Accounts Receivable Management

Focusing on effective medical AR and collections is very crucial to run a profitable medical practice. At ecare India, we aim at accelerating our client's cash flow and reducing the days in Accounts Receivable by submitting error free claims, proper analysis of claim denials and follow ups with insurance companies and patients for outstanding claims and dues. We have a dedicated and highly trained AR follow- up team that works closely with insurance companies and patients. We take all necessary steps to recover the amount due within quick turnaround time.

We continuously work on identifying and improving processes that can improve efficiencies at each step of revenue cycle while meeting the industry's best practices. We help in imely payments and increasing the collections ratio. Our team focuses on three phases of AR cycle namely claims, revenue and follow-ups.

Our Accounts Receivable Management services include:

Insurance Follow up

Professionals and billing companies loose a lot of money due to lack of follow-ups with various insurance companies. ecare follow up services are designed to ensure timely and fast payment of claims.

We have a dedicated follow up team which analyze 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, e-mail, etc to ensure that claims are settled quickly. We continuously monitor the ageing buckets of your ARs and guarantees 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.

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 professionals and billing companies is that a large proportion of rejected claims goes unattended and is never resubmitted. Our Denial Management system uncovers and corrects 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 trend tracking. This trend tracking helps to reveal billing, registration and 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 seperate 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 claim is meticulously tracked and followed up by our trained and experienced staff till the cash is received. Processes are clearly laid out involving sending email, 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. Insurance companies and Patients are contacted to identify unidentified payments and duplicate patients. Necessary refunds to the insurance companies and individual payers are made. Thus enabling proper settlement and accuracy of collection process.

Old Accounts Receivable Clean-up projects

At ecare India, we analyze various Accounts Receivables reports and work on your old outstanding claims to ensure that maximum amount is collected rather than be written-off as bad debts.