Medical Revenue Cycle Management Services

 

Organize and perform all aspects of provider billing with great efficiency. From claim submission to denial management and credentialing to enrollment, our team of RCM service experts can do it all.

We provide end-to-end solutions across the entire healthcare value chain. As a care provider organization, we ensure to protect your financial health by avoiding loss of income, late payment loopholes, claim denials, underpaid claims, and other such leakages. Our holistic RCM solutions are modern and best in class in the ecosystem.

Our End-to-End Medical RCM Services

Medical Coding Service

Do clumsy accuracy scores and slow turnaround time hamper your medical coding process? Your medical RCM needs quick as well as accurate medical coding. We can spike up your dipping KPIs and can help you achieve an optimized revenue cycle. Coding is a very minor, yet, important and daunting part of your revenue cycle. You may utilize our services of medical coding and auditing to run your revenue cycle smoothly. We can be your partners and can give you well-qualified coders without facing the brunt of tiresome and costly hiring processes. We deploy trained and periodically tested coders for your projects. Below are the core services that we provide

  • Ensure ICD-10 compliance
  • Reduce AR backlogs
  • Decrease in DNFB
  • Improve provider documentation
  • Reduce turnaround times
  • Enjoy more reliable data reporting
  • Latest and Trending Technologies

Clean Claim Submission

A healthy revenue cycle ensures timely collections. However, processing collections is one of the most arduous tasks of your billing operation practice. The claim submission process brings in good cash flow, but it is equally time-consuming and complex. You need to scrub, review, and process your medical bills on time so that you receive the money within a shorter claim cycle. To get clean claims, you need to take of several things. At Healthtech Global connect, we take care of your entire billing cycle. From eligibility to account receivables, submitting claims at clearing house to handling follow-ups on rejections, we take the burden off your shoulders and help you focus on providing high-quality patient care. Below are the core services as a part of our claim submission process.

  • Collect Complete & Correct Patient Information
  • Check the Eligibility of Patient Insurance Policy
  • Authorization process
  • Applying Correct Medical Coding
  • Using the Right Modifiers
  • Clear & Concise Medical Documentation
  • Quality Checks Before Submission

Denial Management and Appeals

Getting a healthy cash flow is the core purpose of a care provider organization. However, when insurance companies deny your claims submitted frequently, you need to check the root cause of the denial and the necessary steps that you should take for preventing denials. To put you back to focusing on what matters most, you need assistance. You can harness Healthtech Global Connect’s best practices and proven methodologies that ensure excellent revenue cycle management, along with the denial management process. We gather insights on why claims get denied and find out ways to get paid faster. We follow the below practices to ensure maximum results and get efficient collections.

  • Rigorous Claim Analysis
  • Determine the Best Course of Action
  • Claim Prioritization
  • Ensure Maximum Benefits
  • Steps to Prevent Future Denials
  • Process Improvements

Physician Credentialing and Enrolment

As a physician, credentialing with a payer stands to be crucial and beneficial too. With an array of manual steps involved like completing application forms, filling questionnaires for gaining clarification from payers, and following up with them for credentialing request closure, you need a dedicated service provider. At Healthcare Global Connect, you can save your data with great accuracy, and security and keep it up-to-date with payers by using provider credentialing services. When patients use insurance cards for paying medical bills, it becomes crucial for you to get yourself enrolled and credentialed with maximum payers, ensuring patients can use their insurance plans in your practice - failing to do this drives patients to look for providers who are enrolled with the health insurance companies. We provide the below services for credentialing and enrollment.

Provider Credentialing

  • Evaluating Application
  • Primary Source Documentation
  • Outbound Call Center
  • Follow-up with Payers
  • Data Entry
  • Maintenance of Provider Data

Provider Enrollment

With HealthTech Global Connect, we can provide enrollment services helping physicians and practitioners like you to get enrolled for all services you provide so that payers can have sufficient data they need during the claim process. Also, we provide monitoring services to ensure applications are received and processed on time. We work with great diligence aiming to identify and resolve administrative issues so that they do not affect your reimbursements. We help you go through the process with these simple steps:

  • Verification of Provider Information
  • Updating Practice’s Pay-to Address
  • Enrolling In Electronic Transactions
  • Monitoring Process