- Eligibility and Benefits Verification
- Patient Demographics Entry
- Charge Entry
- Medical Coding Services
- Claims Submission Work Edits and Rejection
- Payment Posting Services
- Accounts Receivable Management
- Denial Management Services
- Coding Denial Management
- Credit Balance Services
- Patient Statement Services
- Revenue Cycle Analytics
Comprehensive Healthcare Accounts Receivable Management Services
We specialize in aiding healthcare providers in reducing their accounts receivable (A/R) days through timely follow-up services, ensuring a clear understanding of the reasons behind A/R delays and initiating prompt actions with insurance companies and patients.
Scope of Our Healthcare Accounts Receivable Follow-up Services
NTMD RCM PRIVATE LIMITED deploys a team of experienced accounts receivable follow-up specialists who focus on:
Follow-up with Insurance Companies: Utilizing multiple contact channels including websites, fax, IVR, and phone to obtain accurate claims status. We collaborate with provider clients to enhance the adoption of website channels for communication.
Development of Policies and Procedures: Monitoring A/R aging buckets and initiating follow-up calls at optimal intervals post-claim submission. We develop efficient policies and procedures tailored to each client’s needs.
Automation: Implementing practical tools for logging into payer websites, generating queries, and retrieving claim status information.
Effective Action Plans: Beyond obtaining claim status, we take proactive steps such as refiling claims, initiating appeals, and conducting analytics to reduce A/R days.
Accounts Receivable Clearance Projects
We undertake one-time projects to clear aged A/R backlogs, employing a robust process that includes:
Assessment: Conducting claim quality analysis to categorize claims based on aging, payer group, and timely filing issues. This analysis guides our final clearance efforts and post-clearance valuation before handover to collections agencies.
Guideline Development: Establishing clear policies on write-offs and negotiations with insurance companies, enabling healthcare providers to set collection goals and define negotiation processes.
Retrieval of Clinical Documentation: Ensuring effective retrieval of associated clinical documentation to facilitate collection processes, especially in cases of system changes.
Benefits of Our Accounts Receivable Process
Our comprehensive A/R and denial management services offer numerous benefits:
Focus on Claim Resolution: Prioritizing the resolution of claims rather than solely obtaining their status.
Reduced Work Effort: Leveraging technology such as web portals to minimize manual efforts in checking claims status.
Workflow Automation: Utilizing web-based workflow systems to streamline claims follow-up and improve documentation quality.
Dashboards and Metrics: Generating detailed reports to gain insights into A/R status and focus efforts on resolution.
Improved Collections and Reduced A/R Days: Clients typically experience a 20% reduction in A/R days and improved collections by 5-7%.
