How to Optimize Healthcare Revenue Cycle Management?

How to Optimize Healthcare Revenue Cycle Management? www.ecareindia.com

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Revenue Cycle Management • Revenue Cycle Management is one of the major processes in medical billing.

• RCM process is the primed for revenue improvement.

• RCM is the process of collecting and managing the business revenue from payers based on the services rendered.

• Successful revenue cycle management is required to keep up the financial viability.

Let’s discuss the revenue cycle management optimization.

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Medical Coding & Billing • For a smooth revenue cycle, medical billing and coding should be done accurately and the claims should be submitted within the stipulated turnaround time as it directly impacts the practice’s revenue.

• Medical coding updates make the coding process more complex, For this reason, the medical coder should be regularly updated with coding procedures for each payer.

• Accurate coding reduce claim denials rate.

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Eligibility Verification • • •

Eligibility verification is the most significant way to optimize the revenue cycle.

Verifying the patient’s coverage details with the payers is the initial step of revenue cycle management.

Any service rendered without taking an initial step of insurance eligibility verification, might leads to several complications to the billing company as well as their end client. www.ecareindia.com

Accounts Receivable Follow Up • To maximize the practice’s revenue, you have to do patient follow up and denial management.

• Generate account receivable aging report. Based on that report, focus on the past due- receivables and act quickly with the help of the account receivable follow up team.

• Having consistent follow-up with patients enhances the reimbursement process.

• Denial management identifies the claim rejection reasons and resubmits error-free claims without any delays.

• The entire process is meticulously tracked by the AR follow up team until the claims get paid. www.ecareindia.com

Prior Authorization • • •

Prior authorization is one of the essential parts of the healthcare revenue cycle.

Incomplete documentation and improper preauthorization may lead to claim denials.

Pre-authorization is the most important procedure to make sure timely reimbursement for services.

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Outsourcing Revenue Cycle Management Outsourcing revenue cycle management provides following benefits for medical billing companies • Timely reimbursements, • Improves cash flows, • Improves profitability and efficiency • Streamlines operations • Reduce billing errors • Reduce claim denials rate etc. www.ecareindia.com

Revenue Cycle Management Optimization -Solutions • • • • • •

Reduce costs Increase operational efficiency Eliminate redundancies Enhance the reimbursement Increase patient collections Improve patient engagement

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About e-care India • • •

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e-care India is the top revenue cycle management company in India.

We have 20 years of experience in the healthcare industry. Our company has twin certifications to ensure the highest PHI security.

We provide medical billing and coding services and revenue cycle management that include insurance eligibility verification, denial management, account receivable management, payment posting, etc.

We are experts in denial resolution, claim follow-up, claim appeal submission, etc. To know more about our services, visit us at www.ecareindia.com

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