30%+ Increase in Collections
90% Recovery of Outstanding Claims
50% Reduction in AR Days
Appeals are formal requests for reviewing and reconsideration of an insurance company’s decision about a payment or benefit. When an individual disagrees with the company’s denied claim, they have the right to file an appeal and possibly change the outcome. Besides in the medical billing process, decisions of the marketplace can also be appealed.
In medical billing, there are three common scenarios when an appeal can be filed. The first is when the insurance plan refuses to pay for the claim. The other two situations are when the health insurance claims the patient isn’t eligible for coverage or ends their coverage.
Charge entry is a critical component of medical billing. It actually determines the amount of reimbursement a provider will receive from the insurance payer. It is important that this process is carried out by an experienced team of charge entry specialists who knows how to enter the correct charges from the coded documents accurately.
Charge Entry is the first step in the process of medical billing and a crucial component of Revenue Cycle Management. It starts with meticulously recording every service rendered to the patient, verifying it with the Fee Schedule, and finally forwarding all data for creating the final claim.
EOB details are received from the client in a scanned format on our FTP portal.
The medical billing team will download the files from the FTP site, review them, and allocate the processing work for payment posting.
The posting team carries out a series of functions with demographic data such as patient account number, amount allowed, amount billed, amount adjusted and amount paid. Also the denial related details are entered in the billing system.
In case of partial payments, necessary analysis and investigation is initiated and corrective steps are taken.
Analyzing the EOB claims and enabling the decision making for the recovery of the dues streamlined and effective