Dedicated to helping healthcare organizations navigate the complexities of revenue cycle management seamlessly.
Accurate patient information and insurance verification to prevent claim denials.
Proper coding and submission of accurate claims for reimbursement.
Monitoring claims and promptly addressing denials and rejections.
Timely payment posting and effective management of patient collections.
With expertise in healthcare billing, coding, and compliance, we help organizations navigate revenue cycle management seamlessly.
We delivers measurable results for healthcare providers, boosting revenue capture rates, improving cash flow, and reducing administrative burdens.
Managing the entire healthcare claim cycle, from appointment scheduling to final payment, covering all administrative and clinical functions for revenue capture.
This stage begins before the patient visit and includes activities such as appointment scheduling, insurance verification, and obtaining pre-authorizations if necessary. It sets the foundation for accurate billing and reimbursement.
During this phase, the patient receives healthcare services. It involves documenting services provided, capturing charges using appropriate codes (ICD, CPT, HCPCS), and ensuring documentation supports medical necessity and compliance with billing regulations.
Medical coders play a crucial role in assigning accurate codes to diagnoses, procedures, and services provided during the patient encounter. These codes are essential for billing and reimbursement purposes.
Once services are coded, charges need to be captured accurately and timely. This involves integrating coding information into the billing system to generate claims for submission.
Claims are submitted to insurance companies or other payers electronically or via paper. It’s important to follow payer-specific rules and guidelines to minimize claim denials and delays.
It is a crucial aspect of managing the financial health of a medical practice. It involves not only the observation of incoming payments but also the meticulous recording of these transactions within the medical billing software. This process offers a comprehensive insight into the financial standing of the practice, encompassing insurance payments detailed in Explanation of Benefits (EOBs), payments received from patients, and insurance checks documented in Electronic Remittance Advice (ERAs).
Account receivable (also known as A/R) is a term used to denote cash owed by organizations for practices and services rendered and billed. Any payments from payers, patients, and other guarantors are measured as A/R. A goal of our organization is to make sure that it gets’ paid correctly and in a timely manner.
Patients are billed for any remaining balance after insurance payments and adjustments. This stage involves sending statements, answering patient inquiries, setting up payment plans if needed, and managing collections.
Handling claim denials involves investigating reasons for denials, correcting errors, and appealing if necessary to maximize reimbursement and minimize revenue loss.
Regular reporting and analysis of key performance indicators (KPIs) such as days in AR, denial rates, and collection rates are essential for monitoring revenue cycle performance and identifying areas for improvement.
Streamline your revenue cycle and maximize reimbursement. Schedule a free consultation with our RCM experts today! Contact us now.
Experienced Employees
Specialty
Coding & Billing Tools
Accuracy
Contact us today for expert RCM solutions tailored to your needs!
Chennai, Tamil Nadu, India
+1-609-402-9606
info@vannamrcmsolutions.com