Overview of Services for Managing the Revenues Cycle
Advancecare Billing Solutions is committed to revolutionizing healthcare revenue cycle management, offering a comprehensive array of services designed to optimize processes and maximize financial outcomes. Our primary objectives include minimizing claim denials, identifying and addressing revenue loss sources, increasing sales, and streamlining accounts receivable processing. We aim to establish a synchronized and efficient approach among patients, payers, and healthcare providers to create agile revenue cycles.
Verification of Eligibility:
Ensuring the excellence of our services, Advancecare Billing Solutions places a strong emphasis on meticulously reviewing procedure details. Critical criteria such as insurance eligibility, benefits verification, and coordination of benefits are prioritized. Rapid resolution of denied claims enhances our competitive edge in the market.
Patient Registration & Charge Capture for Medical Billing:
Advancecare Billing Solutions prides itself on a proficient billing team that expeditiously processes payer claims. Accurate recording of patient demographics and billing data is paramount to avoid potential reductions in reimbursement. Our unwavering commitment to excellence is evident in our patient registration and charge capture services, ensuring precision and efficiency.
Medication Coding:
Our team of AAPC-certified coders at Advancecare Billing Solutions strictly adheres to CCI editing standards, ensuring the precise application of diagnostic and procedure codes in patients’ medical records. By following Local Coverage Determination (LCD) regulations and accurately matching Current Procedure Terminology (CPT-4) and ICD-10 CM codes, we prevent code denials and provide justified medical explanations to insurance providers. This meticulous approach safeguards patients from financial losses.
Exploring Advancecare Billing Solutions’ RCM Services:
Submission of Claims and Clearinghouse Rejections:
In contrast to the risky and antiquated paper-based processes, Advancecare Billing Solutions relies entirely on the electronic delivery of claims. What sets us apart is our commitment to tracking claims until they reach the payer and ensuring acknowledgment of receipt. Our vigilance extends to daily monitoring of clearinghouse rejections, with immediate efforts to rectify and retransmit rejected claims.
Assigning Payments:
By leveraging cutting-edge technology, cost-effective solutions, and a team of skilled billing specialists, Advancecare Billing Solutions accurately processes payments within the billing system. Completing steps and addressing rejected claims brings payment posting one step closer to completion. Our staff’s expertise extends to posting Electronic Remittance Advice (ERA).
Analysis and Management of Accounts Receivable:
Our meticulous invoicing and coding procedures eliminate the need for A/R calls. Preparedness for any situation is our philosophy, and our A/R assistance ensures swift and affordable reimbursement for our clients. Customers with pending payments over 30 days receive contact within 30 working days, progressing through aging buckets based on insurance carrier criteria.
Communication and Appeals:
Afiablee Healthcare Solutions is adept at managing issues related to medical expenses. Any unauthorized or corrected claim is carefully submitted and filed back, avoiding denials due to late filing. The call support team gathers relevant data, enabling our staff to take appropriate steps for underpaid claims, including billing, recoding, and appeals through letter writing.
Credentialing and Enrollment of Providers:
Our credentialing experts at Advancecare Billing Solutions ensure healthcare practitioners provide all necessary information for credentialing. Adhering to each insurance provider’s format requirements, we modify data accordingly. After submission, we store the information in a database and follow up with insurance companies to complete the enrollment process. Regular communication ensures providers’ enrollment status.