BENEFITS & ELIGIBILITY VERIFICATION
BEV is the most crucial part of any RCM cycle. We make sure your patients plan has coverage for the procedure that you are about to perform. This eliminates all eligibility related denials and increases revenue by at least 7-10%
CODING & SUBMISSION
Claims are scrutinized ensuring maximized reimbursements without over-coding which is one of the ways we typically increase clients’ revenue by 10% – 20%. We maintain a nearly 100% success rate on first attempt HCFA and UB clearinghouse claims with WC (workers compensation) and NF (No Fault) available as well. We stay on top of all latest coding updates.
AR FOLLOW UP
We all know that Insurances will deny claims. Thus AR follow-up is the most critical part of any billing work flow. Accounts receivables follow-up ensures timely turn around of rejections and denials. Here at Techcure Rcm, we make sure that maximum resources are allocated to the AR.
DENIAL MANAGEMENT
We make sure your AR experiences minimal denials. Our experts have extensive experience in overturning all types of denials, right from medical necessity denials, maximum benefits exhausted, additional documents required, coding related denials, patient benefit related denials, prior authorization issues, EDI issues, our team is adept at resolving and getting.
APPEALS / MEDICAL NECESSITY
We have a separate appeals and reconsiderations team that works closely with the AR team. The team has both pre-set and customizable appeal formats for each and every type of denial. Extensive appeals including the right information, submitted timely can have a huge impact on overturning the most complicated denials effectively.
EOB / ERA POSTING
We make sure all your EOB’s (Explanation of benefits) and ERA’s ( Electronic remittance advice ) are posted and reconciled daily to ensure an accurate end of day statement for your staff to review and access average growth in revenue. We have a two tier quality system in place, ensuring all postings go through a level 1 and level 2 check before.