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Accounts
receivables
Management
Our clients never worry about AR/Denials…
We continuously work on identifying and improving processes that can improve efficiencies at each step of healthcare revenue cycle management while meeting the industry's best practices. We help in timely payments and increasing the collections ratio. Our team focuses on three components of the AR cycle namely claims, revenue and follow-ups.
Our medical Accounts Receivable Management services include :
Insurance Follow up
Healthcare Providers and medical billing companies lose a lot of money due to lack of follow-up on outstanding claims with the insurance companies. The ecare follow up services are designed to ensure timely payment of claims.
We have a dedicated follow up team which analyzes the unpaid and underpaid claims and aggressively follows up with insurance companies on all accounts. Our trained personnel constantly keep in touch with insurance companies by phone and e-mail to ensure that claims are settled quickly. We continuously monitor the ageing buckets of your ARs and guarantee that all the claims are followed upon within 45 days from the date of entry.
Follow-up with insurances is done to obtain the status of the claims, status of appeals and denial reasons in case claims have been denied. Every effort is made to have the claim re-processed on the phone during the call with the Insurance representative.
Denial Management
ecare India is dedicated to minimize your lost reimbursements and denials with highly efficient systems and services designed to meet your needs. One of the major problems faced by healthcare providers and medical billing companies is that a large proportion of rejected claims goes unattended and is never resubmitted. Our Denial Management system uncovers and resolves the problem leading to denials to shorten the accounts receivables cycle. Our denial management system establishes a trend between individual payer codes and common denial reason codes. This trend tracking helps to reveal billing, registration and medical coding process weaknesses that are then corrected to reduce future denials thus ensuring first submission acceptance of claims. Also, the payment patterns from various payers are analyzed for setting up a mechanism to alert when a deviation from the normal trend is seen.
Appeals for Denied Claims
For claims that are denied and need to be appealed, appeal letters are prepared and sent along with supporting documents for processing. If the insurance permits telephonic appeals, the same is also handled.
Patients Follow Up
We have a separate team of executives dedicated to calling only patients. Calls are made to patients to obtain missing demographics, insurance information and also discuss outstanding patient dues. Each patient account is meticulously tracked and followed up by our trained and experienced staff till the cash is received. Processes are clearly laid out involving sending letters, statements, notices, making phone calls, etc. to expedite collections.
Credit Balance Audits
During the process of collection retrieval, an audit of all the accounts is undertaken to reconcile unidentified and duplicate payments. Processes are set such that the Federal and Patient overpayments are refunded ASAP and other refunds as per policies of each client. Refund requests are prepared and sent to the clients to handle necessary refunds after thorough research of the patient account to establish overpayments.
Old Accounts Receivable Clean-up projects
At ecare India, we also undertake clean-up of old Accounts Receivables. Many a times practices have accumulated and unresolved Accounts Receivables either by lack of proper follow up by the previous vendor or sometimes they acquire these Account Receivables from another medical billing company. At ecare India, we analyze the various medical accounts receivables reports provided by the client and determine strategies to work on the Accounts Receivables. The strategies are developed such that we reduce the bad debts and maximize medical billing collections.