Increasing healthcare costs and data confidentiality issues holding you back from delivering exceptional patient care? Are you missing your primary goal of improving patient care and managing emergencies?
TECHNATIO SOLUTIONS
RCM Services
We offer
Account Receivable Analysis and Denial Management
Once the claims are transmitted, all claims hit the respective insurance adjudication system for claims processing. Our AR expertise follow-up with the payers and patients to identify, address and rectify the identified problem thereby reducing administrative overheads.
Prioritizing the unpaid claims and validate the same on aging bucket in order to reduce the accounts receivable (AR) days of the claim. Meanwhile, Technatio Solutions identify trends in billing leading to reduced denials and appeals are completed keeping a close eye on AR Outstanding Days for accelerated reimbursements, we aim to improve our client cash flow and improving profitability by reducing days in A/R, and increasing collections ratio.
Now a days, healthcare service providers have accumulated or unresolved accounts receivables either due to lack of follow up or they do not want to follow up on low pay EOB / ERA’s, because they end up spending lot of money without much returns on the claims. To overcome with this type of situations, Technatio Solutions expertise understand various insurance processing and resolve the claims with the permanent fix for such loopholes & secure maximum reimbursement possible.
Our Denial Management Service Offering
Denial management is often confused with Rejection Management. Rejected Claims are claims that have not made it to the payer’s adjudication system on account of errors. The billers must correct and resubmit these claims. Denied Claims, on the other hand, are claims that a payer has adjudicated and denied the payment.
Medical Billing Wholesalers’ denial management team has seasoned professionals who:
Investigate the reason for every denied claim
Focus on resolving the issue
Resubmit the request to the insurance company
File appeals where required
We understand that each denial case is unique. We correct invalid or incorrect medical codes, provide supporting clinical documentation, appeal any prior authorization denials, understand any genuine denial cases to pass the responsibility to patients, and follow-up effectively. We re-validate all clinical information before re-submission.
As an extended billing office, we work with you to analyze your denied claims and reduce denial percentage over time.
Filing Appeals
We analyze denial reasons, prepare appeal letters, and refile the claims by attaching clinical documentation and submit the claims via fax appeals in a payer-specific format.
Reducing Denials Through Analytics
Different component processes within the revenue cycle chain can result in claim denials. Often, denial issues are practice-specific or facility-specific. We understand the trends in claim denials and launch an iterative process to reduce them based on specific causes.