Here at Accelerated, we understand that each client has specific needs and requirements. Because of this, we have assembled various service tiers to exceed your expectations. Each tier is assembled to provide the needed service at a competitive price.
Eligibility and Benefits Verification:
Insurance Verification has become the most crucial part of the RCM cycle. Having incorrect or missing meta data increases the risk of denials relating to COB which affect reimbursement within the 30 to 60 day cycle. Our dedicated team use proprietary toolsets to insure the correct data is in place avoiding rejections and denials.
Charge Entry:
Our team of experts carry out charge entry workflows as part of the full RCM service suite. Our experience in handling a variety of medical billing software across multiple medical specialties ensure savings in time for staff training and overall practice operations.
Payment Posting:
Our team of experts solve payment information in several ways including Electronic Remittance Advice files (ERA’s), which are posted automatically to the patient’s financial account; and Paper Remittance Notices, which we receive upon receipt by the practice. The ERA’s and Remittance Notices are heavily scrutinized to ensure payment process is completed in a timely manor. When a balance on a claim or a claim is denied, we handle recovery.
Account Receivables and Denial Management:
Our processes on the front end of the medical billing cycle limits the number of claims that are denied or underpaid. Additional levels of follow-up are in place when denials occur. Denials are quickly handled by our team that have experience to recognize patterns ahead of time to stop denials before they happen.
Credentialing & Enrollment
Our Team insures providers are enrolled with the right payers in the fastest time possible. With these additional services, the workflows are handled rapidly:
– Recommend insurance carrier participation
– Complete Government program contracts
– Complete Managed Care contracts
– Complete application(s) for Hospital Privileges
– Setup/update CAQH profiles
– Setup/update NPPES
Specialized Medical Coding Services:
Maximizing the revenue from billable services is the ultimate challenge for today’s healthcare providers. With higher numbers of self-pay patients and the increasing complexities of legislative mandates, your practice is at a greater risk for repeated denials, revenue shortfalls, and compliance issues. When you partner with our expert teams, help is on the way to manage the process and work with physicians to ensure accurate documentation, maintaining and growing a healthy, profitable practice.
Custom Reporting
Reports are generated on the frequency and specificity of the client needs. Practice reports are flexible by location, provider, payer and procedures and include:
– Breakdown of Encounters by CPT code, Provider, Location, etc.
– Details of Denials by Type, Payer, Provider, and frequency
– Complete View of Payer Mix
– Length of Time to be Paid by Payer
– Other cash flow trends to practice history and benchmarks
– End of Month/Year
– Physician financials by month or year