overhead expense
- Freedom to off-load non-core functions
- Free your team from day-to-day process problems
- Reduce the overall management burden while retaining control of strategic decision making
- Eliminate staffing problems
- Get access to specialized skills
Revenue Cycle Management
- Oversight of the revenue cycle process
- Coordination with your team to compliantly maximize reimbursement
- Monthly reporting and strategy meetings
Virtual Front Office
- Appointment scheduling
- Registration
- Financial clearance
- Securing pre-service payment
- Financial clearance for procedures
Claim Submission
- Claim submission process
- Resolution of all clearing house and payer edits
- Daily reconciliation with practice management system and clearing house
- Ongoing maximization of electronic capabilities
Insurance A/R Resolution
- Diligent insurance follow up protocols
- Maximized efficiency through work queues
- Denial management
Patient A/R Resolution
- Monthly statement processing
- Maximized efficiency through self-pay work queues
- Bad debt write offs
Payment Posting
- All posting related functions
- Ongoing maximization of electronic capabilities
- Reconciliation of payments against bank deposits
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Contact Enhanced Medical Revenue LLC today for more information.
