Medical Billing and Coding Services
Healthcare Revenue Cycle Management
Revenue Cycle Management Services
PERT Revenue Cycle Management has been associated with US Healthcare from 1997 and since 2007, we have been successfully offering comprehensive medical billing and coding-Revenue cycle management services in usa to various medical facilities spread across several states. We have been successfully functioning in services revolving around EMR and Medical Transcription, medical billing and coding-Revenue cycle management in usa. In medical billing and coding-Revenue cycle management services, the primary value proposition for our esteemed clients has been reducing payroll costs and optimizing resources which we have helped realize by assuring impeccable accuracy and swift turn-around-times. As a competitive service provider, we always strive to offer highly competitive rates to our clients for our medical billing and coding-Revenue cycle management services in usa utilizing the best contemporary processes and tools in the business.
Our endeavor for highly accurate services is driven largely by diligent work that is done in the field of data analysis and management by defining, measuring, monitoring, analyzing, correcting and controlling.
Steps of Revenue Cycle Management are as follows
Pre-Registration
Collecting patient information before the appointment, verifying insurance eligibility and benefits, and providing an estimate of the patient's financial responsibility.
Registration
Gathering patient demographic and insurance information, verifying patient identity, and obtaining necessary signatures and consents.
Scheduling
Scheduling appointments and verifying that the provider is in-network with the patient's insurance plan.
Insurance Verification
Verifying insurance coverage and obtaining any required authorizations or referrals.
Charge Capture
Capturing charges for services provided to patients and ensuring that all charges are accurate and complete.
Medical Coding
Assigning medical codes to diagnoses and procedures performed during the patient's visit.
Claims Submission
Submitting claims to insurance companies and government payers for reimbursement.
Claim Tracking
Tracking claims to ensure they are processed in a timely manner and following up on any denials or rejections.
Accounts Receivable Management
Managing outstanding accounts receivable and following up on unpaid claims or patient balances.
Payment Posting
Posting payments received from insurance companies and patients to the appropriate patient accounts.
Denial Management
Managing claim denials and identifying trends to improve billing processes and reduce future denials.
Patient Collections
Collecting outstanding patient balances and developing payment plans as necessary.
Reporting and Analysis
Analyzing revenue cycle performance metrics and identifying opportunities for improvement.
Revenue Cycle Management (RCM) Services are a set of processes and strategies used by healthcare providers to manage their financial activities, from patient registration to claims processing and payment collection. In times Revenue cycle Management is a process used in the healthcare industry to manage the financial aspects of patient care, from registration to payment.
Top Key Benefits of Our Revenue Cycle
- Insurance Verification for Benefits and Eligibility
- Demographic Entry
- Charge Entry
- Payment Posting
- Coding Review Audits
- Account Receivable Payer Follow-Up
- Legacy/Old Accounts Receivables and Follow-Up
- Denial Management and Processing
- Reconciliation
- Management Reporting