Revenue cycle management (RCM) is a crucial process that healthcare organizations and practices must

BillingParadise Group Practice Revenue Cycle Management Services

Identifying the Root cause and determining the nature of revenue loss

Medical group leaders ought to establish why they’re having revenue loss and the data suggested in-depth knowledge to research revenue cycle management processes to ascertain wherever denials trends occur very often.

Categorization and Prioritization

Drilling down the selected insurance/payer, department or medical practitioner, or service line and perceiving the dollar amount impact of inefficient processes or errors in these areas.

Registration information and data quality

It is wise to have an alert system to spot potential revenue loss data, and quality problems and establish workflows to correct errors in real-time. This increases its registration accuracy from 90-99%

Eligibility

By boosting RCM staff training and utilizing analytics to trace verification levels, these medical groups will execute successful eligibility verifications between 25,000 and 30,000 verifications per month.

Pre-certification or Prior-Authorization and medical necessity

The medical group staff should check authorization a number of days before the procedure and on the day of service.