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Revenue Cycle
Management
Collect more; collect faster, while also
enhancing your compliance.
Why choose ecare India as your healthcare revenue cycle management service provider?
Strict adherence to various industry guidelines have helped us in delivering high quality healthcare revenue cycle management services resulting in faster payment, nullified delays and minimum denials. Our healthcare revenue cycle management solutions benefit the clients’ business through Aged AR clean-ups and bad debt reduction allowing them to focus on their practice and patients.
ecare India provides flawless Healthcare Revenue Cycle Management solutions to physicians and medical billing companies ensuring cost effectiveness and revenue maximization. We add value to our client's practice while ensuring timely delivery of results with complete customer satisfaction. Revenue cycle management services at ecare India includes but not limited to Medical Coding, Demographics and Charge Entry, EOB Postings, Denial Resolution and Account Receivable Follow ups. These services are offered either as stand-alone or as a revenue cycle management combined suite.
The following services are offered in our revenue cycle management combined suite :
Patient Registration |
Subsequent to an appointment at the doctor's office, we facilitate patient registration by collecting and verifying the patient demographics and incase the patient is already registered in the medical billing system, new information is verified with the existing data and changes are updated.
The process of Patient Registration is enumerated as below :
Receipt of Patient's Information from clients
Verification and validation of Patient's Information
Registration of Patient in the billing system.
Insurance Eligibility Verification : |
Insurance eligibility verification is an optional service in the ecareRCM suite and is provided as per client's requirements.
Insurance verification process at ecare :
Receive Schedules of patients via EDI, email or fax or check them every day in the appointment scheduling software.
Verify patient's insurance coverage with primary and secondary payers by making calls to the payers and checking through their authorized online insurance portals. We also contact patients for additional information, if required
Update the billing system with eligibility and verification details such as member ID, group ID, coverage period, and co-pay information and other benefit information.
In case of issues regarding a patient's eligibility, we inform the client immediately
Medical Coding : |
ecare India provides high quality medical coding outsourcing services. We have a team of AAPC (American Academy of Professional Coders) certified medical coding specialists and they strictly adhere to Insurance and Government Regulations. Our medical coding team is well versed in ICD-9, CPT coding, and HCPCS codes across various specialties.
ecare's medical coding team at our offshore center in Chennai accesses scanned patient medical records and other related information that are sent by the clients through a secured network using VPN connections. After the review and scrutiny of the documents for accuracy, completeness and readability, the documents are split into batches and the Diagnosis Codes, Procedure Codes and Modifiers are assigned to the documents as per the client's specifications and requirements.
Charge Entry : |
Our Medical Billing professionals enter charges based on standard medical billing rules pertaining to each specialty, insurance carrier and the location. The charges are created within agreed turnaround times - generally 24 hours. Our charge entry team is well trained to work with numerous medical billing software packages like Misys Tiger, Medtopia, Medisoft, Raintree, Next Gen, Kareo, Medical Manager etc., to name a few. To view the complete list of medical billing software handled at ecare, click here Medical Billing Software
Electronic Claim Submission : |
The crucial step in the medical billing process is submission of the claims. The claims contain sensitive information including patient data and insurance information. Submitting claims electronically reduces processing delays and ensures high readability that no claims are rejected due to illegibility. With electronic submission, carrier confirmation report is also instant and prevents any time delays due to transmission. Also, tracking claims has become easier and corrections could be made to the claims before rejection.
Payment Posting |
At ecare, payments received from patients & insurance companies are posted to the patients accounts in the client's medical billing system. The posted payments are balanced against the deposit slips to ensure accuracy in payment. The payment posters also check for any under payment being made to the accounts. We also do electronic posting of payments in to the medical billing software and ensure that the EOB files are stored for future references.
Denial Management : |
Denial management is very essential in the process of medical billing. Our dedicated team of denial management experts does strong analysis of the denied and under paid claims to determine the reason behind the denial or under payment. Corrective measures are taken on the basis of the analysis and without any time delay; the claims are re-submitted for acceptance of the insurance provider.
After re-submission, the denial management team does regular follow-up of the claims with the insurance provider to know the status and speed-up the payment.
The team sends regular status reports to our clients and maintains record of such claims for future references while ensuring that the documentation guidelines are always followed and special requirements like referrals, authorizations and ABNs are in place and no denials occur due to the violation of these standards.
Accounts Receivable Management And Follow Up : |
Collection of the receivables is essential to any medical practice but is not an easy task. ecare employs various professional and efficient methods to recover the receivables and also excels in converting aged AR receivables in to collections by doing effective follow-up with insurance providers. A dedicated team does follow- up with patients to get missing patient information by sending emails, notices or making phone calls. ecare India aims at improving our client's account receivables turn-around time thereby increasing cash flows and improving profitability. We continuously strive to nullify bad debts and increase medical billing collections. Our accounts receivable management solutions also include optional services:
Handling of Refunds
Secondary Claims Filing
Insurance and Patient Follow-up
Handle Appeals for contested claims
Generate and mail patient statements
Indexing of documents to the patient accounts
Prepare Customized management reports
Customized Performance Management Reports : |
With medical billing, it is essential to keep track of the performance. We provide customized performance management reports to our clients on a monthly basis that is a complete analysis of their practice which gives a perfect picture of how the practice performs and identifies the procedures that is more profitable for them.
Periodic review of the performance is helpful for our clients in self estimation and enhancing the practice accordingly. The reports are system generated and well analyzed by our special team of business performance analysts.
The reports are specific to the client's requirements so that they get customized reports of their choice.
Our complete revenue cycle management solutions provide competitive edge to our clients over their competitors by reducing their operational costs up to 50% and facilitating incremental revenue. To know more about the outsourcing benefits and requirements, please read our medical billing outsourcing help section. Outsourcing
We can improve your revenue in a short span of 90 days!