How It Works

RCM Solution Suite

Our RCM Solutions Suite enables our clients to increase efficiency, accelerate cash flow, reduce overhead and improve overall patient care without having to manage their entire billing process themselves. Our solutions enable our physicians to concentrate on their patients and practice instead of worrying about receiving their payments by the insurance companies in a timely fashion.

Revenue Cycle Management (RCM) Solutions Suite:

At Acroseas, our Revenue Cycle Management Solutions Suite provides cost-effective, end-to-end RCM Services to physicians, hospitals and third-party medical billing companies.  Our RCM Solutions Suite is designed to leverage processes, technology and experienced staff to provide you with your goal of maximum reimbursements and lower operational costs.  You are relieved of hiring or training expensive staff at your end.

Our RCM Solutions Suite offers:

•    Eligibility and Benefits Verification
•    Charge Entry and Cash posting
•    A/R Denial Management
•    A/R Collections and follow-up
•    Report Generation
•    Report Generation. Daily, weekly or monthly, as defined by you.

Eligibility and Benefits Verification

•    Daily persistent follow-ups.
•    Patient billing questions answered personally and efficiently
•    Customized weekly statistical reports and spread sheets tracking business activity and productivity
•    Payer/Insurance follow-up
•    Self-Pay follow-up
•    Receivables Analysis
•    Denials management

Prompt submission of patient claims:

Our billing team collects the patient demographics.  The demographics are then processed, verified, validated and finally registered prior to the patient’s appointment at the clinic/hospital.   In the absence of proper eligibility and benefits verification several problems can arise including increased errors, decreased patient satisfaction, delayed payments and/or nonpayment.  Thus, it is important to have eligibility and benefits verification process set in place in advance.

Charge Entry and Cash posting:

Our team accurately enters the claims and patient demographics into the client’s billing system.  Insurance payments are posted to the patient accounts from EOBs into the provider’s existing software system.  Our experienced billing professionals would then get the claims sent to payers quickly and with accurately at lower operational costs.

Denial Management:

Our skilled team works diligently to improve your cash flow by quickly and promptly processing denied claims and thus improving your profitability.  Our staff would quickly get your denied claims processed, analyzed, corrected, updated and prepared for re-submission for unpaid/underpaid claims.


A/R Collections and follow-up:

Our experienced A/R Analysts run insurance reports and identify claims over 30, 60, 90, 120 and more days.  Our A/R follow-up team gets our clients paid more and much faster.  Standard procedures followed at our end are as below:

Standard Monthly Reports Provided:

•    Charges, payments, and adjustments.
•    Dollars in A/R.
•    Aging reports for 30, 60, 90, 120 and more n/o days.
•    Payer mix
•    Payment punctuality by payer

Proposition

Our RCM Solutions Suite offers:

Reduced operational costs of up to 30%-40% and faster reimbursements.
Our skilled workforce ensures timely submission of claims with quick and timely AR denial management and payment processing resulting in higher first time collections and minimum denials.
Aggressive follow-ups ensure denied claims are resubmitted quickly and followed up timely for faster cash processing.
Improved collections rate by up to 10%.
Intensive and structured training programs to help ensure availability of skilled workforce.
Reports analysis team analyzes and identifies denied payments/underpayments by payers and processes the claims as per individual contracts for maximum benefits and identifies possible savings opportunities for individual clients with structured monthly reports.

* Daily persistent follow-ups.
* Patient billing questions answered personally and efficiently
* Customized weekly statistical reports and spread sheets tracking business activity and productivity
* Payer/Insurance follow-up
* Self-Pay follow-up
* Receivables Analysis
* Denials management
Share to Google Buzz
Share to Google Plus
Share to LiveJournal
Share to MyWorld
Share to Odnoklassniki
Share