Eligibility verification was done prior to the appointment to ensure insurance payment for services rendered.
Demographic and charge entry and tracking with regular reporting to manage receivables.
Fast, accurate payment posting and reporting for improved cash flow and pursuit of payment from insurance companies and patients.
Pursuit of full payment on all claims, resolution of underpaid claims, and submission of secondary claims.
Analysis of RAC determinations, response preparation and oversight of appeals. Timely resolution of credit balances to meet any compliance requirements. Services include RAC Audit response and Credit Balance clean-up.