Revenue Cycle

  • Appointment Scheduling
  • Demographics Entry and Conversion
  • Referral Verification
  • Eligibility Verification & Prior Authorization
  • Medical Coding
  • Coding Audit
  • Charge Entry and Charge Audit
  • Payment Posting
  • Denial Posting and Management
  • Accounts Receivable Management

RCM (Revenue Cycle Management)

Medical Coding

Having an experienced AAPC Certified Medical Coding Team for Coding and Audits ….

AccuBills is one of the best leading coding company. AccuBills is well aware about the importance of Medical Coding in RCM system and for submission of clean claims. Accurate Medical Coding will help in reduced denials and also a fast flow of revenue for our clients.

Medical Coding is one of the main reason for Denials. So as understanding the importance of Medical Coding and to reduce the coding errors in starting itself we have AAPC (American Academy of Professional Coders) certified medical coders, to maintain the highest level of accuracy and quality of work. AccuBills believes in meeting and exceeding the industry standards without compromising on quality for our clients.

We have ICD-9-CM, CPT-4, HCPCS coding, ICD-10-CM and ICD-10-AM medical coding experienced staff.
  • Chart Audits and Code Reviews
  • Offshore coding audits
  • Payer specific coding requirements
  • Our Coding team accomplishes Medical coding process with perfection to ensure error free claim submission to insurance carriers. A separate sub group of experienced coders handles the HCC medical coding and their audits. A separate audit team audits all the coding done before the claims are processed.
    We conduct professional; trainings for our coding team to make them aware about the latest changes and updates in the process.

    Medical Billing

    Charges Entry and Claims

    This is one of the most important process of Revenue Cycle Management. It includes Demographic Entry, creating patient accounts and assigning the appropriate charge amount for billing as per coding and insurance fee schedule. This process ensures the reimbursements to the provider as per services rendered, so any error in this process can lead to denial or delay in reimbursement, even less reimbursements as well. To to avoid all these denials and delay in reimbursements a clean claim submission is important in first time. So a good co-ordination in required between coding and charges entry team for clean claim submission and enhanced results.

    AccuBills have experienced charge entry team which provides 99% accuracy in charge entry and claim submissions. Which leads to a timely flow of revenue and less denials. This leads to a continuous flow of revenue to our clients and helps them to focus on their business instead of revenues and other billing issues.

    Charges Entry Process at AccuBills
  • Charge entry process is done account wise as per client specifications in clients medical billing software.
  • Charges having issues and need clarification are sent to client on timely manner to clarify the issues and for quick billing.
  • The final charges are audited by the experienced audit team before submission to avoid any errors and for maximum clean claim submissions.
  • Account Receivables

    Account Receivable Management is one of the key areas which directly impacts the cash flow in Revenue Cycle Management. So, a logical internal system is required to control and successfully run the AR follow-up.

    At AccuBills, AR Management team works as a part of Medical Billing team and resolves the difficulties in cash flows. Teams main goal is to speed up the cash flow and to recover the revenue for client in timely manner. We focus on reducing the Account Receivable days by submitting the clean- claims in starting, properly analyzing the denied claims and also following up with insurance and patients to finish denied claims.

    Patient Collections

    Patient Collection term includes the patient balances or the patient account receivables. This is the provider balance pending with the patients, which are their clients as well. So for such kind of collections a very efficient and trained team is required for follow up with patients. Also a monthly statements need to generate and to mail it to patients at their address.

    AccuBills have a very experienced team to handle patient AR and proficient in soft collections calls. Also very good in monthly statement generation and to mail them after auditing, as only actual balance should go to the patient. All Accubills have experienced staff to handle patient’s incoming query calls and the payments they want to make on call. We assure our clients for a quality work in patient collections domain.

    Provider Credentialing

    Provider credentialing is the important part for any provider as to get paid provider need to be credentialed with the payers. If provider is not credentialed, he will not get paid by insurances.

    AccuBills have experienced staff to help new providers in credentialing. Credentialing team have good experience in new provider credentialing and also in resolving old credentialing issues.