Payments
The payment landscape in healthcare can be complex, with multiple payers, different payment models, and various regulations and requirements that must be followed. Insurance providers and government payers may have different payment rates and requirements, and healthcare providers must ensure that they are submitting accurate and complete claims to receive payment.
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Healthcare organizations may experience anywhere from 5% to 20% of claim denials or delays in payment. This can have a significant impact on the revenue performance of healthcare organizations, especially for those that rely heavily on insurance reimbursements.
Incorrect Coding
We provide trained coders who are knowledgeable in the latest coding standards and regulations, as well as advanced technology and analytics tools to help identify and correct coding errors for our clients. We help to improve your coding accuracy, reduce payment denials and delays, and optimize your revenue cycle management processes. This can ultimately lead to improved financial performance and better patient care.
Incomplete or Missing Information on Claims
We have been providing advanced analytics tools that can identify patterns or trends in claim denials and payment delays related to missing or incomplete information. These services ensure that our clients are aware of the importance of complete and accurate documentation.
Inefficient Billing & Payment Processes
We offer consulting services to help our clients identify inefficiencies in their billing and payment processes and provide solutions for improvement. This can include process redesign, implementing new technology, or outsourcing billing and payment services.
Local Help You Can Rely On
At Healthpro RCM, we provide customized solutions that address the specific payment challenges facing healthcare organizations. For example, we can offer assistance with collections, helping providers to manage outstanding balances and reduce bad debt.