Reducing Errors and Denials with RPA & Machine Learning Healthcare claims and other billing documents contain a substantial amount of patient, provider and payor information that can originate from different HIT applications — which then leave room for error. Common issues include duplicate entries, incorrect coding and incomplete data. Any inaccuracies in the processing of
Maintaining Your Autonomy with Joining or Forming an MSO With the formation of a Management Services Organization (MSO), efficiently processing and posting remittances for multiple practice management (PM) systems, clearinghouses and bank lockboxes can be challenge. This is especially true if all the groups are reporting to a single Tax ID and ERAs are co-mingled
Outsourced RCM Services Designed to Grow with Your Business Mergers and acquisitions that include the use of multiple billing systems can bring a significant amount of manual work to reconcile, distribute and report on all payments being posted or re-worked. As organizations grow by adding dozens or more business units and multiple HIM sources, having
Maintaining Cash Flow when Migrating Practice Management (PM) Systems While staffing shortages continue to create a variety of revenue cycle obstacles and cash flow interruptions, there are also a considerable number of groups in the process of researching and selecting a new Practice Management (PM) system. If you’re currently in that mode, or contemplating the
Practical Solutions for Improving A/R Management Creating More Efficient A/R Processes Implementing A/R workflow improvements can have a significant impact on staff efficiency and cash flow. It’s important to first mention, however, the need for automation in the capture, management and use of all patient, government and third-party insurance payment information. Second, is the need
Managing Revenue Cycle Processes for Multiple Clearinghouses to a Centralized Single Receiver Our client’s Clearinghouses and Banks play a key role in how medical claims are submitted and how insurance payors provide reimbursement back to the physician group. Clearinghouse services go beyond just claim submission and remediation. Their services can also include eligibility and benefits
