Advanced Revenue Cycle Management and Solutions.
We work with healthcare organizations to optimize reimbursements, Prevent revenue loss, diminish claim denials and errors, and enhance patient contentment. We deliver exceptional revenue cycle performance and outstanding results by applying advanced medical billing knowledge and adhering the best industry standards
We offer complete Revenue Cycle Management (RCM) services
ENROLEMENTS
- Enrolments: Our team manages all payers' EDI, ERA, and EFT enrolments.
- Web Portal: Creating and maintaining insurance web portals.
FRONT-END REVENUE CYCLE
- Verification of Benefits: Verify patient insurance coverage and benefits to ensure precise billing and minimize claim denials
- Patient Registration/Demographics: Manage patient intake and demographic details to ensure prompt billing and correct claims processing.
- Prior Authorization: Oversee the prior authorization process to obtain required service approvals timely.
- Charge Entry & Audit: Oversee charge entry and auditing to ensure precise billing and prompt claims submission.
- Scrubs and Clearinghouse Rejections: Once billing is finalized if there is any claims held in rejection or scrubs will be cleared timely.
- Medical Coding Services: Deploy certified coders to ensure accurate code assignment, boosting reimbursement accuracy and decreasing claim denials.
- Revenue Audits: Execute regular audits and reviews to maintain revenue integrity and compliance.
- Medical Coding Audit: Carry out coding reviews to spot and fix errors, ensuring following guidelines and timely processing of reimbursements.
BACK-END REVENUE CYCLE
- Remittance Processing: We Process remittance advice and EOBs for precise payment posting and reconciliation.
- Denial Management: We Handle claims denials and appeals to maximize reimbursement and diminish revenue loss.
- Accounts Receivable: Our team manages AR, identifying global issues and ensuring the collection of large clients' outstanding claims timely.
- Reports: Preparing Weekly, Biweekly, or Monthly AR Reports based on the client's requirements to discuss the challenges and find rapid solutions.
- Standard Operating Procedure: Managing standard operating procedure (SOP) to ensure the process runs in the right direction.
- Credit Balance Management: We oversee credit balance accounts to ensure accurate and timely refunds to the funding sources.
Please join us and let us help you to streamline
your revenue cycle, reduce costs, and
INCREASE REVENUE.
USA# 435 310 5567
info@smdglobalsolutions.com
