Top-quality medical practices recognize that having financial success and predictability allows them to provide exceptional care to their patients. The revenue cycle begins the moment a patient sets up an appointment or enters a healthcare organization. After the patient encounter, it continues through the process of coding, claim submission, payment processing, denial management, and financial reporting and analysis.
REVENUE CYCLE MANAGEMENT
CODING &
COMPLIANCE
INSURANCE BILLING
& MANAGEMENT
PATIENT BILLING
& MANAGEMENT
REPORTING & ANALYSIS
- Implement accurate billing protocols
- Perform coding services
- Develop and monitor compliance
- Advise on Medicare issues
- Assist with medical record audits
CODING & COMPLIANCE
An effective compliance program is critical in today’s highly regulated healthcare environment. However, ensuring compliance with all government and private payer regulations can be an expensive and time consuming task. Our expert staff can assist in developing, maintaining and auditing for compliance to minimize risk of fraud and abuse.
INSURANCE BILLING & AR MANAGEMENT
National Medical handles all of the important functions of insurance billing, payment processing and accounts receivable management. We follow claims closely through their submission process to confirm acknowledge of acceptance at the payer level. We then meticulously follow-up with claims to ensure timely and accurate processing. Once adjudicated, we electronically receive and post payments using tools to identity any denial trends and underpaid claims.
PAYMENT PROCESSING
Managing the insurance reconciliation and payment process is a challenging and important task. Our staff is trained and has access to tools that help reveal opportunities for denial prevention and locate lagging receivable.
CLAIM SUBMISSION
We use a sophisticated claims scrubbing process that guarantees a first-pass claim acceptance rate of 95 percent or better. This in conjunction with using an integrated clearinghouse allows us to provide clients with AR days between 22 -32.
DENIAL FOLLOW-UP
Using cloud based technology and comprehensive reporting tools, we are able to pinpoint and resolve AR issues. Our streamlined process allows us to quickly correct and resubmit any denied or underpaid claims.
PATIENT BILLING & MANAGEMENT
Providing excellent patient care post encounter is essential to a having a successful revenue cycle. Ensuring your patients receive professional and efficient billing and account management will positively influence your good outcomes and repeat business. Our team is constantly undergoing continuing education, so we remain a knowledgeable asset to our clients and their patients.
It's our goal to provide such excellent service that your patients do not even realize the billing department is separate.
REPORTING & ANALYSIS
We pride ourselves on providing timely and robust reporting, so you can make informed business decisions based upon accurate and relevant financial data. The technology we utilize allows us to analyze and pinpoint trends and potential streams of revenue to help you manage the business side of your medical practice. In addition to our standard reporting, we recognize our clients require different data and offer custom reports.
