Switch over to a better way of working. 24/7 revenue cycle management solutions is the answer to increased workflow pressures! - PowerPoint PPT Presentation

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Switch over to a better way of working. 24/7 revenue cycle management solutions is the answer to increased workflow pressures!

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Are you losing 16 hours every day? Work with our 24/7 medical billing team to maximize your revenue. We offer a patient billing helpline and free EMR support... For details visit Watch our free demo in share – PowerPoint PPT presentation

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Title: Switch over to a better way of working. 24/7 revenue cycle management solutions is the answer to increased workflow pressures!


1
Transform your revenue cycle through 24/7 RCM
support
By Adam Deny Smith BillingParadise
2
Is your billing office closed 16 hours a day?
  • Does your biller also double up as a
  • ICD-10 Certified Coder
  • Denial Analyst
  • EMR PM Biller
  • AR Agent
  • Eligibility Verification
  • Credentialing and Contracting Agent

3
The 24 Hours of Our Billing Cycle
  • First 8 hours
  • (8 AM - 4 PM)
  • AR Calling
  • Second 8 hours
  • (4 PM 12 AM)
  • Claim Analysis
  • Third 8 hours
  • (12 AM 8 AM)
  • Denial Management

4
Our Teams
  • 1. Payment Posting
  • EMR Specialists,
  • Certified Coders and
  • Patient Agents

5
  • 2. Account Receivable
  • AR Agents
  • Patient Analyst
  • Denial Analyst

6
  • 3. Claim Management
  • Denial Analysts
  • EMR Specific Billers
  • AR Leads

7
The first 8 hours are dedicated to
1
  • Allocating work queues to callers based on
    previous experience of handling similar
    rejections.

2
  • Analyzing your pending AR.

3
  • Tracking unpaid claims.

4
  • Following up with insurers.

8
  • Second 8 Hour 4 PM to 12AM
  • Client Management Team
  • Here we create claims based on the super-bills
    received or based on the output given by our
    coding experts.
  • Internally scrubs the claims and transmits to the
    insurance companies.

9
Third 8 Hour 12 AM 8 AM
  • EOB Posting Denial Management Team
  • This generates a denial report and start working
    on the denials if any on a case to case basis on
    the same day of EOB receipt.

10
In the second half of the day we
1
  • Create claims.

2
  • Assign codes.

3
  • Enter charges.

4
  • Scrub claims.

(Cont)
11
In the second half of the day we
5
  • Send claims to clearinghouses.

6
  • Correct claims based on ERAs received.

7
Transmit claims to insurers.
12
The Last 8 Hours
  • We use analytical tools to track rejection
    pattern and frequency of claims.
  • We work methodically to weed out denials from
    your practice and ensure you see a 98 decrease
    in denied claims.

13
Our Denial Management Team
1
Claim analysis team
2
Trend analysis team
3
Financial planning
4
Denial prevention team.
14
Get in touch with us and transform your practice
with our 24/7 revenue management solutions
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