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RCM

PATIENT BILLING AND STATEMENTS..

We follow up with patients for any pending balance due after the insurance claim is processed A patient statement is generated and filed on a weekly or monthly basis, as per your business requirement. Follow-up is done through phone calls. If no response is received from the patient, we move those balances to collections, generate a report for it and send it to you for further action.

Reports: Our reporting package contains monthly customized reports, including insurance aging reports and Key Performance Indicators (KPI) report, offering a detailed picture of your practice's financial health and the length of your claim payment cycle.

Too many denied insurance claims? At Simplyfyd Care, we’re the claim denial processing experts. Our sophisticated denial processing solution captures your claims, payments, and denials and addresses your denial management issues with an effective denial management plan.

Our seasoned professionals follow time-tested, well-defined processes to counter administrative denials with a high rate of success.

Denial Reversal Tools and Techniques

Here are some of the tools we use to achieve high rates of denial reversals :
Continuously update denials database.
Immediate identification of the root causes of denials, and use the experience and knowledge to address each denial trend.
Feedback to the coding and billing team.
Utilize denial data to generate custom reports.
We provide you with the input you need to review managed care agreements and prevent denials.
Identify opportunities to collaborate with payers to avoid denied claims.
Implement a payer accountability program.
Consult with your key team members to collect substantiating information for filing appeals

Outcome :
Improved cash flow.
Increased revenue

Contact us today to discuss how we can help you tackle the ever increasing numbers of denied insurance claims. You have nothing to lose, but only to gain. It is our promise to you. Call us now.

Credit Balance Review
As part of our medical billing outsourcing services, we can perform credit balance processing of the payer or patient, after verifying that it is a case of overpayment. This ensures correct and timely refunds to the appropriate entity. Insurance Underpayment Recovery Services .... High Aged And Complex AR. Once the claims are submitted to the payer for processing, our expert medical billing BPO follow-up team resolutely pursues all unpaid insurance claims that have crossed the 30 days bucket in order to reduce the accounts receivable (AR) days of the claim. Sometimes, the claims are underpaid by the insurance payer, and in this case, we ensure that the underpaid claims are processed and paid correctly. The denied claims are appealed by our AR team.