Revenue Cycle Management
We can handle virtually all aspects of the revenue cycle process. We can do your work either by function,
or you can trust us to effectively handle the end-to-end revenue cycle management!
or you can trust us to effectively handle the end-to-end revenue cycle management!
Revenue Cycle Management
Innomed Billing Solutions can handle virtually all aspects of the revenue cycle process. We
can do your work either by function, or you can trust us to effectively handle the end-to-end
revenue cycle management of your billing company, on your software platform!
can do your work either by function, or you can trust us to effectively handle the end-to-end
revenue cycle management of your billing company, on your software platform!
Patient Registration And Charge Posting
The first step in a clean claim is to make certain that the demographic information has been
entered into the system correctly. This process involves collecting patient demographics from
clinics and hospitals. Our team is trained to process, verify, and validate demographic information
into the billing system.
entered into the system correctly. This process involves collecting patient demographics from
clinics and hospitals. Our team is trained to process, verify, and validate demographic information
into the billing system.
Eligibility Verification
We have a highly trained staff that performs eligibility verification of benefits in order to avoid
delays or errors in insurance coverage. Then the team verifies coverage on any primary or
secondary payers by utilizing payer websites, automated voice response systems, or by making
phone calls to payers. We also offer real-time pre-authorization services for walk-in patients.
delays or errors in insurance coverage. Then the team verifies coverage on any primary or
secondary payers by utilizing payer websites, automated voice response systems, or by making
phone calls to payers. We also offer real-time pre-authorization services for walk-in patients.
Medical Coding
Our team of expert medical coders then starts to abstract and assign the appropriate coding on
your claims. They assign the appropriate CPT, ICD-10, and HCPCS codes in order to facilitate
accurate claim submission downstream in the process.
your claims. They assign the appropriate CPT, ICD-10, and HCPCS codes in order to facilitate
accurate claim submission downstream in the process.
Claim Submission And Clearinghouse Denials
Once all the charges are posted into the system, we submit your electronic claims to the respective
payers (including HCFA 1500 claims). We work on all your clearinghouse denials and give proper
feedback with suggestions to reduce the number of claims that do not pass the clearinghouse. A
detailed report will be sent to you on a daily, weekly, monthly, and yearly basis..
payers (including HCFA 1500 claims). We work on all your clearinghouse denials and give proper
feedback with suggestions to reduce the number of claims that do not pass the clearinghouse. A
detailed report will be sent to you on a daily, weekly, monthly, and yearly basis..
Payment Posting And Payment Reconciliation
Insurance payments are posted to patient accounts from EOB’s into the client’s software systems,
with a turn-around-time between 24-48 hours. We also generate secondary claims and mail them
to the correct insurance companies. Daily payments are posted into the system where they are
reconciled with the bank’s deposit sheet on a daily basis.
with a turn-around-time between 24-48 hours. We also generate secondary claims and mail them
to the correct insurance companies. Daily payments are posted into the system where they are
reconciled with the bank’s deposit sheet on a daily basis.
Denial And Accounts Receivable Management
Most insurance carriers are required to pay the claim or provide a denial in writing within 30 days
of receipt. Using our proactive approach to handling denials, we can improve your “days in AR”
substantially. All the denials are segregated and forwarded to our denial management team for
prompt resolution. The team then measures, monitors, analyzes, and resolves all the denials
received from each payer.
of receipt. Using our proactive approach to handling denials, we can improve your “days in AR”
substantially. All the denials are segregated and forwarded to our denial management team for
prompt resolution. The team then measures, monitors, analyzes, and resolves all the denials
received from each payer.
Patient Calling
One of the most difficult areas to staff in a revenue cycle management company is the patient
interaction function. Traditionally, this function has been kept in-house and not outsourced. With
our new operations center in Manila, Philippines, we can smoothly and effectively handle in-bound
patient statement calls and outbound patient balance calls. There is no need to worry about
accents that are difficult to understand or knowledge of the American culture. Your end clients
deserve the collection of every dollar.
interaction function. Traditionally, this function has been kept in-house and not outsourced. With
our new operations center in Manila, Philippines, we can smoothly and effectively handle in-bound
patient statement calls and outbound patient balance calls. There is no need to worry about
accents that are difficult to understand or knowledge of the American culture. Your end clients
deserve the collection of every dollar.