REVENUE CYCLE MANAGEMENT

We tackle every part of the REVENUE CYCLE MANAGEMENT

Boost Productivity with Revenue Cycle Management Services

MediZone Billing has a team of highly skilled billers that can manage your revenue cycle. Similarly, our experienced team is capable of handling your Medical Billing Process. In addition, it helps you get every dollar you deserve. Further, partner with us to get revenue cycle management services to streamline the financial cycle. As a result, it can improve the overall efficiency of your practice. Moreover, your practice can get large revenues.

Our end to end RCM services consist of the following:

Patient Appointments

We help in maintaining a smooth patient influx and operate the clinic in an efficient manner. We fix appointments on time in an organized manner and reduce patient waiting time significantly.

Eligibility Verification

We help you determine the exact amount a patient owes in the form of Copays/Coinsurance/Deductibles. This also helps reveal the patient’s payment history.
Service highlights:

Patient eligibility for coverage
Amount insured for particular diseases and medical services

Traditional & Latest Coding

Our certified coders (CPC, COC, CIC, CPC-P, CPM, CPMA, CPCO, CPC-H, etc.) take care of specific specialties and ICD-10 coding. They assist in documenting appropriate CPT and ICD codes and Modifiers.

Demographics / Entry

Our billing experts take care of the demographics and charge entry. They help the medical practice track claims to understand when and where the claims go and keep them informed about the filing of claims within 24 – 48 hours.

Quality Review

Our quality team monitors every process of the RCM cycle. Quality reports and analytics are shared internally with the team on a daily basis and with the client during the review meeting.

Electronic Claims Submission / Rejections / Resolutions

We maintain a 99% clean claim standard. The trends and analysis are shared with the Coding and Claims entry teams along with the client as per the client’s convenience during the review meeting.

Payment Posting

The payments received through ERA/EOB are posted on the system within 24 – 48 hours and reports are reconciled on a daily basis. Denials are captured and moved to the denial analysis team.

Denial Analysis & Resolutions

Claim denials are analyzed carefully and the root cause is defined for each problem. It is then escalated to the concerned teams to make sure the denials are fixed and ensure they don’t recur in the future. Denial analysis is shared with the client once a week.

Accounts Receivable Follow-up

We run behind every dollar on the table. When we took over new projects, we collected millions of untapped dollars. We check with insurance companies for outstanding claims over 30 days through AR calling. The trend and details of the report are shared with the practice once a week/month.

Monthly Reporting

We send a monthly report with a detailed financial summary, procedure productivity, collections reports (with the adjustments). We provide details of insurance-wise financials, rejections, denials, and AR reports along with the practice performance report.

Monthly Patient Statements

We help you streamline your collections process by sending monthly statements to patients. We appraise the patients on time and regularly help them organize the payable amount.

Revenue Cycle Management is a process that takes care of all the financial aspects of the practise

It caters identification, collection, and management of the revenue of any practice based on their services to patients. In addition, the revenue cycle is the central part of healthcare practice management whether your practice is small or large. Furthermore, maintaining financial viability and providing quality care determines the success of the revenue cycle. Similarly, we offer Credentialing Services to make your practice affiliated with payers. As a result, your practice thrives in the competitive healthcare market.